Some patients complain of pressure in or behind the eye ‘as if the eyes want to pop out of the head’. This sensation is very seldom actually due to pressure in the eye but the only way to make sure is to carry out tonometry and to look for cellular flare in the anterior chamber to rule out raised intraocular pressure and iritis.

This vague symptom may be caused by ocular surface irritation, perhaps low-grade conjunctivitis or corneal irregularity. Lipid, calcium concretions and fluid-filled blisters can often be found in the everted lower lids of such patients. This shows that there is ongoing, low level, sub-clinical, inflammatory activity.

Management should include cool compresses, bedtime ocular lubrication with a viscous solution and regular artificial tears during the day.

0 Comments

Submit a Comment

Your email address will not be published.

This site uses Akismet to reduce spam. Learn how your comment data is processed.

If you like EyeTools Questions of the Day…

Children’s Eye Examinations
How to Run a Successful Low Vision Clinic
How to Run a Successful Optometry Practice

EyeTools.Education

 

NEW WEBINARS ADDED REGULARLY – this is for:
– Optometry students
– Pre-registration and novice optometrists
– Optometrists returning to work
– Junior eye doctors
– Dispensing opticians and orthoptists preparing for refraction exams
– Contact lens opticians, clinical assistants and eyecare educators

Improve your optometry skills with introductory & specialist instruction videos, topical live & recorded expert webinars, presentations and book reviews.

Start with the first section, ‘Pre-refraction procedures’ free, then choose a monthly or yearly subscription. To see English captions, click the CC button on any video.