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Includes Expert Content
Eye Pain
Anon_183567 posted:
Yesterday morning I woke up to eye pain; not a migraine headache or sinusitis but pain located in the eyes. The pain got to the point where it made me vomit for most of the morning and nausous thrroughout the day. The pain was a dull, achy pain, pressure. It felt like my eyes were going to pop out and achy as if your muscles are achy. Vomiting is normal for me when I have a migraine or if I'm pregnant; no migraine and I'm not pregnant. I am 33 years old. I took Ibuprophen in the morning and it did not help. I took Tylenol PM in the evening and fell asleep. This morning I felt better. I don't know if it was sleeping or the Acetametaphine that helped.

The last time I saw an eye doctor was in 2004 at which time the eye doctor said i have Chronic Dry Eye and suggested I use eye drops and wear reading glasses. At that time my eye sight was great, but recommended the reading glasses because I did- and continue to be on the computer most of the time. It was suggested I use reading glasses to protect my eyes because of the dry eyes. The only time I do have some issues is when I get migraines (frequent) and I have blurred vision.This does not happen every time I get a migraine but only when I get a migraine. Other than that, my vision is fine. I do not have diabetes.

I have medical insurance, but no eye coverage. I'm wondering if its worth seeing an eye doctor (pay out of pocket) or is this something I sh ould see my regular doctor for?
Alan M Kozarsky, MD responded:
The combination of deep eye pain and nausea/vomiting can be associated with some serious problems including acute glaucoma. (elevation of eye pressure endangering the nerve of the eye) It can also be associated with migraine type headache. Other possibilities include sinusitis feeling like eye pain. Dry eye does not cause this type of problem.

Especially if the symptoms continue but even if they don't, deep eye pain and nausea warrant investigation. Any ophthalmologist can determine whether your eye pressure is normal, whether you are susceptible to a glaucoma issue, or if there has been inflammation in your eyes. Your primary care doctor can determine whether sinusitis is present. Unfortunately, without an examination, one cannot exclude the more significant conditions.
anita532 responded:
It is possible that you have arthritis of the eye. I have arthritis of the eye. Doesn't act up very often. But the pain when it does can be quite bad. I use prednisolone eye drops when it acts up. Only an opthamologist can detect this. But you have to be "in a flare" for him to see it.

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