Lower eyelid pain: causes, possible diseases, treatment methods

Causes

Pain in the eyeballs is a rather unpleasant symptom that can occur in adults, men and women. Sometimes the symptom is observed in children, but such cases are rare.

There are physiological reasons that provoke pain:

• Nervous disorders of acute and chronic nature.
• Stressful situations associated with family problems or professional difficulties.
• Hypothermia, causing muscle spasms or disruption of nerve impulse conduction.

  
  Eye pain when blinking and pressing may be due to wearing glasses for a long time

• Long and regular work at the computer, accompanied by tension in the muscles of the eyeball.
• Being outside in windy weather.
• Entry into the eye of a foreign body of various sizes.
• Violation of personal hygiene rules, rare hand washing and exposure of germs to the mucous membrane of the upper and lower eyelids.
• Wearing contact lenses on a regular basis and violating the technique of their use.
• Overstrain of the muscles of the eyeball and disorders of the optic nerve.
• Congenital anomalies of the development of the visual apparatus.

In addition to pain, the patient may experience a burning sensation and the quality of vision decreases. Additional symptoms largely depend on the underlying cause of the condition.

Possible diseases

The eye hurts when blinking and pressing, not only as a result of physiological factors. The cause may be various infectious and inflammatory diseases affecting the mucous membranes, eyeball, muscles and nerves.

1. Conjunctivitis is an inflammatory disease of the mucous membrane of the eyelids, accompanied by souring of the eyes, pain when blinking and pressing, and tearing. The disease can be of viral, infectious, or bacterial origin. Sometimes inflammation is triggered by an allergic reaction to food, medications, or toxic substances.
2. Blepharitis is an inflammation of the edge of the eyelids, accompanied by severe pain when blinking and pressing, as well as burning and irritation. In this case, the pathology is often chronic, that is, regular relapses are observed. Dry crusts often appear on the skin of the eyelids in the eyelash area, which are formed as a result of constant damage to the skin when combing it.
3. Barley is another inflammatory disease that develops as a result of blockage of the glands that provide lubrication of the eyelids with sebaceous secretions. In this case, the patient is worried not only about pain, but also about swelling, redness of the affected area, the formation of a dense lesion, when touched, the pain intensifies. The disease is very common, especially among young patients.
4. Iridocyclitis is a pathology of the middle choroid and iris of the eye, in which the patient constantly feels pain, especially after stress on the visual apparatus. His vision deteriorates, his eyes often turn sour. Additionally, small vessels in the eyeball are often damaged, which leads to the formation of a vascular network on the protein.
5. Myositis is an inflammatory disease of the muscle that responds to eyeball movements. In this case, severe pain appears when blinking, less pronounced discomfort when pressing on the eyelid, as well as swelling of the skin in the eye area.
6. A furuncle is an inflammatory pathology that affects the hair follicle located near the eye. In this case, the condition is accompanied by pain when pressing, blinking, as well as severe swelling and redness. In the absence of therapy, general symptoms appear.
7. An abscess is a purulent inflammation that is usually the result of an untreated boil or a complete lack of treatment for such a disease. In this case, all the symptoms worsen, the body temperature rises, and the pain becomes unbearable, appearing when moving the eyes and at rest.
8. Cellulitis is another complication that develops when a boil or abscess is not treated correctly. In this case, not just inflammation of the tissues occurs, but also their necrosis. The condition requires immediate medical attention.
9. Chronic rhinitis In this case, the patient notes that the symptom appears when blinking, but is almost absent when pressing. The condition is accompanied by nasal congestion and headache.
10. Obstruction of the lacrimal ducts often leads to pain when blinking or pressing. In this case, inflammation develops in the lacrimal gland, slight swelling of the tissues is observed, as well as discomfort, which manifests itself at rest and in case of tension in the visual apparatus.
11. Chalazion is a benign formation localized in the upper or lower eyelid. It provokes swelling of the tissues, the appearance of bruises or reddish circles under the eyes. The pathology requires immediate treatment, which often involves surgery.
12. Neuritis or neuralgia of the nerve endings responsible for the innervation of the eye occurs when hypothermia or damage to the neurons occurs. In this case, not only pain appears, but also discomfort when moving the facial muscles; paralysis of individual fibers is possible, affecting a person’s facial expressions.
13. Colds and viral pathologies can also provoke pain, especially when they are advanced and the patient does not receive appropriate treatment. Symptoms usually disappear after recovery.

Regardless of the pathology that provokes the pain, you should not ignore the symptom, especially if it appears constantly.

Useful video

Pain when pressing or blinking indicates the presence of pathological conditions and fatigue of the visual apparatus. Regardless of the severity of the symptom, it is necessary to seek qualified help in a timely manner, since the progression of the disease leads to a clouding of the picture. Diseases such as keratitis or glaucoma can lead to complete loss of vision. Pain allows you to timely identify pathology and stop its further development.

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Diagnostics

The eye hurts when blinking and pressing for various reasons, but to identify the most likely factor, you should consult a doctor, who will establish a diagnosis using several methods.

The most effective is the measurement of intraocular pressure, as well as magnetic resonance imaging, which can detect even minor changes.

Prevention

To prevent such a violation, it is recommended to follow the rules of personal hygiene, often wash your hands with soap to prevent bacteria from entering the mucous membrane.

In addition, patients who regularly use contact lenses should follow all wearing rules, change them regularly, and use a special storage solution. Many people are advised to use lenses that are designed to be worn only during the day. Changing lenses daily will eliminate the possibility of infection.

Additionally, you should avoid hypothermia and promptly treat colds and viral diseases. The most important method of preventing complications is to consult a doctor immediately after the first signs of any disease appear in the form of discomfort and pain when blinking.

Chalazion

Despite the fact that the term is rarely heard, the clinical picture of this disease is very depressing and makes you think:

• a dense formation under the eyelid (at the upper or lower edge, round in shape);
• the seal swells either under the skin or in the form of a conjunctival sac;
• the formation adheres to the cartilage tissue (but not to the skin);
• a person loses clarity when perceiving visual images;
• the mucous membrane of the eye is irritated;
• Sharp pain is observed when touching the eyelid and when trying to blink.

Chalazion

Note. The main danger of a chalazion is that the cartilage around the meibomian gland becomes inflamed. The causes are still vigorously debated; doctors do not have a consensus. Although it was previously believed that infection occurs from the tuberculosis bacillus.

Treatment methods

To eliminate pain and other symptoms, medications from different groups, folk remedies and additional methods are used.

Medications

The drug treatment regimen is compiled individually for each patient, depending on the underlying disease that causes pain when blinking and pressing on the eye.

The most commonly used drugs are:

• Ceftriaxone is a broad-spectrum antibiotic that is used to detect bacterial origins of pain and inflammation. 1 g is administered to the patient intravenously or intramuscularly in the morning and evening. The course lasts 10 days. The product helps suppress pathogenic bacteria and eliminate inflammation. The price of the medicine is from 20 rubles. per bottle.
• Viferon is an antiviral ointment for the treatment of pathologies of the mucous membranes of the eyelids of viral origin. Helps suppress the activity of viruses, improves tissue condition, and is effective. Apply the product to the mucous membranes, then massage the upper eyelid for 5-10 seconds. Repeat the procedure 2 times a day for 10 days. The price of the ointment is from 150 rubles.
• Albucid - eye drops that are highly effective. They help destroy pathogenic microbes, improve the condition of the mucous membrane, and eliminate signs of inflammation. It is necessary to instill 1 drop into each eye, repeat 3 times a day for 5-7 days. Price – from 30 rub.
• Uniflox is a drug based on an antibacterial substance that eliminates redness, inflammation and pain in the eyes resulting from inflammatory diseases. It is considered very effective, helping to quickly improve the patient's condition. It is necessary to apply eye drops 2 times a day, 1 drop in each eye. Course duration – from 180 rubles.
• Diklo-F - eye drops from the group of non-steroidal anti-inflammatory drugs, are considered very effective and fast-acting. Helps quickly relieve pain, inflammation and redness. It is necessary to instill 1-2 drops of the product into each eye 2-4 times a day for 6-7 days. The price of drops is from 150 rubles.
• Dexamethasone is a drug based on a hormonal component that quickly eliminates pain, inflammation and other manifestations. It is highly effective and helps prevent complications. You should use drops no more than 2 times a day, inject 1-2 drops into each eye, repeat for 7 days in a row. The price of the product is from 120 rubles.

Additionally, the patient may be prescribed vitamin complexes with a high content of B vitamins. In each case, the drugs are selected individually.

Folk remedies

The eye hurts when blinking and pressing, not only as a result of any diseases. The cause may be a physiological factor that can be eliminated with the help of folk remedies.

Aloe juice compresses are good for calming and relieving tension. It is necessary to chop several large leaves of the plant, squeeze out the juice and moisten a gauze cloth in it. Apply to eyes for 30 minutes. Repeat the procedure 7 days in a row, morning and evening.

Regular tea bags can serve as a compress replacement. You need to take 2 used sachets, preferably warm ones, and apply them to your eyes for 20-30 minutes. Repeat the procedure before bedtime for 10 days.

An infusion based on chamomile and mint will help relieve nervous tension, improve sleep and prevent pain. You can prepare it from 3 g of chamomile and 4 g of mint. The raw materials should be crushed, pour 500 ml of boiling water and leave for 20 minutes. Divide the filtered mixture into 2 servings and consume throughout the day. Repeat for 2 weeks.

It is better to use any of the recipes after consulting a doctor.

Other methods

Additional treatment methods include surgical intervention, which is performed when a chalazion, boil or abscess is detected in the eye area.

The procedure is performed under short-term general or local anesthesia. During the manipulation, the specialist makes miniature incisions in the area of ​​the lesion and cleans out the cavity, as well as all affected tissue. This allows you to eliminate swelling, as well as treat the cavity with antiseptic solutions to prevent the proliferation of microorganisms.

After the operation, the patient remains under the supervision of a specialist in the hospital for several days. If there are no signs of complications and the patient feels well, he is sent home. However, dressings are carried out for another 10-14 days, depending on the size of the lesion and the speed of tissue healing.

During the recovery period, the patient feels pain when blinking and pressing on the eyeball, but the discomfort disappears after the tissue heals. If the pain persists, you should visit the doctor again. Other methods for this disorder are used extremely rarely, as they can provoke complications.

Herpes virus

One of the types of viral herpes - herpes zoster - can also cause damage to the upper eyelid. On its inner side, blisters filled with a cloudy liquid (typical of any type of herpes) develop abundantly.

Herpes virus

Localization of herpes in the eyelid area is quite rare. Nevertheless, it exists. What is the difficulty in the early stages of the development of the disease:

• the patient mistakes incipient herpes sores for ordinary conjunctivitis;
• the patient instinctively scratches, rubs his eyes, thoughtlessly puts in some eye drops, rinses, etc. As a result, the infection nest is further irritated and also increases the risk of adding a new infection.

Note. The treatment of the herpes virus will be serious - radical and at the internal level. External methods recommended by a doctor will only partially relieve itching and increase protection against bacteria at the local level.

Possible complications

Without treatment, the likelihood of complications increases.

The most common of them are the following:

• Decreased visual acuity.
• Spread of inflammation to the second eye.
• Irreversible changes in muscle and nerve fibers.
• Infection of healthy tissues due to the spread of microorganisms.
• Tissue necrosis when phlegmon spreads to large areas.
• Complete loss of vision.

Only comprehensive treatment prescribed after the examination will help prevent complications.

The eye often hurts in patients as a result of pathological and physiological reasons. Discomfort appears when blinking and pressing, and may disappear on its own or provoke other symptoms. To eliminate the problem, you should visit an ophthalmologist.

Article design: Vladimir the Great

Abscess

With an abscess, the eyelid droops and the swelling is so severe that the person completely loses the ability to blink. The clinical picture is aggravated by extensive redness. As the abscess grows, the person suffers from migraine attacks. Not to mention the fact that now without pain it is impossible to touch not only the eyelid, but also the part of the face (head) where the inflamed eye is located - right or left.

Abscess of the eye

This development of events inevitably increases the threat to human life. The patient will not be able to overcome the abscess on his own. In addition to surgical intervention, long-term antiseptic therapy is required (in particular, taking antibiotics orally or even by injection).