In ophthalmology clinical outpatient clinics, patients often come for treatment due to “eye pain”. Such complaints are often similar. Some patients may suffer from eye pain, dryness, foreign body sensation, soreness, etc. due to certain “inducements” such as excessive eye use, staying up late, reading in a dark room, etc. Others may feel that there is no obvious inducement. Sudden onset of eye pain.
So, what factors are causing the most common “eye pain” in ophthalmology clinics? Which situation prompts us to seek medical treatment in time? Here’s a look at the most common causes of “eye pain” and how to deal with them.
Visual fatigue caused by excessive eye use is a common cause of eye pain in life. Excessive eye use can easily lead to fatigue of the nerves and tissues of the eyes, and when using electronic products for a long time, our blink frequency will decrease, which makes it easier for the eyes to feel dry and painful.
Countermeasures If you need to work or study for a long time in your life, you need to relax your eyes properly every once in a while. You can look into the distance, close your eyes to rest, or do eye exercises to adjust your eye muscles. Relaxing your eyes properly can effectively relieve eye strain. Excessive problem.
Herpes zoster of the eye
Herpes zoster is an acute infectious skin disease caused by the varicella-zoster virus. Ocular herpes zoster often manifests as a burning sensation or neuralgia in the eyelid skin area innervated by the trigeminal nerve, which may be accompanied by ocular symptoms such as redness, photophobia, and tearing. At the same time, there may be systemic symptoms such as mild fatigue and low fever, which may occur locally. Lymph nodes may be swollen and tender. As the disease progresses, clustered vesicular rashes may develop on the affected skin, but they are limited to one side and do not cross the midline. It is contagious to people with low immunity.
The main countermeasures are local and systemic antiviral drugs, supplemented by analgesics to relieve pain. In order to avoid posterior neuralgia, neurotrophic drugs can be added. In addition, exercising, balancing nutrition, and improving the body’s immunity will help prevent the occurrence of shingles.
dry eye syndrome
With the popularization of mobile phones, televisions, air conditioners and other products in daily life, more and more people are suffering from dry eye syndrome, and the disease is affecting younger and younger people. Insufficient moisture on the surface of the eyeball will cause soreness, stinging, or foreign body sensation in the eye. It may also cause tearing, photophobia, blurred vision, etc. These symptoms are more likely to be induced outdoors in low temperatures or strong winds.
Countermeasures include adding more vegetables and fruits in daily life; when using air conditioning indoors, you can use a humidifier to increase the ambient humidity; when using electronic screens, try to control the time within 40 minutes. For severe cases of dry eye symptoms, artificial tears can be used appropriately to relieve symptoms. In addition, hot compresses on the eyes are also beneficial in relieving symptoms related to dry eyes.
Conjunctivitis is an inflammation of the conjunctiva of the eye caused by infection or irritation. The causative agent can be bacteria, viruses or fungi. Eye pain caused by conjunctivitis is usually accompanied by symptoms such as red eyes, tearing, increased secretions, and itchy eyes.
Countermeasures Some conjunctivitis can heal itself without treatment, but in most cases it needs to be treated with corresponding drugs or eye drops. And bacterial or viral conjunctivitis is contagious to a certain extent. In daily life, you should avoid rubbing your eyes with your hands, wash your hands frequently, and separate towels and other items that come into contact with the eyes from family members or friends who live together to avoid cross-infection. .
Styes are small red bumps that develop on the eyelids or conjunctiva. They are inflammatory lesions that, in addition to causing painful symptoms, can also cause significant redness and swelling around the eyes.
As a countermeasure to styes, you should use anti-inflammatory eye drops and eye ointments. If the redness and swelling expands or persists, surgery may be required.
Foreign body damage to eyes
The cornea is rich in nerves. When foreign matter enters the eye, it may irritate the corneal nerves, causing eye pain or even inflammation.
Countermeasures If foreign matter such as cosmetics, dust or other irritating substances splashes into the eyes, rinse immediately with clean water and avoid wiping with toilet paper or rubbing the eyes with hands, which may cause further eye damage. If there is no obvious improvement after rinsing with water, you should seek medical treatment in time to remove the foreign matter.
If the eyes receive direct external injuries, such as boxing injuries, bumps, etc., in addition to causing eye pain, sometimes there are also symptoms such as blurred vision and double vision. At this time, you should seek medical treatment in time to evaluate the eye condition. the extent of the injury to determine further treatment options.
Glaucoma is caused by obstruction of the aqueous humor circulation and drainage in the eyeball, which leads to increased pressure in the eyeball, causing pain in the eye. When intraocular pressure rises sharply, patients will experience obvious eye swelling and pain, which may also be accompanied by symptoms such as decreased vision, headache, nausea, and vomiting.
Countermeasures At this time, you should immediately go to an ophthalmologist to check the intraocular pressure and whether there are glaucoma-related changes in the eyes. Use intraocular pressure-lowering eye drops, mannitol infusion or anterior chamber puncture to reduce intraocular pressure as soon as possible to avoid permanent damage to the eyeball caused by high intraocular pressure.
Optic neuritis, as the name suggests, is inflammation of the optic nerve. The optic nerve is an important pathway through which our eyeballs convert light signals collected from the outside world into visual electrical signals and transmit them to the brain. Therefore, when optic neuritis occurs, in addition to eyeball pain, patients are usually accompanied by visual dysfunction such as decreased vision, visual field defects, or color vision changes. Eyeball pain may occur or worsen when the eyeballs rotate.
Countermeasures At this time, you should go to an ophthalmology or neurology department in time to investigate the cause of optic nerve inflammation and control the development of inflammation.
Supraorbital neuralgia refers to persistent or paroxysmal pain within the distribution range of the supraorbital nerve, that is, the upper edge of the orbit. Generally, the onset is relatively acute and can occur unilaterally or bilaterally. There is obvious tenderness at the supraorbital incision, which is usually related to factors such as exposure to wind, overwork, colds, trauma, sinus inflammation, etc.
Countermeasures can include hot compresses, anti-inflammatory and analgesic drugs, acupuncture, physical therapy, acupoint massage and other traditional Chinese medicine treatments. If the pain still cannot be relieved, you can choose local sealing treatment or nerve block treatment to relieve the pain. Of course, a correct lifestyle is an effective way to prevent supraorbital neuralgia. Avoiding cold stimulation of the head and face, paying attention to rest, balancing work and rest, eating healthily, strengthening exercise, and improving physical fitness can all help to avoid the occurrence of supraorbital neuralgia. .
Text/Guo Sitong (Beijing Friendship Hospital)
◎Knock on the blackboard◎
Don’t tolerate eye pain. See a doctor when you need it.
In most cases, these eye pains can be relieved with eye massage or resting with your eyes closed. However, in some cases, eye pain will not subside on its own, and may even gradually worsen, accompanied by blurred vision and other symptoms, seriously affecting our lives.
Sometimes eye pain is not a trivial matter to be taken lightly. Don’t think that it is enough to tolerate it. If you ignore eye pain and cause irreversible damage to your vision, it will have a great impact on your life. I hope you don’t ignore these painful manifestations. This is probably your eyes sending a “help” signal to you!