Facial Injury: Managing Pain and Eye Discomfort After a Collision - Traditional Chinese Medicine

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Facial impact?


Hello Doctor, I have a question: A few days ago, I hit my left cheek, and besides the pain at the impact site, my left eyelid has been twitching.
At night, when I wear contact lenses, my eyes feel a bit sore, and moving my eyeball also causes some pain.
What should I do? Should I make an appointment with your department? Thank you.

Yu, 20~29 year old female. Ask Date: 2009/01/20

Dr. Hou Yuchang reply Traditional Chinese Medicine


Dear Ms.
Yu: I believe your issue may need to be addressed by an ophthalmologist or a neurologist, as there may be an injury to the extraocular muscles of your eyes.
Currently, traditional Chinese medicine may not be very helpful for you.
Wishing you peace and health.
Sincerely, Dr.
Hou Yu-Chang, Attending Physician, Traditional Chinese Medicine Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2009/01/20

More Info


After experiencing a facial injury, particularly one that affects the eye area, it is not uncommon to encounter symptoms such as pain, discomfort, and involuntary muscle spasms (like eyelid twitching). In your case, the pain in your left cheek and the associated symptoms in your left eye, including the twitching and discomfort while wearing contact lenses, warrant a careful evaluation.


Understanding Your Symptoms
1. Pain in the Cheek and Eye: The pain you are experiencing in your cheek could be due to soft tissue injury, inflammation, or even a bruise from the impact. This can lead to referred pain in the eye area, as the facial nerves are interconnected. The discomfort in your eye, especially when wearing contact lenses, could indicate irritation or dryness, which can be exacerbated by the injury.

2. Eyelid Twitching: The twitching of your eyelid (myokymia) can be a response to stress, fatigue, or irritation of the eye. It is often benign but can be annoying. In your case, it may be linked to the trauma you experienced, as the muscles around the eye may be reacting to the injury.

3. Eye Discomfort: The pain when moving your eye could suggest that the injury has affected the muscles or nerves around the eye. It is essential to rule out any more serious conditions, such as an orbital fracture or damage to the eye itself.


Recommended Actions
1. Seek Medical Attention: Given that your symptoms include pain, discomfort, and twitching, it is advisable to consult with an ophthalmologist or a healthcare provider specializing in eye care. They can perform a comprehensive eye examination to assess for any potential injuries to the eye or surrounding structures.

2. Imaging Studies: Depending on the findings during your examination, your doctor may recommend imaging studies, such as a CT scan, to evaluate for any fractures or significant injuries to the facial bones or the orbit (the bony cavity that houses the eye).

3. Pain Management: Over-the-counter pain relief medications, such as ibuprofen or acetaminophen, can help manage your pain. However, it is crucial to follow the recommended dosages and consult with your healthcare provider if you have any underlying health conditions or are taking other medications.

4. Eye Care: If you are experiencing discomfort while wearing contact lenses, consider taking a break from them until your symptoms improve. You can also use lubricating eye drops to alleviate dryness and irritation. Ensure that your contact lenses are clean and suitable for your eyes, as any irritation can be exacerbated by improper lens care.

5. Rest and Recovery: Allowing your body to rest and recover is essential. Stress and fatigue can worsen symptoms like eyelid twitching, so ensure you are getting adequate sleep and managing stress levels.

6. Follow-Up: If your symptoms persist or worsen, follow up with your healthcare provider. They may refer you to a specialist if necessary, especially if there are concerns about the integrity of the eye or surrounding structures.


Conclusion
In summary, your symptoms following a facial injury are significant and should be evaluated by a medical professional. While many cases of facial trauma can resolve with conservative management, it is crucial to rule out any serious complications. Seeking timely medical attention will ensure that you receive appropriate care and guidance for your recovery.

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