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Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 7906
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
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I have a severe pain in my right eye. It is exactly at the

Customer Question

I have a severe pain in my right eye. It is exactly at the center behind the eye ball. I have gone for Glaucoma test and it is negative. Not sure why it is coming in only in eye (as if it is dry eye it should be in both).
Submitted: 1 year ago.
Category: Eye
Expert:  Dr. Rick replied 1 year ago.

Dr. Rick :

Hi. I'm online and happy to answer your question today.

Dr. Rick :

Were you examined by an ophthalmologist when you had the glaucoma test?

Dr. Rick :

At the time of your eye exam, where you experiencing the issue with pain behind your right eye?

Dr. Rick :

I see that you are offline. I will switch to Q&A format. This format works a lot like 'text messaging' but an email is sent to each of us anytime something is posted to this thread. We can continue to work on your question there..... :)


 

Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 7906
Experience: Ophthalmology since 1994 with Retina sub-specialty interest
Dr. Rick and other Eye Specialists are ready to help you
Expert:  Dr. Rick replied 1 year ago.
Our chat has ended, but you can still continue to ask me questions here until you are satisfied with your answer. Come back to this page to view our conversation and any other new information.

What happens now?

If you haven’t already done so, please rate your answer above. Or, you can reply to me using the box below.
Expert:  Dr. Rick replied 1 year ago.
We have been experiencing technical difficulties with the chat system. Please allow me to retype my chat here for your review:

Dr. Rick : Hi. I'm online and happy to answer your question today.
Dr. Rick : Were you examined by an ophthalmologist when you had the glaucoma test?
Dr. Rick : At the time of your eye exam, where you experiencing the issue with pain behind your right eye?
Dr. Rick :

This is not an answer, but an Information Request. I need this information to answer your question. Please reply, so I can answer your question. I look forward to helping you.

Expert:  Dr. Rick replied 1 year ago.
Also, is your vision affected in anyway?

Do you have nausea?

I look forward to your reply.
Customer: replied 1 year ago.

I don't have nausea or any other problems.

Expert:  Dr. Rick replied 1 year ago.
I would like you to give a rating on the other question where you and I worked on this issue before. Then I will be happy to continue here.

I look forward to your action.
Customer: replied 1 year ago.

I have given rating for whatever discussion we had till now. Would like to discuss more on this

Expert:  Dr. Rick replied 1 year ago.
I meant on the other thread.....but thank you.

It is not unusual for dry eye symptoms to appear in one eye only even though both eyes have clinical evidence of problems at the slit lamp exam.

Why does this happen? No one knows.....

Do. What should you do? Do the home therapy we discussed on the other thread and give it a few weeks. If there is no improvement, see an ophthalmologist.

I hope this information was helpful for you. But I do work for tips so I want to make sure you are happy with me before rating me. If you have another question on this or a related issue feel free to fire away. And please let me know if the rating system gives you any troubles.

Thanks in advance,

Dr. Rick MD FACS


I'm still here if you have more questions.
Expert:  Dr. Rick replied 1 year ago.
Thank you for the positive ratings :-)

We can continue our discussions here, at no additional charge, if you so desire.

Let me know

Customer: replied 1 year ago.

I strongly believe that it is not dry eye. If it was there can't be such a big variance and we see with two eyes equally until otherwise required.


 


and I feel it is some nerve (not really sure what component) and it pains exactly at the center behind the eye ball and never goes away and becomes severe as my work on computer/driving. This becomes an hindrance for my work

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Expert:  Dr. Rick replied 1 year ago.
There is no physiological reason for you to have the pain through the mechanism you describe.

Most of the time, sinus problems cause pain that is referred to the area behind the eyeball.

Perhaps you would fell better if you had a complete eye examination by an ophthalmologist, with particular attention to any issues that could be causing your pain, as well as an MRI of your head and orbits.

Does this make sense to you?

In the meantime, give the home therapy we discusses a go....
Customer: replied 1 year ago.

Definitely I will give a try to Home Therapy. My ophthalmologist has done few test and I don't know the names of them.


 


Could you please advice the List/Names of all tests I need to examined for identifying the accurate or pinpoint the exact reason.

Expert:  Dr. Rick replied 1 year ago.
A vision test,slit lamp exam,eye pressure check, dilated retina exam. In rare cases you might need a visual field test and, possibly, a hertel test.

As we discussed, an MRI of you head and orbits might make you feel better that nothing is going on behind your eye.
Customer: replied 1 year ago.

Does sinus create pain in only in Single eye?

Expert:  Dr. Rick replied 1 year ago.
Yes. This is very common.
Customer: replied 1 year ago.

Do you suggest me to go for Sinus Test. I don't have any problems regarding Sinus yet. What could be the other symptoms?

Expert:  Dr. Rick replied 1 year ago.
I think the MRI would be a better option for you as it would evaluate everything at once.

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