Eye

Ask an Eye Doctor and Get an Answer ASAP

Ask a Doctor,
Get an Answer ASAP!

Eye

I am 59 year old female. i have severe pain in left eye not

Customer Question
all the time comes and...
i am 59 year old female. i have severe pain in left eye not all the time comes and goes when it hurts i cry and finally 2min or so i am ok. had a mri done and they said that was normal. i just dont understand what it can be any ideas. they have me on caramazepine 4 in the morning and 4 at night. and that dont always work and to take 4 more pills between 5 and 8 pm because so severe these are 100mg chewable pills. we have never used this on line before not really know what i am doing thanks
Submitted: 7 years ago.Category: Eye
Show More
Show Less
Ask Your Own Eye Question
Answered in 55 minutes by:
11/7/2010
Eye Doctor: Dr. Dan B., Board Certified Ophthalmologist replied 7 years ago
Dr. Dan B.
Dr. Dan B., Board Certified Ophthalmologist
Category: Eye
Satisfied Customers: 3,343
Experience: Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
Verified
Hello and thanks for your question.
One of the most common causes for this intermittent, sharp, stabbing pain, especially when a "normal" exam is seen is a dry, irritated eye. Dry eyes can also produce symptoms of burning, tearing, foreign-body sensations and general dry sensations.
Patients who have had surgery on their eyes can have dry eyes because of that. Women who are post-menopausal are more likely to get dry eyes. Some people have dry eyes because they don't make enough tears. Some have dry eyes because of inflammation in their eyelids and some because of allergies.
The first thing to dry with dry eyes is to use artificial tears. I recommend to my patient that they start by using them 4 times per day in each eye. The important thing is to use them consistently, in a scheduled fashion for 3-4 weeks before cutting down on them. If artificial tears are used for dry eyes only when you feel like you need them, then they usually only work for thirty seconds or so and don't help the overall hydration of the eyes.
Something else to consider outside of this, and if your trial of artificial tears doesn't change your symptoms at all is an entity called Trigeminal Neuralgia (TN). This is a disorder where the trigeminal nerve, the nerve that supplies sensation to the face and to the eyes, becomes irritated, usually from where the nerve exits the brain. This is happening inside the head, but affects your face and eyes. It can happen for no apparent reason, or do to problems inside the head relating to the brain. It can produce this sharp, electrical stabbing pain that you speak of.
Unfortunately there is not always a cure for trigeminal neuralgia, but sometimes a reason for having it can be found and eliminated by surgery or medical therapy. Sometimes amitriptyline is prescribed for trigeminal neuralgia. Another medicine that can be taken for this include Neurontin.
If this sounds like your symptoms and what your doctor diagnosed, you would be well served to be examined by a neurologist and possibly receive some kind of imaging of your head (MRI).
If this is trigeminal neuralgia, it usually does not result in shortening of life span, but it can give such intense pain that it can severely affect your quality of life. Uncommonly, however, it can be to due to a structural lesion inside the head, therefore necessitating the essential workup by the neurologist to make sure there isn't anything like that which can be life-threatening.
Most people have a reasonably positive response to one of a few oral medications such as amitriptyline, neurontin or carbamezepine.
In summary, I would do the trial of artificial tears as I mentioned earlier. If you have other symptoms of dry eye that I mentioned, then it would be worthwhile to see a corneal specialist to have an evaluation of dry eye. In the absence of this, though, I would recommend seeing a neurologist to get an evaluation for possible trigeminal neuralgia.
Does this make sense and does this help address your concerns?
I am happy to be able to help you today. If you would be so kind, please help me get credit for my efforts in answering your questions and press the ACCEPT button for this encounter. I will also be happy to answer any other questions until you have the information you need.
Any positive feedback and/or bonus you may feel prompted to provide would be welcomed and is appreciated. Thanks for your inquiry!
My opinion is solely informative and does not constitute a formal medical opinion or recommendation. For a formal medical opinion and/or recommendation you must see an eye doctor.
Dr. Dan B.
Dr. Dan B., Board Certified Ophthalmologist
Category: Eye
Satisfied Customers: 3,343
Experience: Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
Verified
Dr. Dan B. and 87 other Eye Specialists are ready to help you
Ask your own question now
Customer reply replied 7 years ago
one other concern if i may when i have one of these moments i cant touch that side of my face and even my hair touching it makes it hurt. and also when i touch my fore head.
Ask Dr. Dan B. Your Own Question
Dr. Dan B.
Dr. Dan B.
Dr. Dan B., Board Certified Ophthalmologist
Category: Eye
Satisfied Customers: 3,343
3,343 Satisfied Customers
Experience: Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology

Dr. Dan B. is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Dan B.

Dr. Dan B.

Board Certified Ophthalmologist

3,343 satisfied customers

Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology

Dr. Stan

Dr. Stan

Ophthalmologist

905 satisfied customers

Johns Hopkins Fellowship Trained, Certified and Licensed Medical Physician and Surgeon

Dr. Stevens

Dr. Stevens

Ophthalmologist

629 satisfied customers

Board Certified Ophthalmologist

Dr. Susan

Dr. Susan

Ophthalmologist

217 satisfied customers

Board Certified & Fellowship trained eye surgeon.

Dr. JP

Dr. JP

Ophthalmology, Oculoplastic Surgery

28 satisfied customers

Harvard Medical School, Massachussetts Eye and Ear

Dr-Trace

Dr-Trace

Board Certified Ophthalmologist

26 satisfied customers

Board Certified in General Ophthalmology

Dr. Daniel Jewelewicz

Dr. Daniel Jewelewicz

Board Certified Ophthalmologist

11 satisfied customers

Glaucoma Specialist, Associate Professor FAU, Teaching Faculty Bascom Palmer Eye Institute

< Previous | Next >

Related Eye Questions
I have constant tearing of my eyes. Is this related to
I have constant tearing of my eyes. Is this related to endocrinology? … read more
wieyedoc
wieyedoc
Ophthalmologist & Retina Specialist
Doctoral Degree
545 satisfied customers
I have a short shooting pain around the tear duct of my left
I have a short shooting pain around the tear duct of my left eye. It comes and goes about once an hour for about 10 sec each time. My eyes are not watering. At first I thought I had something in my ey… read more
Dr Anil Kumar
Dr Anil Kumar
M.B.B.S
2,718 satisfied customers
I've been taking drops for dry eye xiidra. The vision itself
the vision itself is fine, i can't open them or have to close them shortly thereafter … read more
Dr Stan
Dr Stan
DO
2,377 satisfied customers
My right eye continualy leaks water ( tears ) all the time.
my right eye continualy leaks water ( tears ) all the time. day or night no matter what type of day it is. people are alaways asking why im crying and it gets on my nerves.. can you help me with an an… read more
Dr. Dan B.
Dr. Dan B.
Board Certified Ophthalmologist
3,343 satisfied customers
I had laser surgery March 4, 2017 for retina tear and
I had laser surgery March 4, 2017 for retina tear and partial detachment. I have noticed over the months that my vision in eye with laser has become slightly worse and in addition, lights when driving… read more
wieyedoc
wieyedoc
Ophthalmologist & Retina Specialist
Doctoral Degree
545 satisfied customers
I have a really sore left eye .The eye doctor said my tear
I have a really sore left eye .The eye doctor said my tear ducts aren't working properly .it hurts my head ,like I'm having a bad headache .If I touch my left eye it feels like it is sitting on a swel… read more
wieyedoc
wieyedoc
Ophthalmologist & Retina Specialist
Doctoral Degree
545 satisfied customers
I had a retinal tear at the corner of the eye which was
I had a retinal tear at the corner of the eye which was repaired by cryotherapy. I was told that cryotherapy creates a stronger scar than laser. Why would not more ophthalmologist use cryotherapy inst… read more
Gaurav Gupta
Gaurav Gupta
MD, CEO
Post-Doctoral Degree
22 satisfied customers
Are you an eye dr, every week, my tear ducts will not stay
my tear ducts will not stay open i have had 10 operations dcrs stents crawford tube now what… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,634 satisfied customers
Thursday AM i woke up with a dry eye that was red in the
thursday AM i woke up with a dry eye that was red in the inner corner. friday morning i woke up and it was still red so i used some dry eye drops. it was better friday night and the redness had subdue… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,043 satisfied customers
I have dry eye syndrome, but I think I have allergies now. I
.I have dry eye syndrome, but I think I have allergies now. I took a steroid/antibiotic twice, but as soon as I go off, the symptoms come back, and now instead of my eyes being very dry, they are wate… read more
wieyedoc
wieyedoc
Ophthalmologist & Retina Specialist
Doctoral Degree
545 satisfied customers
If I have dry eye syndrome, but I desperately need to take
If I have dry eye syndrome, but I desperately need to take one or two 25mg doses of Atarax in order to break my string of sleepless nights, should I be concerned that it could worsen my symptoms irrep… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,634 satisfied customers
I have severe dry eyes; I have to use drops every two or so
I have severe dry eyes; I have to use drops every two or so hours. Is there any procedure that I can undertake that would help? I had PRK surgery a few years back, but the dry eyes preceded the surger… read more
Gaurav Gupta
Gaurav Gupta
MD, CEO
Post-Doctoral Degree
22 satisfied customers
This is for a optomologist..i ahve dry eye disease for along
this is for a optomologist..i ahve dry eye disease for along time now but about a month but use all kinds of drops for that. i kept feeling something in the white of my eye which is kinda on the side … read more
Dr. A.S. Desai
Dr. A.S. Desai
Board certified general ophthalmologist
Master\u0027s Degree
1,570 satisfied customers
I had lasik 4 months ago and they also put in cologin tear
Hello, I had lasik 4 months ago and they also put in cologin tear duct plugs, the last week or two my eyes have been bilaterally painfully dry,I have been using the single dose vial Retaine MGD and wa… read more
wieyedoc
wieyedoc
Ophthalmologist & Retina Specialist
Doctoral Degree
545 satisfied customers
Have dry eye with plug in eye something over my eye causing
have dry eye with plug in eye something over my eye causing me not to see good … read more
Spencer Chun
Spencer Chun
Board Certified Family Medicine MD
MD
7 satisfied customers
Rick I was wondering which one are best for dry eyes: clear
Hi Dr Rick I was wondering which one are best for dry eyes: clear eyes, visine or theratears… read more
wieyedoc
wieyedoc
Ophthalmologist & Retina Specialist
Doctoral Degree
545 satisfied customers
Middle of the night sever eye pain, dry eye feeling. This is
Middle of the night sever eye pain, dry eye feeling. This is happening for last 2 weeks. Some nights more painful then other nights. Hot painful discomfort. … read more
Dr. A.S. Desai
Dr. A.S. Desai
Board certified general ophthalmologist
Master\u0027s Degree
1,570 satisfied customers
I have developed dry eyes/blepharitis and retinal hole
HelloI have developed dry eyes/blepharitis and retinal hole (fully-operculated). This was all checked out by ophthalmologist and retinal specialist and treated accordingly.I have a question specific t… read more
wieyedoc
wieyedoc
Ophthalmologist & Retina Specialist
Doctoral Degree
545 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x