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Ocular Discomfort: An Overview

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Ocular discomfort is characterized by a variety of symptoms, including itchiness and burning sensations.

Written by

Dr. Palak Jain

Medically reviewed by

Dr. Shikha Gupta

Published At December 6, 2023
Reviewed AtDecember 6, 2023

Introduction

According to the area of the eye that is affected, ocular pain often varies in both degree and type. Ocular discomfort is a pain that mostly affects the eye's surface. Ocular discomfort is characterized, among other things, by itchiness and burning sensations. Orbital pain refers to pain that comes from within the eye.

Deeper ocular structures can cause discomfort, typically manifesting as a throbbing, stabbing, or gritty sensation. The underlying medical issues determine the sort of pain. For instance, if a person experiences surface ocular discomfort, an infection, a foreign item, or trauma will likely be the cause.

The term "ocular discomfort" is better suited for long-lasting conditions like dry eye syndrome, blepharitis, meibomian gland dysfunction, allergic conjunctivitis, ocular surface toxicity, irritation, lacrimal drainage issues, and cicatricial and eyelid disorders.

What Is Dry Eye Syndrome?

Tear film, the three layers of tears that cover and shield the eyes' surface, is a component of dry eye syndrome. A person needs a sturdy and supple tear film for comfortable and clear vision. Unpleasant signs, including burning, stinging, wetness, or hazy vision, might result from tear film disruptions.

The tear film's inability to function as it should due to various circumstances might result in dry eyes. Therefore, dry eye is seen as a complex condition by healthcare professionals. There are various and complicated risk factors for it. Establishing treatment with an ophthalmologist or optometrist is crucial if one has a dry eye to control the disease.

When a person has dry eye, they could feel as though there is something stuck in their eye. This may have a scratchy, grippy, or sandy feeling to it. Other symptoms include a burning or stinging sensation, sensitivity to light, vision distorted or altered by ocular discharge, excessive tears streaming down the cheeks, and watery eyes.

Some hazards should not be under one's control. For instance, dry eyes are more prone to develop as people age. However, people may be able to control these risks by making lifestyle or medication modifications. Earning certain drugs, including those for depression, allergies, blood pressure, glaucoma, menopause, and pain, might raise the probability of developing dry eyes. Oral contraceptives, systemic retinoids, and anticholinergics can all raise the risk.

Eyes are made to feel lubricated and calmed by artificial tears, which momentarily ease discomfort. Patients may buy them over the counter, but they should consult their physician before using them. Lipids are present in some varieties and may aid in keeping tears from evaporating.

What Is Blepharitis?

Eyelid inflammation is referred to as blepharitis. Eyelid margins change color to a dark red or black shade, swell, and become scaly. Usually, both eyes are affected by blepharitis. Patients may experience it when the skin becomes irritated or sick or their oil glands clog. These events may all take place simultaneously.

Inflammation is called blepharitis, although it can also result in an eye infection. However, blepharitis is not often communicable. They would not likely cause blindness. Adults and children of both sexes are often equally affected by blepharitis.

On the other hand, one kind of staphylococcal blepharitis mostly impacts females and those who were assigned female at birth (AFAB). Blepharitis manifests itself in several ways. They could include oily or swollen eyelids, red, itchy eyes that itch or burn, crusting around the corners of your eyelids and eyelashes, sticking together of the eyelids, flakes of skin gathering around the eyes and eyelids, dry eyes or excessive crying, and frequent blinking.

The washcloth should be well-cleaned and dipped in warm water. Put the towel over the eyelids after wringing out any extra water. To maintain a consistent temperature for the fabric, repeat this process as required. It would not take long for the crusts to get moist, making it simpler to remove any greasy residue.

Heat masks that can be microwaved off the shelf have a longer heat-holding capacity and could be more efficient. Antibiotic eye drops like a blend of Polymyxin B and Trimethoprim, as well as antibiotic ointments like Erythromycin, Bacitracin ophthalmic, and more. These remedies might aid in healing the bacterial infection and easing inflammation.

What Is Meibomian Gland Dysfunction?

When the meibomian glands do not create enough oil (meibum), or the oil is of low quality, meibomian gland dysfunction (MGD), a frequent ailment, results. When the oil glands are clogged with viscous secretions, this disease develops. As a result, there is less oil available than would normally flow. The oil that effectively exits the glands may be crusty or of poor quality, irritating the skin.

In its early stages, meibomian gland malfunction frequently shows no symptoms. However, if the situation worsens without medical intervention, it may result in dry eye symptoms and eyelid irritation. Oil secretion is prevented by chronic meibomian gland dysfunction, which can result in dry eye syndrome and irreversible tear film damage since the glands are always obstructed or clogged. Meibomian gland dysfunction is more common in those over 40, as the chance of having it rises with age.

Women who utilize eye cosmetics also have a higher chance of getting meibomian gland dysfunction. High triglyceride and cholesterol levels, allergic conjunctivitis, other eye conditions, inflamed or damaged eyelids or corneas, bacterial infections, and autoimmune conditions, including rosacea, lupus, rheumatoid arthritis, and Sjögren's syndrome, are all common health problems associated with meibomian gland dysfunction. In its early stages, meibomian gland malfunction frequently shows no symptoms. However, if the situation worsens without medical intervention, it may result in dry eye symptoms or eyelid irritation.

The meibomian glands are opened using LipiFlow, which improves the natural synthesis of lipids (oil), which is important to lessen tear evaporation. With 86 percent of dry eye patients reporting symptom relief.

Conclusion

Chronic conditions such as dry eye syndrome, blepharitis, meibomian gland dysfunction, allergic conjunctivitis, ocular surface toxicity, and irritation are better described as "ocular discomfort," which is more appropriate. Treatment options include applying warm compresses to the afflicted eye, rinsing the eye out with water, using over-the-counter (OTC) antihistamines or allergy drugs to relieve itching, and using OTC artificial tear drops to moisten dry eyes. To know more about the condition, consult the doctor online.

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Dr. Shikha Gupta
Dr. Shikha Gupta

Ophthalmology (Eye Care)

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