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Eye pain

Pain in the eye may be described as a burning, throbbing, aching, or stabbing sensation in or around the eye. It may also feel like you have a foreign object in your eye.

This article discusses eye pain not caused by injury or surgery.

Alternative Names

Ophthalmalgia; Pain - eye

Considerations

Pain in the eye can be an important symptom of a health problem. Make sure you tell your doctor if you have eye pain that does not go away.

Tired eyes or some eye discomfort (eyestrain) is usually a minor problem and it will often go away with rest. These problems may be caused by the wrong eyeglass or contact lens prescription. Sometimes they are due to a problem with the eye muscles.

Causes

Many things can cause pain in or around the eye. If the pain is severe, does not go away, or causes vision loss, seek medical attention immediately.

Some things that can cause eye pain are:

  • Infections
  • Inflammation
  • Contact lens problems
  • Dry eye
  • Acute glaucoma
  • Sinus problems
  • Neuropathy
  • Eyestrain
  • Headache
  • Flu

Home Care

Resting your eyes can often relieve discomfort due to eye strain.

If you wear contacts, try using glasses for a few days to see if the pain goes away.

When to Contact a Medical Professional

Contact your health care provider if:

  • The pain is severe (call immediately), or it continues for more than 2 days.
  • You have decreased vision along with the eye pain.
  • You have chronic diseases like arthritis or autoimmune problems.
  • You have pain, redness, swelling, discharge, or pressure in the eyes.

What to Expect at Your Office Visit

Your health care provider will check your vision, eye movements, and the back of your eye. If there is a major concern, you should see an ophthalmologist. This is a doctor who specializes in eye problems.

To help find the source of the problem, your health care provider may ask:

  • Do you have pain in both eyes?
  • Is the pain in the eye or around the eye?
  • Does it feel like something is in your eye now?
  • Does your eye burn or throb?
  • Did the pain begin suddenly?
  • Is the pain worse when you move your eyes?
  • Are you light sensitive?
  • What other symptoms do you have?

The following eye tests may be done:

References

Freidl KB, Troost BT, Moster ML. Migraine and Other Headaches. In: Tasman W, Jaeger EA, eds. Duane's Ophthalmology. 2013 ed. Philadelphia, Pa: Lippincott Williams & Wilkins; 2013: vol 2, chap 16.

Goodglick TA, Kay MD, Glaser JS, Tse DT, Chang WJ. Orbital Disease and Neuro-Ophthalmology. In: Tasman W, Jaeger EA, eds. Duane's Ophthalmology. 2013 ed. Philadelphia, Pa: Lippincott Williams & Wilkins; 2013: vol 2, chap 14.

Wright JL, Wightman JM. Red and painful eye. In: Marx JA, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 32.

Yanoff M, Cameron D. Diseases of the visual system. In: Goldman L, Ausiello D, eds. Cecil Medicine. 24th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 431.

Updated: 11/12/2013

Franklin W. Lusby, MD, Ophthalmologist, Lusby Vision Institute, La Jolla, California. Also reviewed by David Zieve, MD, MHA, Bethanne Black, and the A.D.A.M. Editorial team.


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