Why Does My Eye Hurt When Moving It Up and Down? - Ophthalmology

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Experiencing pain when moving the eyes significantly up, down, or side to side?


I would like to ask the doctor, a few days ago, when I woke up in the morning and used the computer, my eyes felt normal and I didn't have any discomfort.
However, after taking a nap in the afternoon, I woke up feeling pain in my eyes when looking up, down, or sideways.
I initially thought that a good night's sleep would resolve it by the next day, but now, on the third day, the pain has worsened.
Could this be due to my habit of playing on my phone until three or four in the morning and then waking up around noon, resulting in insufficient rest for my eyes? Thank you.

joQ, 20~29 year old female. Ask Date: 2015/07/23

Dr. Gao Pilin reply Ophthalmology


Hello, joQ: This is a sign of eye fatigue; please take more rest.
If the symptoms persist, it is necessary to get an examination.
Taiwan E-Hospital Puzi Hospital Ophthalmology: Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoon from 1:00 PM to 4:30 PM.
We hope to have the opportunity to serve you.
Gao Pi-Lin.

Reply Date: 2015/07/23

More Info


Experiencing pain when moving your eyes can be concerning, and there are several potential reasons for this discomfort. Given your description, it seems that the pain began after a period of inadequate rest and excessive screen time, which can indeed contribute to eye strain and discomfort. Here’s a more detailed exploration of the possible causes and recommendations for managing your symptoms.


Possible Causes of Eye Pain When Moving Them
1. Eye Strain (Asthenopia): Prolonged use of digital devices, especially late into the night, can lead to eye strain. This condition is characterized by discomfort in the eyes, fatigue, and sometimes pain when moving the eyes. Symptoms can be exacerbated by inadequate lighting, improper screen distance, or not taking regular breaks.

2. Dry Eyes: Extended screen time often leads to reduced blinking, which can cause dry eyes. When your eyes are dry, moving them can be uncomfortable or painful. This is particularly relevant if you’ve been using your phone or computer for long periods without breaks.

3. Muscle Fatigue: The muscles that control eye movement can become fatigued from overuse, especially if you’ve been focusing on screens for extended periods. This fatigue can lead to discomfort or pain when you attempt to move your eyes in different directions.

4. Infection or Inflammation: Conditions such as conjunctivitis (pink eye) or uveitis can cause pain when moving the eyes. If you notice additional symptoms like redness, swelling, or discharge, it’s important to seek medical attention.

5. Sinus Issues: Sometimes, sinus infections or sinusitis can cause referred pain in the eyes, especially when moving them. The pressure from sinus congestion can lead to discomfort in the eye area.

6. Nerve Issues: In rare cases, pain when moving the eyes can be related to issues with the optic nerve or other neurological conditions. If the pain persists or worsens, it’s crucial to consult a healthcare professional.


Recommendations
1. Take Breaks: Follow the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds. This helps reduce eye strain.

2. Adjust Screen Settings: Ensure that your screen brightness is appropriate and consider using blue light filters, especially in low-light conditions.

3. Stay Hydrated: Drink plenty of water to help maintain moisture in your eyes. Consider using artificial tears if you experience dryness.

4. Limit Screen Time: Try to reduce the amount of time spent on screens, especially before bedtime. Establish a routine that allows your eyes to rest adequately.

5. Consult an Eye Care Professional: If the pain persists for more than a few days, or if you experience other symptoms like vision changes, redness, or swelling, it’s essential to see an eye doctor. They can perform a thorough examination to rule out any serious conditions.

6. Practice Good Sleep Hygiene: Ensure you’re getting enough sleep and maintaining a regular sleep schedule. This can help reduce overall fatigue, including eye fatigue.

In conclusion, while your symptoms may be related to eye strain from excessive screen time and inadequate rest, it’s essential to monitor your condition. If the pain continues or worsens, seeking professional medical advice is crucial to ensure there are no underlying issues that need to be addressed. Taking proactive steps to care for your eyes can help alleviate discomfort and promote better eye health in the long run.

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