Why Does Air Escape from My Eye When I Blow My Nose? - Otolaryngology

More Info

---

When you experience air escaping from your eye while blowing your nose, it can be quite concerning and uncomfortable. This phenomenon is often related to the anatomy of the eye and the nasal passages. Specifically, it may involve the connection between the nasal cavity and the eye through a structure known as the nasolacrimal duct.


Understanding the Anatomy
The nasolacrimal duct is a small passage that drains tears from the eye into the nasal cavity. It runs from the inner corner of the eye (the medial canthus) down to the nasal cavity. When you blow your nose, especially if you do so forcefully, the pressure in your nasal cavity increases. If there is any obstruction or abnormality in the nasolacrimal duct, this increased pressure can cause air to escape through the duct and into the eye, leading to the sensation of air coming out of the inner corner of your eye.


Possible Causes
1. Obstruction of the Nasolacrimal Duct: This could be due to inflammation, infection, or anatomical variations. Conditions like chronic sinusitis can also contribute to this issue.

2. Increased Intraocular Pressure: If you are blowing your nose very forcefully, it can create a sudden change in pressure that might force air through the nasolacrimal duct.

3. Eye Conditions: Certain eye conditions, such as conjunctivitis or other forms of inflammation, could potentially make the duct more sensitive or reactive to pressure changes.

4. Previous Eye Surgery: If you have had any previous eye surgeries, particularly those involving the tear drainage system, this could also lead to unusual symptoms.


Recommendations
Given that this issue is occurring only in one eye and is causing discomfort, it is advisable to consult with a healthcare professional. The best course of action would be to see an ophthalmologist, a specialist in eye care. They can perform a thorough examination to determine if there is any underlying issue with your eye or the nasolacrimal duct.


What to Expect During the Consultation
During your visit, the ophthalmologist may perform several tests, including:
- Slit Lamp Examination: This allows the doctor to closely examine the structures of your eye.

- Fluorescein Dye Test: This test can help assess the drainage system of your eye and check for blockages.

- Nasal Examination: Depending on the findings, they may refer you to an ENT (ear, nose, and throat) specialist if they suspect that the issue may be related to your nasal passages.


Conclusion
Experiencing air escaping from your eye when blowing your nose is not a common symptom and should be evaluated by a professional. While it may be benign, it is essential to rule out any potential underlying conditions that could require treatment. Make sure to describe your symptoms in detail during your consultation, including how long you have been experiencing this issue and any other associated symptoms. This information will help your doctor provide the best care possible.