What Symptoms and Signs May Be Associated With Eye Pain?

Pain is a variable measure. Each person may interpret pain differently. Discomfort in the temple area or the forehead is often due to tensing of the facial muscles after use of the eyes for close work. This is commonly known as eye strain and is usually not associated with any eye disease.

Other symptoms often described by those experiencing pain in and around the eye include the following:

  • Partial or complete loss of vision
  • Extreme light sensitivity
  • Tearing
  • Double vision
  • Halos (colored circles or halos around lights)
  • New floaters (spots, strings, cobwebs, or shadows seen before the eyes)
  • Limitation of normal eye movement
  • Pain with movement of the eye in different directions
  • Sensation of flashes or streaks of light
  • Severe headache associated with eye pain
All of these symptoms should seek a prompt evaluation from an ophthalmologist or other medical professional.

A doctor or an ophthalmologist may see the following signs as evidence of eye problems:

  • Redness of the white of the eye (conjunctiva)
  • Chemosis (swelling of the conjunctiva)
  • Redness that flares out and surrounds the colored part of the eye (iris)
  • Irregular shape of the pupil
  • Bulging or protrusion of the eye
  • Swelling or redness of the surrounding eye tissue, including the eyelids
  • Blood or pus inside the front of the eye (over the colored part of the eye)
  • Eye discharge, excessive tearing, crusting, or eyelids stuck together (especially upon awakening)
  • A scratch to the cornea or eyeball
  • Tenderness of the inner corner of the eye or side of the nose
  • Hyphema (blood located within the anterior chamber [front] of the eye)
  • Proptosis (the eye appearing to bulge forward within the eye socket)
  • Limitation of movement of the eye

When Should Someone Seek Medical Care for Eye Pain?

If one has eye pain, seek advice from a health care provider or an ophthalmologist. It is difficult over the phone for a health care professional to grade the severity of eye pain or make a diagnosis without examining the patient.

Because of the specialized nature of the equipment necessary for eye examination, most eye problems are usually handled best in an ophthalmologist's office. If your ophthalmologist is not available, go to a hospital's emergency department. If the emergency department has the necessary eye equipment, an ophthalmologist may see you in the emergency department after hours.

  • Any eye pain related to burns (chemical or flash) needs immediate treatment.
  • Eye pain associated with loss of vision, loss of eye movement, painful eye movement, eye swelling, eye discharge, and severe headache are all significant findings that need to be evaluated by an ophthalmologist or in the emergency department immediately.
  • Any eye pain related to a traumatic event such as an object puncturing the eye, a blow to the eye with a foreign object, or a motor vehicle collision with injuries affecting the eye needs to be evaluated by an ophthalmologist or in the emergency department immediately.

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