Hello, Thank you for the question.I am Dr.A.S.Desai and I look forward to assisting you .
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Your analysis is absolutely right in that the eye per se is alright and unlikely to be the cause of the pain behind the eye.
One of the causes for retrobulbar pain ( pain behind the eye) is sinusitis. That is why it could be related to the position too. But I am not very sure of the noise which comes on pressing the eye but could be from the tendons of the eye muscles which all arise from behind the eye ( our knuckles or any other joint also make a sound when squeezed because of the tendons). The eye is surrounded by four sinuses on all sides and can cause significant retrobulbar pain.
You can try doing steam inhalation at bedtime to relieve any congestion of sinuses and decongesants or antihistaminics .
This can happen if you have had a bout of common cold a couple or more weeks back. It can also happen if one has a known histories of allergies.
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Please let me know if you have any more queries in this regard.
Hello Dr Desai. I have had this for some time - a couple of years perhaps, so it is not from a recent common cold. But could be sinuses-related. I have a lot of mucus every morning when I get up, which clears quite easily and does not return until the next morning.
The noise when I press the eye to get relief is a "squishy" noise, as though I am removing trapped air or fluid that is causing pressure and pain.
I can have several days when it is not present. I usually notice it when I am tired after a day at work, and I get up from sitting watching TV - at this point my blood pressure and heart rate will increase.
Some days like today it is almost constant, but this happens seldom. It does not seem to affect my vision.
In my childhood I had a history of sinus problems, including neuralgia on the face and facial sinuses.
Another doctor said
"It's either a fistula to a sinus or air in the lacrimal sac." I am not sure what that means.
Dear Dr Desai
I am writing back as the condition (pain) is worsening and becoming almost chronic. I am about to try steam before bedtime as you suggest. You mention "a tiny opening in the ethmoidal sinus" as a possible cause of the pressure build up behind the eye. Is there a cure for this?
What would you advise I do next? Try decongestants and antihistamine? Or see an ENT consultant at a hospital?
Thanks for your help.
The steam inhalation has helped - I did about 15 mins last night. I am about to do it again this morning.
I have a very large amount of catarrh or mucus when I get up in the mornings, and have to blow my nose many times. Once it is gone it is fine until the next morning. I feel this might be linked. It seems abnormal. Do you think this is linked and is there anything I can do about it, with either diet or drugs?