Hi, I'm online now and would be happy to help you with your problem. Just reply and we'll get started. Dr. Tom
i can't see any answer to my question
yes that would be fine thank you
Hello again. Thank you for giving me a few minutes to take care of clinic patients. Let me know when you're back online.
i am here
Okay, I'm going to type out some thoughts here, so let me just get that down on paper for you to review and then we will begin a conversation.
First, it's wonderful that you have a nine year cancer free history following your lung cancer surgery. There really is not much reason to think there is any connection between your lung cancer and your present symptoms. Also the presence of pain in the outer edge of your right eyeball and the tingling feeling you have on the left side of your time probably are not related to your recent onset of angina. However those past histories do have to be kept in mind when considering the differential diagnosis. Eye pain, or pain around the eye, can often be referred pain from other areas, just as chest pain and arm pain associated with angina are referred pain originating in the heart. Similarly, eyepain and orbital pain, can be referred from the sinuses, from TMJ syndrome, from the cervical area of the neck and a couple of other sources. Does this make sense so far?
You mentioned that you had had an optician doing a test. Were you examined by an ophthalmologist who did a complete exam of your eyes or was it just a checkup of your vision?
yes i am with you on that
yes i am with you on that i don't know what TMJ syndrome is though
Please tell me the type of eye examination you had.
TMJ is a dental problem where there is inflammation between the temporal bone and the jaw.
Let's focus on the type of pain you're having in your right eye.
Does your eye hurt when you move your eyeball from right to left or up and down
How long has you been experiencing the pain, is it constant and have you done anything that gives you relief?
i had an eye test i needed stronger reading glasses. he was an optician
Unfortunately I do not know the extent to which an optician is qualified to render medical eye examinations. But were you my personal patient I would insist that you have a comprehensive ophthalmological evaluation by a physician trained in eye diseases. It's always important to ensure that there are no obvious ocular diseases that could cause you the pain you're describing. Do you live near a large city where there might be an academic eye department?
While you're thinking about the questions I asked you, there are couple of things that you might consider doing to give your eye some relief. If you haven't already tried the application of warm moist heat and the use of over-the-counter lubricating artificial tears these can relieve symptoms caused by superficial irritations. You might want to consider doing that. Your problems might very well be self-limiting, but why take any chances.
You seem to have stepped out of the chat, but I don't want to finish up until you're completely satisfied. Do you have any other questions?
Let's go ahead and switch over to the question and answer format and you can continue asking me questions.
I have tried the over the counter remedies suggested by the optician. The pain comes out of the blue when i turn my eyes to the left. and yes i live in a city. should i ask my G.P for a referal?