EYE PAIN

When a patient complains of eye pain asking the right questions often helps determine the cause of the pain. This makes the diagnosis and treatment easier. It is helpful to distinguish between eye pain caused by external factors such as a foreign body on the surface of the eye and internal pain caused by elevated intraocular pressure or internal ocular inflammation.

External Causes of Eye Pain

Material such as dust particles, metal fragments, cat hairs, and eyelashes feel like there is a particle in the eye. These are easy to find and remove. They can cause a scratchy feeling in the eye. Sometimes a foreign body is lodged under the inside surface of the upper lid and can only be removed by everting the upper lid. If the foreign body is embedded in the cornea it can cause a corneal abrasion.  A corneal abrasion feels like there is something in the eye. Dry eye can also cause external irritation and dry eye patients often complain of burning and feeling something in their eyes. Dry eye, superficial corneal or conjunctival foreign bodies rarely cause blurred vision or photophobia (light sensitivity). External irritation associated with photophobia and/or blurred vision suggest a more serious condition such as a corneal ulcer. A sty can also cause a foreign body sensation.

Internal Causes of Eye Pain

Episcleritis is an inflammation of the outer layer of the sclera, the white of the eye. This often presents with localized redness and tenderness to touch. Uveitis, an inflammation of the inner eye is associated with eye pain. The pain is usually felt inside the eye and does not feel like there is something in the eye. Inflammation of the front portion of the inner eye is called iritis and causes photophobia. Optic neuritis, an inflammation of the optic nerve, is associated with pain on eye movement.

Other Causes of Eye Pain

Migraine, sinus disease, and glaucoma can also cause eye pain. Even eye strain from wearing the wrong eyeglass or contact lens prescription can cause eye pain. Pain following eye surgery can be a sign of infection and requires immediate attention. Pain following trauma to the eye can also indicate a serious condition.

causes light sensitvity

Related Posts

• WHAT IS GLAUCOMA? WHAT IS GLAUCOMA? Glaucoma is a disease of the optic nerve often associated with increased intraocular pressure (IOP). Elevated IOP alone is not enough to make the diagnoses of glaucoma. Some patients may have glaucoma when their IOP is within normal limits. This is called Normal Tension Glaucoma (NTG). Conversely......
• Contact Lens Irritation Part 1: Contact Lens Solution Dr. Noah Klein Noah Klein MD, PC Many patients present to my office complaining of eye redness, eye irritation,  and a foreign body sensation (feeling of grit or sand in the eye) when wearing their soft contact lenses. They feel this way even when they try on a brand new pair......
• BLEPHARITIS Blepharitis is an inflammation of the eyelids. Patients often complain of red eyes, eye irritation, itching, foreign body sensation (feeling of something in the eye), ocular discharge, crusting and flaking of the eyelashes. Some get red pimples on the eyelid and refer to them as styes. Get more information here. Most......
• CORNEAL ULCER Eye pain, redness, light sensitivity and decreased vision can be caused by a corneal infection called an ulcer. A corneal ulcer is a collection of white blood cells in the cornea which is sometimes visible as a white dot in the cornea. You can get more information here. If you......
• Conjunctival Hemorrhage - Blood in the Eye One of the most frequent "emergency" visits in my office is due to a conjunctival hemorrhage. This is what it looks like: /caption] Although this looks dramatic and scary it is quite harmless most of the time especially if not accompanied by any discomfort and without a history of trauma......
• Ocular Melanoma and Routine Ophthalmoscopy August 6, 2008 Noah Klein, MD Noah Klein, MD, PC   Ocular Melanoma and Routine Ophthalmoscopy   I examined a 50 year old healthy woman today who came in for stronger reading glasses.  Because she had not had a dilated eye exam (ophthalmoscopy) for years I dilated her pupils and......
• 9/11 9/11 Walking to my office on East 25th Street in Manhattan on the morning of September 11, 2001 I was struck by the beautiful clear sunny sky.  Like everyone else enjoying the fall weather I did not know how terrible this day would be for my city and my country.......

Related Websites

• The Common Cold Fall and winter are prime season for the common cold. Colds are annoyances that interfere with work, play, and our workouts. Wouldn’t it be great if we never caught a cold again? Well, there are some things you can do to decrease your chances of getting a cold as well......
• Vasectomy Pain - Debunked! Vasectomy, as most of us know is the process whereby a surgery is performed on the ductus deferens of a man so that there are no further ejaculations. This is largely done to plan children in a family. Contrary to common belief, the surgery is harmless and in fact, it......
• 5 Ways to Relieve Migraine Headaches Naturally! There are many new migraine headache treatments available that can be both safe and effective. Natural treatments for migraine headaches are usually safer and cheaper than traditional pain medications. And in many instances they can relieve pain just as well or even better than prescription or non-prescription drugs. The possibility......
• Understanding Menstrual Cycle Cramps Most women experience what is known as dysmenorrhea or menstrual cycle cramps from time to time. These menstrual cycle cramps are a common cause for women to seek out medical attention because the pain that comes from these menstrual cycle cramps can easily range from very mild to very severe,......
• Is Stress Making You Fat? If you're living a stressful life and wondering why those pounds keep creeping on, there is scientific evidence that has proven that stress can actually make you fat. The good news is that there are many ways you can combat stress and start getting healthy. But first, let's look at......
• Fat Loss Strategies - Top 8 Strategies You Must Do To Achieve Your Weight Loss Goals Part II We're still counting down the top 8 things you MUST do to for fat loss. Can you stand the anticipation? Read on! 4. Drink Water: Often when you think you are hungry, you are often actually dehydrated. Additionally, all the metabolic processes in your body occur in water. Being adequately......
• Sheep gives birth to human-faced lamb [/caption] A SHEEP gave birth to a dead lamb with a human-like face. The lamb was born in a village not far from the city of Izmir, Turkey. Erhan Elibol, a vet, performed a caesarean on the animal to take the lamb out, but was horrified to see that the......