Do nasal polyps in the sinus require surgical removal?

Hello doctor,

I developed an eye-rolling tic in the right eye, which is an uncontrolled downward movement of the eye a few years back. The movement is involuntary and I was doing this with some force. I was doing this every five minutes, to the point that it might have done some damage behind or in my eyes. The tic lasted for three months and with the help of breathing exercises, the tic completely stopped. I consulted a neurologist who said that the tic developed due to work-related stress. This is not my worry though as the tic is inexistent now. I do not do the uncontrolled eye movement now. But since then, two symptoms developed in my right eye: 1. Dull and constant ache in the right eye, and near the eyelid. 2. Discomfort and strain feeling while moving the eye. It is as if the eye is not working in harmony with the brain. I feel a pull sensation when I move the eye. I have seen many ophthalmologists who dismissed the pain as being induced by stress, lifestyle, etc. But I know this is not the case and that something is indeed going on. I did 2 MRIs, and both MRIs came normal. I did an eye CT scan which came normal too. However, during the MRIs, a nasal polyp was detected on the right maxillary sinus as an incidental finding. This is the reason why I am contacting you. I am enclosing a copy of the MRIs. I did a CT scan of my sinuses this morning and I am enclosing a copy too. I would like to know whether I have sinus inflammation, especially around my eye, and what course of treatment I must follow. As for the eye pain, I would like to know if the cause may be sinus inflammation. I have also become sensitive to light over the past two years, and I have checked my vision, which is 0.25 in both eyes, and doctors said I do not even need glasses. Please help.

Hello doctor,

Thank you so much for the detailed response. I have four last questions: 1. Have you, in your experience, seen polyp and hypertrophied inferior nasal turbinate conditions leading to pain behind an eye, and then after surgery, the pain disappears? 2. I have discussed this with a specialist doctor who suggested surgery after seeing my CT scan. Can I go directly for the surgery? Is it safe? 3. I have read somewhere that sinus issues can cause inflammation or an infection in the eye. How do we treat that inflammation? Can the medicines that you have recommended work for that too, in case there is any inflammation or infection in my eye? 4. My ESR blood test report came normal. Can ESR be normal and yet people have sinus issues? Please help.