Hi, Dr. Rick. I am sorry that I missed you earlier. It appears that you are online now, so I am here to chat.
I do not know what is causing my aunt's pain. Not exactly.
Apparently, the symptoms seem to fluctuate and have been around for at least two weeks. She had dryness in both eyes which was thought to be fixed a few months ago, before wearing contacts again. (She had quit wearing them for about 8 months, but not because of dry eye.)
Added information: She also complained of warmth on the same side of her face that comes and goes days at a time.
Thanks for the update, Dr. Rick. I think she will visit an opthalmologist in the morning, or sometime before Friday.
What I know is that she went to her O.D. (but not an ophthalmologist) earlier this year, before her pain started. I asked my aunt a few specific questions about this:
- (5 weeks ago) The O.D. found normal pressure; Aunt denies nausea.
- (maybe 2 weeks ago) My aunt denies trauma, but has difficulty with contacts. She said she switched lens types. She also swimming without the contacts, I think.
- (almost 2 weeks ago) The O.D. looked for evidence microbial corneal infection - no ulceration or cloudiness present.
I heard my aunt has an eye spasm. How would a muscle spasm cause pain in the front of her eyes?
Also, would sinus allergies cause surface pain on the eyes? Could she even be allergic to her lenses?
My aunt eventually saw an opthalmologist during the week. The opthalmologist did a quick exam and apparently said nothing about spasms or contact lens allergy. There was no sign of ulceration with the slit lamp test, but no culture was done. The slit lamp test indicated dry eye syndrome. Her current corrected vision is still 20/20. The diagnosis was allergic conjunctivitis.
Since the appointment, my aunt said she still experienced pain. She was diagnosed with dry eye (and I think RA - but she hasn't told me) some time ago, so I think these might also have something to do with her pain.
With this in mind, I have more questions:
-- Are there certain prescription anti-inflammatory drops that would be recommended or avoided in my aunt's case?
-- Should my aunt ask for a culture or smear to rule out possible infection?
-- A general question: Can disposable contact lenses cause chronic eye pain (without infection) even after discontinuing wear?