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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hello, So I%E2%80%99ve been having this dull ache in my

Answered by
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Dr. Yogesh D

General & Family Physician

Practicing since :2009

Answered : 935 Questions

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Posted on Fri, 21 Dec 2018 in Vision and Eye Disorders
Question: Hello,

So I%E2%80%99ve been having this dull ache in my right eye all day (this isnt the first time experiencing this pain). Its an ache within the eye itself (not the surface). Im not tearing or anything. I went to an eye specialist months back for sonething else and his basic eye exam didnt see anything. I%E2%80%99ve always had this fear of losing my sight, so when it starts hurting to look to the far right or to open my eyes wide, I get a little worried.

Thank you
doctor
Answered by Dr. Yogesh D 1 hour later
Brief Answer:
Get your ocular pressure checked and rule out infection.

Detailed Answer:
Hello,

Welcome to Ask a Doctor Service.

I have read your question carefully, and have seen the attached photo, I understand your concern.

Pain emanating from inside the eye ball usually indicates either endophthalmitis or glaucoma.

Endophthalmitis is acute infection of the inside of the eye ball, but it will present as a severe pain in the eye with rapidly progressing loss of vision.

Based on the attached image, the eye does not show signs of acute infection, but it still needs to be ruled out by ophthalmoscopy.

Another common cause for pain in the eye is Glaucoma (raised intra-ocular tension), our eyes have an inherent pressure inside the eyes, but if the pressure inside increases, then it can cause dull pain.

This can be confirmed by checking the intra-ocular pressure.

The treatment will depend on the cause.

Raised intra-ocular tension can be treated either with medicines or with surgery.

Please consult your local ophthalmologist and proceed further.

I wish you speedy recovery.

Warm regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Yogesh D 25 hours later
I will follow up with a doctor then. I asked this because I've had a headache that's not really going away (over the past two days). I'm 31 and had a cranial CT scan about a year ago or more, and I've been wondering if that's related to this, as well as if the headache is worth worrying over. There are no other symptoms, like a fever or loss of sight.
doctor
Answered by Dr. Yogesh D 8 hours later
Brief Answer:
Not related to CT scan. Please go ahead with your doctor.

Detailed Answer:
Hello,

Thanks for writing back with clarifications.

This does not seem to be anything serious and you need not worry much.

You should however consult with your eye specialist and proceed further.

I hope you will get well soon.

Best wishes,.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Yogesh D 40 hours later
Thank you doctor. If hi me ask one more question related to what we were discussing; I have had this mild headache for 4 days now. I feel a little bit of pressure behind my eyes and a little bit of neck pain, none of which really seem to be treated by excepting or ibuprofen. Is this is a cause for serious concern or no?
doctor
Answered by Dr. Yogesh D 7 hours later
Brief Answer:
There are numerous causes for headaches, may not be serious in you.

Detailed Answer:
Hello again,

Thank you for writing back to me.

There are numerous causes for such headaches some are serious and some are not so.

Most common causes of headaches include, Tension (general anxiety and tough situations in life), poor sleep or lack of sleep, irritation of nerves, muscular spasms in the neck and face, sinus infections, high blood pressure, allergies, ear infections, refractive errors (poor sight), glaucoma, vascular headaches (migraine), metabolic abnormalities such as low sodium, high sodium, low potassium, vascular anomalies inside the head like aneurysms, space occupying lesions of the brain, meningeal infection, brain infection etc.

With such a wide variety of causes, it is really difficult to pinpoint any one cause without a complete history and complete physical examination.

In your case however, since you do not seem to be having any other symptoms other than headache and neck pain, neck muscle spasm due to bad posture or some minor trauma could be causing the headache.

However, the pain behind the eyes is either due to an eye problem, or due to tension.

You must make sure you get good sleep,

Rule out neck muscle spasm or strain,

Consult your local doctor for a proper examination.

If it is due to the neck muscle spasm, applying ice to the neck will relieve spasm and in turn will reduce the headache. If this is indeed the case, then it is not serious, but as mentioned, there are many causes for headache, so please go ahead with your consultation with the doctor and proceed as advised by him or her.

I hope you will feel better soon.

Best regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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