Eye Pain: Causes and When to Seek Help - Ophthalmology

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An eye problem?


It feels like there is a small lump on the left side near the nose when I press down, and it hurts a bit, but there are no visible abnormalities when I look directly.
What could this be? Is it an infection, or just eye strain? Could it be cataracts or glaucoma? Should I be concerned about needing surgery?

PUNK, 10~19 year old female. Ask Date: 2006/08/30

Dr. Ke Meilan reply Ophthalmology


Hello: It is neither cataracts nor glaucoma.
Your description is not sufficient for a definitive diagnosis; please consult an ophthalmologist.
Sincerely, Dr.
Ke Mei-Lan, Ophthalmology.

Reply Date: 2006/08/30

More Info


Eye pain can be a concerning symptom, and understanding its potential causes is crucial for determining whether medical attention is necessary. Based on your description, it seems that you are experiencing localized pain near the inner corner of your left eye, which is exacerbated by pressure. While there are many possible causes for eye pain, it is essential to consider the context and accompanying symptoms to narrow down the possibilities.


Common Causes of Eye Pain
1. Infections: Conditions such as conjunctivitis (pink eye) or blepharitis (inflammation of the eyelid) can cause discomfort and pain. These infections may not always present with visible symptoms, especially in the early stages.

2. Sinusitis: Inflammation or infection of the sinuses can lead to referred pain around the eyes, particularly near the nasal bridge. This is often accompanied by other symptoms such as nasal congestion or facial pressure.

3. Eye Strain: Prolonged use of digital devices can lead to digital eye strain, characterized by discomfort, dryness, and fatigue. This is particularly relevant if you have been spending extended periods on screens.

4. Corneal Abrasions or Foreign Bodies: If there is a scratch on the cornea or a foreign object in the eye, it can cause significant pain. Even if you do not see any visible abnormalities, these conditions can still be present.

5. Glaucoma: This condition involves increased intraocular pressure and can lead to severe pain, often accompanied by vision changes. However, it typically presents with more pronounced symptoms than what you describe.

6. Other Conditions: More serious conditions such as uveitis (inflammation of the middle layer of the eye) or optic neuritis (inflammation of the optic nerve) can also cause pain, but these are usually accompanied by other significant symptoms like vision changes or redness.


When to Seek Medical Attention
Given your symptoms, it is advisable to seek medical attention, especially if:
- The pain persists or worsens over time.

- You experience any changes in vision, such as blurriness, halos around lights, or loss of vision.

- There is redness, swelling, or discharge from the eye.

- You have a history of eye problems or recent eye injuries.


Self-Care and Over-the-Counter Options
While waiting for a medical appointment, you can take some self-care measures:
- Rest Your Eyes: Take regular breaks from screens and practice the 20-20-20 rule: every 20 minutes, look at something 20 feet away for 20 seconds.

- Warm Compresses: Applying a warm compress to the affected area can help alleviate discomfort and promote circulation.

- Artificial Tears: If dryness is a concern, over-the-counter artificial tears can provide relief.


Conclusion
While your symptoms may not immediately indicate a severe condition, it is essential to err on the side of caution when it comes to eye health. Many eye conditions can worsen if left untreated, potentially leading to complications. Therefore, I recommend scheduling an appointment with an eye care professional who can perform a thorough examination and provide a definitive diagnosis and appropriate treatment plan. Remember, your vision is precious, and taking proactive steps to care for your eyes is always a wise decision.

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