Your Aunt is suffering from one of the most difficult issues to diagnose: Intermittent eye/orbit
pain. One thing I can say for sure...this issue is way beyond the training and ability of an optometrist
to deal with. She should limit her care and workup of this issue to an ophthalmologist
or ophthalmology sub-specialist.
That being said the warmness that she is experiencing makes me think that there may be some type of neuralgia going on, perhaps from a virus, such as varicella zoster, messing with the nerve. The most important thing to do, and she may have already done this, is to have a complete eye exam by an ophthalmologist to make sure that nothing is going on with her eyes or orbits to account for her pain. One possibility that comes to mind is intermittent angle closure glaucoma
, although this is usually associated with nausea.
The differential diagnosis list for your Aunt's symptoms is long and branching. In many cases the actual cause of the pain is never found and treatment consists of addressing the pain itself. This sometimes requires the assistance of an anesthesiologist trained in the amelioration of discomfort (pain specialist).
Does this make sense to you?
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