Why Do My Eyes Hurt When I Move Them? Eye Pain and Fever - Ophthalmology

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Pain when moving both eyes?


Hello, doctor.
Why do I experience pain when I move my eyes, and why do I have a fever as well? Can you help me resolve this issue?

Hua, 10~19 year old female. Ask Date: 2015/06/30

Dr. He Jianxian reply Ophthalmology


It is recommended that you see an ophthalmologist for a more accurate diagnosis and treatment.
Generally, moving the eyeball should not cause pain!

Reply Date: 2015/06/30

More Info


Eye pain, especially when moving the eyes, can be a concerning symptom that may arise from various underlying conditions. When you experience pain during eye movement, it is essential to consider several potential causes, which can range from benign to more serious issues.

One common reason for eye pain during movement is eye strain, which can occur after prolonged periods of focusing on screens or reading. This strain can lead to discomfort due to the overuse of the ciliary muscles that help adjust the lens of the eye for focusing. Symptoms may include pain, fatigue, and even temporary blurred vision. However, if the pain is severe or accompanied by other symptoms such as fever, it may indicate a more serious condition.

Another potential cause is inflammation of the eye muscles, known as orbital myositis. This condition can lead to pain when moving the eyes and may be associated with other symptoms such as swelling or redness. In some cases, it can be linked to autoimmune disorders or infections.

Additionally, conditions such as sinusitis can cause referred pain to the eyes. The sinuses are located near the eyes, and inflammation or infection in these areas can lead to discomfort that feels like it originates from the eyes themselves. If you are experiencing fever alongside eye pain, it could suggest an infection, which warrants immediate medical attention.

Moreover, if you have a history of migraines, it is worth noting that some individuals experience ocular migraines, which can cause temporary visual disturbances and pain around the eyes. These episodes can sometimes be accompanied by other migraine symptoms, including nausea and sensitivity to light.

Given your symptoms of eye pain during movement and fever, it is crucial to seek a thorough evaluation from an eye care professional or a healthcare provider. They can perform a comprehensive eye examination and possibly recommend imaging studies if necessary to rule out conditions like optic neuritis or other serious issues.

In terms of treatment, it will depend on the underlying cause. For eye strain, simple measures such as taking regular breaks from screens, ensuring proper lighting, and using lubricating eye drops can help alleviate discomfort. If inflammation or infection is present, appropriate medications, including anti-inflammatory drugs or antibiotics, may be prescribed.

In summary, while eye pain during movement can often be attributed to eye strain or fatigue, the presence of fever and other symptoms necessitates a professional evaluation to rule out more serious conditions. It is essential to prioritize your eye health and seek medical advice promptly to ensure proper diagnosis and treatment.

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