Eye Movement Pain: When to Seek Medical Attention for Headaches

Ocular headache

I have been experiencing a cold and fever for the past few days.
After taking over-the-counter medication, my fever and other symptoms improved the next day.
However, whenever I move my eyes up, down, or sideways, I experience pain in my head.
Even slight movements of my head cause a type of nerve pain.
Should I go to the hospital for an examination?

Wang Sheng, 20~29 year old female. Ask Date: 2016/02/27

Dr. Lan Shengxing reply Neurology

Dear Mr.
Wang, you may observe for a few days before seeking medical attention.
Muscle pain from influenza may cause pain in the extraocular muscles.
Best regards, Lan Shengxing.

Reply Date: 2016/02/27

More Info

When experiencing pain during eye movement, especially in conjunction with headaches, it is essential to take these symptoms seriously. Your recent history of fever and cold symptoms, followed by the onset of pain when moving your eyes or head, could indicate several underlying issues that warrant medical attention.

Firstly, the pain you describe could be related to a condition known as "ophthalmoplegic migraine," which is characterized by headache and eye movement pain. This type of migraine can cause temporary paralysis of the eye muscles, leading to pain when moving the eyes. However, it is crucial to note that not all headaches associated with eye movement are migraines. Other potential causes include sinusitis, which can lead to inflammation and pressure in the sinuses surrounding the eyes, resulting in pain during eye movement.

Another possibility is that you may be experiencing tension headaches or cervicogenic headaches, which can occur due to muscle tension in the neck and shoulders. This tension can radiate pain to the head and eyes, especially when moving the head or eyes. Given your recent illness, it is also possible that you are experiencing post-viral fatigue or inflammation, which can exacerbate headaches and eye discomfort.

In addition, if you have developed any visual disturbances, such as blurred vision or double vision, or if the pain worsens or is accompanied by other symptoms like nausea, vomiting, or neurological signs (such as weakness or numbness), it is critical to seek immediate medical attention. These symptoms could indicate more serious conditions, such as increased intracranial pressure or other neurological issues.

Given your symptoms, it is advisable to consult a healthcare professional. A visit to an ophthalmologist or a neurologist would be beneficial. They can perform a thorough examination, which may include visual acuity tests, eye movement assessments, and possibly imaging studies (like an MRI or CT scan) to rule out any serious conditions.

In the meantime, you can take some measures to alleviate your discomfort. Ensure you are well-hydrated and consider using over-the-counter pain relievers, such as ibuprofen or acetaminophen, to manage your headache. Applying a warm compress over your eyes may also help relieve some tension and discomfort.

In summary, while some headaches and eye movement pain can be benign, your recent symptoms, especially following a viral illness, suggest that it would be prudent to seek medical evaluation. Early intervention can help identify any underlying issues and guide appropriate treatment, ensuring your health and well-being.

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