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elevated eye pressure pain.
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jebrown posted:
Doctor: 9 months ago my left eye began to feel dry, itchy, and tired followed by the feeling of elevated IOP and sharp pains inside of eye. The symptoms started spontaneously with no clear reason one night at work and progressively worsened over the next month to the point where my eye would hurt all day and be accompanied with a deep dull pain and tenderness in my left temple causing me to become nauseous and even vomit.

The pain and pressure hasn't caused any blur or loss of vision but is affecting my focus and ability to concentrate due to the pain and discomfort.

The feeling of dryness and pressure is mostly constant starting
from the moment I wake up until sharp pain begins to pulse through the
eyeball and my temple feels sore and tender beneath the bone often
making me feel nauseous an fatigued.


I've been taking ibuprofen or aleve and use ice for pain with some relief. I also gently steam my eyes with a humidifier a couple times of week and apply saline eye drops 2-4 times a day when needed. I started excercising more and getting more sleep. I limited the time I stare at my cell phone and make sure to rest eyes. Limited my caffeine consumption and even quit smoking. Nothing seems to be
Helping much though.

I finally went to an optometrist yesterday and He couldn't see any visible problems with cornea or optic nerve. My IOP was slightly high though. Left eye 26-28mmHg and right eye mmHg. I was referred to an opthamologist and go for my first visit in 7 days.

Do you have an opinion or any suggestions on what the cause may be and what can be done about the pain and pressure?

I'm a relatively healthy 22 year old with no known allergines or medical conditions and I'm not on any prescription meds. I've been wearing glasses since I was 6yo and have always had eye sensitivity and frequent headaches and some migraines. I've had several concussions when I was younger and low iron with frequent nose bleeds. There's no sign of sinus infection. I did have an upper first molar on left side that abscessed and removed several years later. There's no history of glaucoma in my family. Also, I've never had any trauma to my eyes. Other than that I have no idea what could be the cause for the constant pain and pressure I'm experiencing.
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jebrown responded:
  • IOP Left 26-28mmHg / Right 18-20mmHg*
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    Alan M Kozarsky, MD responded:
    It is remotely conceivable that you are experiencing eye pressures far higher than 28 which could be associated with discomfort and nausea. An full ophthalmology visit should determine whether you have the ingredients for extreme eye pressure. However, it would be very unusual for a 22 year old to be having glaucoma episodes.

    A pressure of 28 will not cause any symptoms in most people.


    I am glad that you are diligently following up with the ophthalmologist exam.
     
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    jebrown responded:
    Doctor: I went to the opthamologist on 3/13. After several tests and scans the doctor concluded:

    1. Initial POAG suspect OU, high risk. Possible Posner Schlossman syndrome. Thinning inferior OU on OCT, borderline thinning temporal OU and superior OD. Possible recurrent iritis due to patient reporting of eye intermittent eye pain in past. Patient instucted to come into office whenever pain occurs. No meds indicated. Patient educated on glaucoma.
    2. Return to doctor in 1 year for VF & OCT.
     
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    Alan M Kozarsky, MD replied to jebrown's response:
    Glad that you are getting the necessary care.


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