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Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 11363
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
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I have pressure in my right eye socket for 12-14 hours -

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I have pressure in my right eye socket for 12-14 hours - quick onset - side of eyeball and area is tender to the touch. Feels like an injury - pressured feeling if eye opened fully,looking out/up. No discomfort looking down. No injury i'm aware of, sinuses clear, no headache. Should I ice or apply heat to area to relieve discomfort and what could cause it? I'm 55, post menu, on .50 synthroid, bp 95/65. thanks!
Dr. Rick :

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

Dr. Rick :


Customer: Ok
Dr. Rick :

Is your vision affected at all? Do you have nausea also?

Customer: So what is your initial opinion?
Customer: No nAusea
Customer: Vision seems normzl
Dr. Rick :

The discomfort lasts 12 to 14 hours and then all of a sudden goes away with no residual?

Customer: It just feels like a tenderness
Customer: A little stiff when I move my eye upward or side to side
Dr. Rick :

Ok. I think you are suffering from some form of anterior segment disease. It could be due to a number of things, such as allergies, dry eyes and blepharitis. No matter what it causing it I think you can do some things at home and help things get better.

Dr. Rick :

Here is some information on that:

Dr. Rick :

When it comes to allergies it is almost impossible to pin down the offending agent(s) and, therefore, treatment needs to focus on controlling the symptoms. Dry eyes are very common and can be improved by a stepwise series of therapies. First, the use of natural tears 4-6+ times/day to augment your natural tear production, if this doesn’t work then you can try temporary punctal occlusion of the lower puncta, then, if needed, temporary occlusion of all 4 puncta then, if indicated, surgical ( non-reversible) closure of the puncta. The openings to your tear drainage system are called puncta and you have one opening on each lid, near your nose.

Blepharitis is a condition where glands in the eyelids are not functioning normally. They become plugged and instead of putting out their normal clear, oily secretions, they put out thick, toothpaste like gunk. You may not be able to see this “gunk” yourself, unless it is really bad, but it shows up clearly on slit lamp examination.

The best treatment for this condition daily lid scrubs combined with warm compresses. I like to use baby shampoo for lid scrubs. In the shower, place the shampoo on your index fingers, close your eyes, raise your eyebrows (to stretch the skin on your eyelids) and scrub back and forth along your eyelashes for 3 to 5 minutes. The hot water in the shower helps to soften the plugged oils in the glands while the mechanical scrubbing with your soapy fingers removes the oils.

Baby shampoo lid scrubs will also help to wash away allergens and stimulate tear production, thereby addressing all three of your issues. Remember, this is not an instant fix. While you are waiting for the lid scrubs to have affect you can use over the counter allergy pills such as Travist, dimetapp or Zyrtec.

Should your symptoms get worse, your vision become significantly affected or things just not get better in 3 weeks or so you should have a complete eye examination by your local ophthalmologist to look for other, less common, causes of your symptoms.

Customer: Thanks
Dr. Rick :

This is especially common after menopause......

Dr. Rick :

Which I continue to tell my wife I'm gonna haveta to though some day soon with her....

Dr. Rick :


Dr. Rick :

Does this make sense to you?

Customer: Good luck with that and the wife. Menopause kicked my butt emotionally and everyone in the family ran the other direction ;-). Yes it makes sense especially warm compresses
Customer: This is the first time I've experienced this. Just woke up this morning with the discomfort
Dr. Rick :

Ok......Thanks for that information. Guess I'll get the chains set into the concrete floor in the basement this week......I didn't realize it could be that bad lol!

Dr. Rick :

Give the above a try....I think it will work.

Dr. Rick :

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Customer: You have no idea. Brace yourself! Pray she is one of those few that have any easy go of it.
Dr. Rick :

Ya, good luck on that! Hence the chaining her in the basement for a few years.

Customer: Will press magic button for you now. Then off to go get my warm compresses ready. Thanks for treating me like we are both real people. Blessings to you!
Dr. Rick :

My pleasure. Wish both of us luck!

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