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Pain and swelling at inner corner of eye - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Good Posted in: Vision and Eye Disorders
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1723 Questions
User :   hi
Doctor :   hi
Doctor :  
how can i help you?
User :   Doctor i have pain in the corner of my eye near nose, and there is a little swelling and itching
Doctor :  
ok
Doctor :  
since when are you facing this problem?
User :   3 days
Doctor :  
ok
User :   i am using an ointment nebracin and eyedrop gatiflosacin
Doctor :   ok
Doctor :  
is there redness in th eye?
User :   no
Doctor :  
does this affect both the eyes or only one side?
User :   only one side
User :   u call tear duct
User :   mabe
User :   maybe
User :   is that right
User :   ?
Doctor :  
ok is there watering in that eye?
Doctor :  
is there pus draining?
User :   no pus
Doctor :  
yes it could be the problem with the tear duct
Doctor :  
i will help you in this
User :   but today morning i am riding mobike at that time i felt some water
Doctor :  
ok
User :   is the above mentioned ointment and eyedrop useful?
Doctor :  
is there swelling of the lower eyelid too near the inner corner of the eye?
Doctor :  
yes, they could be useful, and may be that is why you dont have pus draining out
User :   no swelling is only on the upper eyelid
Doctor :  
ok
User :   at the corner swelling is the most and
User :   it covers upper eyelid
Doctor :  
your other symptoms lead to probability of dacrocystitis
Doctor :  
that is infection of tear ducts of the eye or in the tear sac
Doctor :   and for this
Doctor :  
you will need to get it examined
Doctor :  
in a ophthalmologis clinic
User :   k
Doctor :  
to get this confirmed or ruled out
Doctor :  
you should use the medications as before
Doctor :  
when you go to an ophthalmologist, he will do
Doctor :  
a test
User :   yes
Doctor :  
called as 'dissappearance test'
Doctor :  
in which he will use a dye in the eyes
Doctor :  
and see if it is getting drained out
User :   ok
Doctor :  
if the treat duct system is working well
Doctor :  
the dye will disappear
Doctor :  
if not
Doctor :  
then it will stay for longer time
User :   k
Doctor :  
you will also need to be prescribed an antibiotic
User :   k
Doctor :  
for oral use, to combat the infection if the topical drops/ointment are not working
Doctor :  
at home, you should do warm compresses to the affected side
Doctor :  
and be sure not to use similar kerchief or XXXXXXXX ehand to touch the other eye
Doctor :  
as in this way you will be transferring the infection to the other eye too
User :   do i wash my eyes frequently with water
Doctor :   ok
User :   ?
Doctor :  
that is good, but avoid using XXXXXXXXe towel/kerchief for both the eyes
User :   k
Doctor :   since yours is an acute episode, it can be treated with appropriate antibiotics
Doctor :  
in chronic cases, surgery is required
Doctor :  
so i would suggest you to get an examination of your eyes done as early as possible
User :   is this a severe thing
Doctor :  
and start appropriate treatment
Doctor :  
it is not a very severe thing, but it can have a complicated outcome if left unattended
Doctor :  
requiring surgery later in life to correct
User :   k
Doctor :  
called as dacryocystorhinostomy
User :   k
Doctor :   in case you feel that it is happening again even after the current treatment course that the ophthalmologist will prescribe you, then you can do warm compresses treatment and use eyedrops as soon as you feel the symptoms
Doctor :  
of icthing, pain, swelling again
Doctor :  
Is there any thing else I can help you with?


User :   thanks
User :   that's it
Doctor :  
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Doctor :  
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User :   0000
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Doctor :  
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Doctor :  
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Doctor :  
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Doctor :  
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User :   k
Doctor :  
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Doctor :  
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