[20F] With severe eye pain and blurred vision
Patient Description
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Arora's Assessment
What might be happening
Based on the symptoms you've described, here are some possible explanations:
-
Cluster Headaches:
- Rationale: Cluster headaches are known for causing severe pain around one eye, often accompanied by sweating, nausea, and vomiting. The pain can last from 15 minutes to 3 hours and may leave a lingering ache.
- Typical Treatments: Treatment often includes medications to relieve pain and prevent future attacks, such as triptans, oxygen therapy, and preventive medications like verapamil.
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Eye Strain (Digital Eye Strain):
- Rationale: Prolonged use of digital devices, especially at close range, can cause eye strain, leading to pain around the eyes and temples, and sometimes blurred vision.
- Typical Treatments: Reducing screen time, taking regular breaks (20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds), and using proper lighting can help alleviate symptoms.
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Sinusitis:
- Rationale: Inflammation of the sinuses can cause pain around the eyes and temples, along with other symptoms like nasal congestion and pressure.
- Typical Treatments: Treatments may include decongestants, nasal corticosteroids, saline nasal irrigation, and in some cases, antibiotics.
What you can do
Severe Eye Pain and Headaches:
-
Cluster Headaches:
- Seek medical attention as soon as possible to get a proper diagnosis and treatment plan.
- In the meantime, try to stay in a dark, quiet room and apply a cold compress to the affected area.
- Avoid alcohol and smoking, as these can trigger cluster headaches.
-
Eye Strain:
- Reduce screen time and take regular breaks using the 20-20-20 rule.
- Ensure your screen is at eye level and at a comfortable distance.
- Use artificial tears to keep your eyes moist if they feel dry.
Blurred Vision:
- Schedule an eye exam with an optometrist or ophthalmologist to rule out any underlying vision problems or eye conditions.
General Tips:
- Keep a symptom journal using MDandMe to track your pain episodes, triggers, and any other symptoms. This can help your healthcare provider make a more accurate diagnosis.
- Stay hydrated and maintain a balanced diet to support overall health.
What you should look out for
Given the severity of your symptoms, it's important to seek medical care as soon as possible. Reasons to seek care even more urgently include:
- Sudden, severe vision loss or changes in vision.
- Persistent or worsening pain despite home remedies.
- Any signs of infection, such as redness, swelling, or discharge from the eye.
- Neurological symptoms like weakness, numbness, or difficulty speaking.
Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment. If you have more questions or need further assistance, feel free to continue the conversation.
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6 mo ago