Dr. Shikha Gupta
Ophthalmology (Eye Care)
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I got a blunt eye trauma last year. Since then, I got continuous mild eye pain but could not find the reason. I saw my opthalmologist and checked my eye pressures. I have a history of ocular hypertension in both eyes. Still, after I checked twice after the injury, the pressures are at my normal level, and my doctor also says there is no sign of angle recession after doing anterior segment OCT. The pain is noticeable when I blink my eyes, especially when I look downward and blink. It feels like my eyes got bigger and more complicated after the injury. What could be the possible cause? This situation is just so annoying. Please help. Thanks.
Hello,
Welcome to icliniq.com.
I understand your concern.
Can you please explain how you got the blunt trauma, like with ball or anything else? It would help if you had a dilated fundus examination. Your retina has been checked but not under dilatation. So for that, you need an appointment with a retina specialist. Because you are myopic also, which puts you at risk for a few complications. However, your pain may be due to myopia which is progressing, or may be due to low-grade uveitis. I hope this information will help. Thanks.
Patient's Query
Hi doctor,
Thanks for the reply.
My right eye was hit by a person's hand when I was running fast while playing soccer. The pain is also in the right eye. I had a dilated fundus exam one week after the trauma. No abnormalities were found in that exam. I think retinal injuries do not cause eye pain. I am worrying about angle recession glaucoma. Thanks.
Hi,
Welcome back to icliniq.com.
I understand your concern.
Till now, based on your latest reports, there has been no angle recession. A more worried complication in the retina in the periphery can develop, and moderate myopia more so over makes you at risk, and early intervention can be vision-saving. Since trauma, is there any change in vision, floaters, or flashes of light? Often, no cause can be ruled out for such pain. In those cases, decongestant eye drops can help. I hope this information will help. Thanks.
Patient's Query
Hi doctor,
Thanks for the reply.
I have a few floaters in both eyes, but those are not progressive and have been there for over ten years—no flashes of light. I have a dilated peripheral retina exam every year with my doctor, so I am not entirely worried about retinal issues. Do you mean that my pain does not seem to be caused by traumatic glaucoma? If this does not cause it, what could be other potential reasons besides retinal issues? Can anxiety or dry eye cause pain? Thanks.
Hi,
Welcome back to icliniq.com.
I understand your concern.
Trauma can be the cause because it only starts after trauma and persists in that eye. Is it the same all the time and equal all time or more in the early morning and then decreases? If it is more in the early morning, get your IOP (intraocular pressure) monitoring done. They will check your IOP at a fixed interval time. You can also get your visual fields or perimetry test done. But let me tell you that you already have OCT (optical coherence tomography) and RNFL (retinal nerve fiber layer) test done, which is much more sensitive than perimetry. But perimetry has its role. I want to know why you are worried about glaucoma so much. Is there any family history or systemic illness as well? I know angle recession can develop even years after the trauma. But you mentioned glaucoma that you had even before the trauma. I hope this information will help. Thank you.
Patient's Query
Hi doctor,
Thanks for the reply.
The pressure is about the same all the time. HVF (Humphrey visual field) perimetry was done with no abnormalities. I am worried about this simply because I know some glaucoma can cause eye pain. There is no family history of glaucoma. Do you mean angle recession or angle recession glaucoma can develop years after trauma? My doctor told me that if there is no angle recession after trauma, it cannot happen years after trauma unless the eye is injured again. Thanks.
Hi,
Welcome back to icliniq.com.
I understand your concern.
It can happen years later. But this information is not to make you worry. You are absolutely fine. There is no need to worry at all. Just a yearly follow-up to rule out the recession. I suggest use decongestant eye drops like Mezol (Chlorpheniramine maleate). I hope this information will work. Thanks.
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Ophthalmology (Eye Care)
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