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What Causes Sudden Pain In The Eyes?

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Posted on Wed, 30 Nov 2016
Question: I have something moving in my head. I first noticed it in the back of my head, but now it has traveled around to the outside corner of my right eye. FYI I am a white male 75 yrs old just had a physical with blood work etc. Nothing showed up as a problem. My dad told me, when I was young that sometimes a tapeworm will come out at your eye. I am not diagnosing it as a tape worm. But is there a way to coax it to my eye opening.
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Answered by Dr. Ishu Bishnoi (2 hours later)
Brief Answer:
Eye parasite and other causes

Detailed Answer:
Hi XXXXXXXXX, thanks for asking from HCM.


I can understand your concern. Your symptoms are very rare. There are not much explanation. There is no worm which can move from brain to eyes.

There are few eye parasites which can be transmitted via blood

: Loa loa - It is a type of filarial worm. It is transmitted by fly "Chrysops" bite.

The worm can cause spontaneous redness of eye, pain, foreign body sensation or moving something in eye, severe reaction and vision loss.

Detection of worm by

- Blood microscopic examination
- Antigen immunoassay

: Eye diseases like eye abrasions, intruded eye lashes, foreign body, conjunctivitis.

But all these diseases will not present with any movement in head. And they are associated with redness in eyes with or without pain.

You should consult ophthalmologist for confirmation.

: CSF pulsations transmitting to eyes - In case of erosion of orbit roof or sphenoid bone dysplasia, CSF (brain fluid) pulsations can be transmitted in eyes.

It gives the feeling of moving in head and eyes. It can be even heard by patient in quite environment. The feeling is pulsatile.

For confirmation, 3D CT orbit bone is required.

: Carotid cavernous fidtula - It is purely neurosurgical condition in which abnormal communication is established b/w internal carotid artery (brain main artery) and cavernous sinus (brain venous drainage).

It can cause increased pressure in eyes, pulsations in eye veins and brain veins. All these can manifest as something moving in head, abnormal sounds in ear without actual sound, headache, bulging eyeball.

It can be diagnosed by consulting neurosurgeon. he will advise you

- CT angiography of brain vessels
- MRI of brain and orbit

So there is need to confirm diagnosis depending upon your symptoms. After that, final treatment can be given.

Hope it will help you. If still in doubt, do let me know.

Thanks. Take care.
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
Dr.
Dr. Ishu Bishnoi

Neurologist, Surgical

Practicing since :2007

Answered : 901 Questions

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What Causes Sudden Pain In The Eyes?

Brief Answer: Eye parasite and other causes Detailed Answer: Hi XXXXXXXXX, thanks for asking from HCM. I can understand your concern. Your symptoms are very rare. There are not much explanation. There is no worm which can move from brain to eyes. There are few eye parasites which can be transmitted via blood : Loa loa - It is a type of filarial worm. It is transmitted by fly "Chrysops" bite. The worm can cause spontaneous redness of eye, pain, foreign body sensation or moving something in eye, severe reaction and vision loss. Detection of worm by - Blood microscopic examination - Antigen immunoassay : Eye diseases like eye abrasions, intruded eye lashes, foreign body, conjunctivitis. But all these diseases will not present with any movement in head. And they are associated with redness in eyes with or without pain. You should consult ophthalmologist for confirmation. : CSF pulsations transmitting to eyes - In case of erosion of orbit roof or sphenoid bone dysplasia, CSF (brain fluid) pulsations can be transmitted in eyes. It gives the feeling of moving in head and eyes. It can be even heard by patient in quite environment. The feeling is pulsatile. For confirmation, 3D CT orbit bone is required. : Carotid cavernous fidtula - It is purely neurosurgical condition in which abnormal communication is established b/w internal carotid artery (brain main artery) and cavernous sinus (brain venous drainage). It can cause increased pressure in eyes, pulsations in eye veins and brain veins. All these can manifest as something moving in head, abnormal sounds in ear without actual sound, headache, bulging eyeball. It can be diagnosed by consulting neurosurgeon. he will advise you - CT angiography of brain vessels - MRI of brain and orbit So there is need to confirm diagnosis depending upon your symptoms. After that, final treatment can be given. Hope it will help you. If still in doubt, do let me know. Thanks. Take care.