Persistent Eye Pain and Sensitivity: When to Seek Further Medical Attention

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Hello, I recently noticed that if the light is too bright, my eyes feel painful.
If it's strong sunlight, I even tear up.
Last week, I went to the hospital because I had some eye discomfort.
The doctor informed me that it was due to conjunctivitis (I’m not sure if it was conjunctivitis).
However, it has been over a week now, and there has been no improvement.
Previously, the eye drops prescribed by the hospital did not cause any pain, but this time, after using Spersallerg (not sure if that's the correct name for the eye drops), I started to feel irritation the next day.
Additionally, when I close my eyes, they feel a bit warm, and sometimes when I look at things, they appear blurry at first, but then they become clear when I focus.
Should I go back to the hospital for a check-up? If so, is there a specific area I should have examined? Thank you.

Xin Shenghuo, 20~29 year old female. Ask Date: 2008/05/13

Dr. Hu Yusheng reply Ophthalmology

Hello, Miss New Life! The discomfort you mentioned caused by light is known as "photophobia." There are many potential causes for photophobia, and it is important to rule out other possibilities.
If the physician determines that the cause is related to the surface of the eye, the most common conditions are conjunctivitis or dry eye syndrome.
The medication Spersallerg has noted the discomfort you mentioned in its instructions; it is advisable to discontinue its use and have your physician evaluate whether dry eye syndrome or other types of eye diseases may be present.
Wishing you health and safety.

Reply Date: 2008/05/13

More Info

Hello! It sounds like you're experiencing some persistent eye discomfort and sensitivity to light, which can be quite distressing. Based on your description, it seems that you may be dealing with a combination of issues related to your eye health, particularly following the inflammation you mentioned.
Firstly, sensitivity to bright light (photophobia) and tearing can be symptoms of several conditions, including conjunctivitis (inflammation of the conjunctiva), dry eye syndrome, or even corneal issues. The fact that you experienced discomfort after using a specific eye drop (Spersallerg) suggests that you might be having a reaction to that medication, or it may not be suitable for your current condition.
Given that your symptoms have persisted for over a week without improvement, it is advisable to seek further medical attention. Here are a few reasons why a follow-up visit is important:
1. Persistent Symptoms: If your symptoms have not improved or have worsened, it’s crucial to have a thorough examination. Sometimes, conditions can evolve or new issues can arise that may not have been apparent during the initial visit.

2. Medication Reaction: Since you mentioned experiencing irritation after using the eye drops, it’s essential to discuss this with your eye care provider. They may need to adjust your treatment plan or prescribe a different medication that is more suitable for your condition.

3. Comprehensive Examination: During your follow-up, it would be beneficial to request a comprehensive eye examination. This should include checking for:
- Corneal Health: To rule out any abrasions or infections.

- Tear Film Stability: To assess for dry eye syndrome, which can cause sensitivity and discomfort.

- Intraocular Pressure: To ensure that there are no underlying issues related to glaucoma or other conditions that could affect your vision.

4. Additional Tests: Depending on your symptoms, your eye doctor may recommend additional tests such as:
- Slit Lamp Examination: This allows for a detailed view of the anterior segment of your eye, including the cornea, iris, and lens.

- Fluorescein Staining: This test can help identify any corneal abrasions or foreign bodies.

- Tear Break-Up Time Test: This assesses the quality of your tears and can help diagnose dry eye syndrome.

5. Management of Underlying Conditions: If your eye inflammation is due to an underlying condition (like allergies or an autoimmune issue), addressing that will be crucial for your overall eye health.

In summary, given the persistence of your symptoms and the new discomfort associated with the eye drops, I strongly recommend that you return to your eye care provider for a follow-up examination. Be sure to communicate all your symptoms clearly, including the sensitivity to light, tearing, and any changes in your vision. This will help your doctor make an accurate diagnosis and provide the appropriate treatment.
Taking care of your eye health is essential, and addressing these concerns promptly can help prevent further complications. Don't hesitate to seek help; your vision and comfort are paramount!

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