Eye Pain: Causes, Symptoms, and When to Seek Help

Q: Eye Pain: Causes, Symptoms, and When to Seek Help

Hello, Miss： When reading, studying, or working on the computer at close distances, our eyes adjust their focus to see nearby objects clearly. <br>This adjustment is achieved by the contraction of small muscles in the eye known as the ciliary muscles. <br>Prolonged close-up work

Eye pain

Hello, Dr.
Liu: Yesterday, when I woke up, I experienced an inexplicable pain in my forehead.
I later realized that whenever I moved my eyes significantly, the pain in my head would become unbearable.
This morning, the headache was not as severe, but I still feel pain when looking up, down, or sideways.
It feels like the pain is coming from inside my eyeball.
What could be causing this? If I need to get checked, which department should I visit? I have a habit of staying up late, usually going to bed around 2 AM, and sometimes it takes me until almost 3 AM to fall asleep.
Additionally, I often stare at the computer screen.
The night before last, while looking at the screen, my eyes suddenly felt very strained and dry, almost unable to open (this has never happened before), and my vision became very blurry; I had to blink repeatedly to see the text on the screen clearly.
The next day, I woke up with the symptoms I described above.
The night before last, I used Rohto eye drops, which made my eyes feel very cool, and I wonder if that could be one of the reasons for my discomfort.
I would appreciate your insights.
Thank you.

Baoni, 20~29 year old female. Ask Date: 2007/09/17

Dr. Liu Jingxian reply Ophthalmology

Hello, Miss: When reading, studying, or working on the computer at close distances, our eyes adjust their focus to see nearby objects clearly.
This adjustment is achieved by the contraction of small muscles in the eye known as the ciliary muscles.
Prolonged close-up work can lead to fatigue of the ciliary muscles, which may even result in temporary blurred vision.
If the ciliary muscles are overused, it can lead to ciliary muscle spasm, which manifests as pain within the eye.
However, since you are experiencing other symptoms as well, it is advisable to consult an ophthalmologist for further evaluation to rule out other possible issues.
For eye fatigue, taking regular breaks can help relax the ciliary muscles; closing your eyes for rest is one method.
Looking into the distance can also help relax the ciliary muscles.
Additionally, applying warm compresses in the morning and evening can be beneficial.
It is important to practice good eye care by avoiding excessive eye strain and fatigue, as this is the key to maintaining eye health.
Wishing you good health.
Dr.
Liu Jing-Hsiang, Ophthalmology, Taipei City Hospital, Zhongxing Branch.

Reply Date: 2007/09/17

More Info

Eye pain can be a distressing symptom and can arise from a variety of causes. Based on your description, it seems that your symptoms may be related to a combination of factors, including prolonged screen time, lack of sleep, and possibly eye strain.

Causes of Eye Pain
1. Eye Strain (Asthenopia): This is a common condition that occurs when the eyes become fatigued from intense use, such as staring at a computer screen for long periods. Symptoms can include discomfort, blurred vision, and headaches. The muscles in the eye, particularly the ciliary muscle that helps focus, can become overworked, leading to pain and discomfort.

2. Dry Eyes: Extended screen time can reduce the frequency of blinking, leading to dry eyes. This can cause a sensation of grittiness, discomfort, and even pain. The use of eye drops, such as the one you mentioned (Rohto eye drops), can provide temporary relief but may not address the underlying issue if used excessively.

3. Tension Headaches: The pain you feel in your forehead and around your eyes could also be tension headaches, which can be exacerbated by poor posture while using a computer, stress, and lack of sleep.

4. Refractive Errors: If you have uncorrected vision problems (like nearsightedness or astigmatism), this can lead to eye strain and discomfort, especially during prolonged near work.

5. Other Conditions: While less common, conditions such as sinusitis, migraines, or even more serious issues like glaucoma or optic neuritis could also cause eye pain. Given your symptoms, it would be wise to rule these out.

When to Seek Help
If your symptoms persist, worsen, or are accompanied by other concerning symptoms (such as significant vision changes, severe headaches, or nausea), it is important to seek medical attention. In your case, visiting an ophthalmologist would be appropriate, as they specialize in eye health and can conduct a thorough examination to determine the cause of your pain.

Recommendations for Relief and Prevention
1. Take Regular Breaks: Follow the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds. This helps relax the eye muscles.

2. Adjust Your Workspace: Ensure your computer screen is at eye level and about an arm's length away. Proper lighting can also reduce glare and strain.

3. Stay Hydrated: Drink plenty of water to help keep your eyes moist.

4. Use Artificial Tears: If you experience dryness, consider using lubricating eye drops regularly, especially if you spend long hours in front of a screen.

5. Limit Screen Time Before Bed: Reducing screen exposure in the evening can help improve your sleep quality, which in turn can alleviate some of the eye strain and headaches.

6. Consult a Professional: If you suspect you may need corrective lenses or if your symptoms do not improve with self-care measures, make an appointment with an eye care professional.

In summary, your symptoms may be indicative of eye strain due to prolonged screen time and lack of sleep. Implementing some preventive measures and seeking professional advice if symptoms persist will be beneficial for your eye health.

Similar Q&A

Understanding Eye Pain: Causes and When to Seek Help

Hello, doctor. Since June 28, I have been experiencing pain in my left eye that radiates to the right and also causes discomfort when moving up and down, extending to my head. What could this symptom indicate, and will it resolve on its own?

Dr. Gao Pilin reply Ophthalmology
Hello, regarding your concerns: There are many potential causes for this issue, and an examination is necessary to determine the exact reason. I recommend that you visit an ophthalmologist for a check-up. In the meantime, allow your eyes to rest and see if there is any improvemen...

Understanding Right Eye Pain: Causes, Symptoms, and When to Seek Help

Hello Doctor: For the past couple of days, I have been experiencing a pain in my right eye when I close it or when I exert pressure while closing it. There is also a slight pain when I gently press on it. When my eye is open and not under pressure, I feel a mild dizziness around ...

Dr. Gao Pilin reply Ophthalmology
Hello: The most common situation is eye fatigue. Please take more breaks and avoid using your phone or computer for extended periods. When you have the chance, applying a warm towel can also help alleviate the symptoms. If the symptoms persist, please visit an ophthalmologist for...

Understanding Eye Pain: Causes and When to Seek Medical Attention

Hello, doctor. I usually spend a lot of time on my phone and computer. Since last year, whenever I'm outdoors in bright sunlight, my eyes start to hurt. I also experience discomfort from the brightness when watching TV, using my computer, or looking at my phone, and I have p...

Dr. Cai Wenyuan reply Ophthalmology
Observe the symptoms, and if they persist, seek medical evaluation.

Understanding Eye Pain and Excessive Tears: Causes and Solutions

Hello, Doctor: I often experience sharp pain in my eyes and excessive tearing. When I'm indoors, my eyes feel so uncomfortable that I can't open them until these symptoms subside. I don't have myopia, so I'm unsure why my eyes feel this way. Thank you for your...

Dr. Ke Meilan reply Ophthalmology
Hello: It is most likely that your eyes are simply fatigued; it doesn't necessarily have to be due to myopia, astigmatism, or prolonged screen time, all of which can lead to eye strain. I recommend taking a break before continuing to look at screens. If the issue persists, p...