eye pain

Uveitis: Causes, Symptoms and Treatment

September 16, 2018 by Anne Arundel Eye Center

Uveitis is a inflammatory condition of the middle layer of the eye, the uvea, which provides most of the blood supply to the retina. Similar to arthritis of the joints, Uveitis is not an infection, but rather an inflammation.

While, in most cases, the cause is idiopathic, Uveitis can be associated with autoimmune disorders such as rheumatoid arthritis or ankylosing spondylitis, infection, exposure to toxins, bowel and abdominal inflammation, and even trauma. The whole body is connected and sometimes an injury to a completely unrelated area of your body, like your back, can trigger Uveitis.

Signs and Symptoms

Uveitis symptoms may develop rapidly, affecting one or both eyes, and can include:

• Blurred vision

• Dark, floating spots in the vision

• Eye pain

• Redness of the eye

• Sensitivity to light

Forms of Uveitis

Uveitis is the third-leading cause of blindness in developed countries, behind Cataracts (#1) Glaucoma (#2).

The most common form of Uveitis is Anterior Uveitis, also called Iritis, which involves inflammation in the front part of the eye. The disorder may affect one eye or both eyes and is most common in young and middle-aged people.

Posterior Uveitis, also referred to as Choroiditis, affects the back part of the uvea and primarily involves the chorid, which is a layer of blood vessels under the retina. If the retina is involved, it is called Chorioretinitis.

The final form of Uveitis is Pars Planitis, which is an inflammation affecting the area just behind the iris. This particular type of Uveitis occurs primarily in young men.

Treatment

Treatment for Uveitis involves the use of steroid eye drops, though additional treatments may be helpful, including: wearing dark glasses, using eye drops that dilate and relax the pupil to relieve pain, using oral steroids, and the use of non-steroidal anti-inflammatory drugs (NSAIDs) such as Tylenol, Advil, or Motrin.

With proper treatment, most cases of Uveitis are resolved in a few days or, more commonly, a few weeks. However, relapses are common.

Call your eye doctor immediately if you are suffering from blurry vision or any of the other previously mentioned symptoms. Your doctor may refer you to an eye specialist.

Eye pain and reduced vision are serious symptoms that require prompt medical attention from you optometrist or ophthalmologist.

If you have any questions about what you have just read, please contact Anne Arundel Eye Center by calling 410-224-2010.

Sources:

PubMed Health

Uveitis Mayo Clinic

Corneal Disease: Explanation, Symptoms, and Treatment

October 10, 2017 by Anne Arundel Eye Center

Your cornea – the clear, protective outer layer of the eye – not only protects your eye from dirt and germs, but also plays a key role in your vision. As light enters the eye, it is focused or refracted by the shape of the cornea. If your cornea sustains damage through disease, infection or injury, the resulting scar tissue can interfere with your vision by blocking or distorting light as it enters your eye.

There are several different conditions including infections, degenerations and other disorders that affect the cornea. These include:

Astigmatism: Caused by an irregularly shaped cornea, astigmatism is a refractive error in which the eye has trouble focusing light. Astigmatism is the most common form of corneal problem. Treatment typically involves the use of glasses or contacts.

Corneal Abrasion: Caused by trauma to the eye, a corneal abrasion refers to a scratch on the outer layer of the eye. It is the second most common form of corneal distress. Treatment traditionally involves patching of the eye, though newer bandage contact lenses are beginning to see more use. These allow people to stay functional during the healing process.

Keratits: This form of corneal disease is an inflammation of the cornea that occurs with viral, bacteria or fungal infection. Symptoms of keratitis include severe eye pain, reduced visual clarity, and discharge.

Ocular Herpes (Herpes of the Eye): Similar to cold sores on the lip, this reoccurring viral infection produces sores on the surface of the cornea that, in time, can spread deeper into the cornea and eye. There is no cure for ocular herpes, but it can often be controlled with the use of antiviral drugs. You can also try using Valtrex. Valtrex (Valacyclovir) is an antiviral medication used to treat infections caused by certain viruses. It helps the body fight infection by slowing the growth and spread of the herpes virus. It is used to treat shingles (caused by herpes zoster), genital herpes, and cold sores around the mouth. Valtrex is also a treatment for cold sores in children over the age of 12 years old and as a chickenpox medication in children who are over the age of 2 years. Read the full article here: anti-viral-meds.com

Herpes Zoster (Shingles): This is actually a recurrence of the chickenpox virus, since most of us have already had the disease. Symptoms of Herpes Zoster include blisters or lesions on the cornea, fever, and pain from inflamed nerve fibers.

Corneal Dystrophies

There are over 20 of these diseases that cause structural problems with the cornea. The most common forms include:

Keratoconus: This is a progressive disease in which the cornea thins and even changes shape, creating either mild or severe distortion (astigmatism) and nearsightedness (myopia).

Map-Dot-Fingerprint Dystrophy: As the basement membrane of the epithelium of the cornea grows irregularly, abnormalities resembling maps, dots and fingerprints form in the cornea. While this form of corneal disease is mostly painless and causes no vision loss, epithelial erosion may occur, exposing the nerves lining the cornea and causing severe eye pain.

Fuchs’ Dystrophy: Seemingly happening for no apparent reason – although you may have a genetic predisposition to the disease – Fuch’s Dystrophy involves the gradual deterioration of endothelial cells. As these cells thin, they can no longer remove water from the corneal stroma. This causes the stroma to swell and distort vision.

Lattice Dystrophy: This disease is characterized by the presence of abnormal protein fibers throughout the stroma. This can result in the clouding of the cornea and reduced vision and in rare cases, epithelial erosion.

Symptoms of Corneal Disease

The cornea has the ability to quickly repair itself after most injuries or diseases. However, more serious situations may result in a much more prolonged healing process. If this is the case, the following symptoms should serve as an immediate indicator of a deeper medical issue:

Eye pain
Blurred/blurry vision
Tearing
Redness
Extreme sensitivity to light
Corneal scarring

If you feel you may be experiencing any of these symptoms, schedule an appointment with your eye doctor immediately. Any sudden change in your vision is a serious medical condition that requires prompt medical attention from your optometrist or ophthalmologist.

Although corneal disease resulting from hereditary factors cannot be prevented, infectious corneal disease caused from bacteria and viruses can be avoided. You should never share eye makeup, contact solution, lens cases, and eye drops with anyone as this may increase the risk of infection.

However, if you do contract some form of corneal disease, vision can be preserved through early detection and treatment. This is just another reason why regular eye exams are so important.

If you have any questions about what you have just read, please contact board certified ophthalmologist Samuel Boles and the eye care specialists at Anne Arundel Eye Center by calling 410-224-2010.

Led by Dr. Boles, the Anne Arundel Eye Center offers complete ophthalmic exams as well as diagnostic pre and post-surgical eye care. Specializing in glaucoma and cataracts, Dr. Boles has helped restore and preserve thousands of patients’ vision.

For more eye care advice and information, please take a look at our previous blog posts.

Sources:

Your Cornea: Conditions, Symptoms and Treatments

What is causing my Eye Pain?

January 6, 2014 by Anne Arundel Eye Center

You wake up one day only to find you now have eye pain. On top of the pain, you have more questions than you have answers. “How long will the pain last?” Or, “is there anything I can do to alleviate the pain?” Most importantly, “what is causing my eye pain?”

The only way to have your questions answered is to schedule an appointment with your eye doctor – optometrist or ophthalmologist. He/she will use a variety of tools and techniques to diagnose your situation. These tools include:

Slit-Lamp Exam: Your eye doctor uses a bright light to look into the structures of the eye.
Dilating Drops: Your doctor uses drops to dilate the pupil. This allows him/her to see deep into the eye.
Tonometer: A small amount of pressure is applied to the eye (typically a puff of air) while your eye doctor uses a tonometer to measure intraocular pressure (IOP), also known as eye pressure. Normal eye pressure is 12-21 mm Hg.

These tests will help your eye doctor determine the cause of your eye pain, which can be caused by a number of different conditions, ranging from conjunctivitis (pink eye), stye, and corneal abrasion to glaucoma and more.

Questions your Eye Doctor will ask

Where is your Eye Pain located? Eye pain can be located in the eye (cornea, sclera, iris, etc.) or the structures around it (eyelids, nerves, extraocular muscles, orbit, etc.).
What other Symptoms are you experiencing? Additional symptoms can include decreased vision, discharge, foreign body sensation, headache, nausea and vomiting, light sensitivity, red eye, tearing, etc. These additional symptoms are clues that can help your eye doctor diagnose the cause of your eye pain.

Eye Pain Treatment

Treatment is dependent on the cause of your eye pain. This is why it is so important to schedule an appointment with your eye doctor. In many situations, as with glaucoma, early detection and early treatment are crucial to protect your vision.

If you have any questions about the Causes of Eye Pain or wish to schedule an appointment with Anne Arundel Eye Center, please contact board certified ophthalmologist Dr. Samuel Boles, Dr. Corinne Casey, and the eye care specialists here at AAEC by calling 410-224-2010 or visiting AnneArundelEyeCenter.com today. You can also follow us on Facebook, Twitter, Google+, and YouTube as well!

For more eye care advice and information, please take a look at our previous blog posts.

Sources:

Eye Pain: Causes, Symptoms, Diagnosis, and Treatment WebMD

Why is My Eye Hurting? Common Causes of Eye Pain

June 3, 2013 by Anne Arundel Eye Center

“Ouch! Why is My Eye Hurting?” If you have ever found yourself asking that question, you know just how unpleasant Eye Pain can be to deal with. Such pain is fairly common and can be caused by a problem in the eye or structures around it, such as the cornea, sclera, conjunctiva, iris, orbit, extraocular muscles, nerves, or eyelids.

Symptoms of Eye Pain

Pain
Headache
Light Sensitivity
Tearing
Foreign Body Sensation / It feels like something is in your eye
Decreased Vision
Discharge
Red Eye
Pinkeye

If you are experiencing any of the above symptoms of eye pain, pick up the phone and schedule an appointment with your eye doctor – optometrist or ophthalmologist – as soon as possible.

Common Causes of Eye Pain

Blepharitis: Blepharitis is an inflammation of the eyelid and eyelash structures. It is a common eye condition that is typically caused by either a bacterial or skin condition such as dandruff of the scalp or acne rosacea. However, if left untreated, Blepharitis can lead to more serious issues, such as scarring or injury to the eye’s tissue.
Conjunctivitis (Pink Eye): There are several types of pink eye, ranging from the contagious viral or bacterial infection mentioned above, to a common irritation of the conjunctiva – the clear membrane covering the white part of the eye and interior lining of the eyelids.
Corneal Abrasion: Caused by trauma to the eye, a corneal abrasion refers to a scratch on the outer layer of the eye. It is the second most common form of corneal distress.
Keratitis (Corneal Infection): This form of corneal disease is an inflammation of the cornea that occurs with viral, bacteria or fungal infection. Symptoms of keratitis include severe eye pain, reduced visual clarity, and discharge.
Something in the Eye: If not removed, foreign bodies in the eye can cause corneal abrasion (see above).
Glaucoma: Glaucoma is a disease of the eye characterized by elevated pressure inside the eye and sometimes other factors that cause the fibers running through the optic nerve to slowly deteriorate. The optic nerve is the part of the eye that carries the images we see to the brain. Without treatment, glaucoma can lead to permanent vision loss.
Uveitis: Uveitis is an inflammatory condition of the middle layer of the eye, the uvea, which provides most of the blood supply to the retina. Similar to arthritis of the joints, Uveitis is not an infection, but rather an inflammation.
Stye: A stye is an inflamed oil gland on the edge of your eyelid, where the lash meets the lid. Often times individuals with a stye can experience the feeling that something is in the eye, increased sensitivity to light, excess tearing, or tenderness. Styes are often painful, and left untreated can grow to temporarily impair your vision.
And More!

If you have any questions about our blog, “Why is My Eye Hurting? Common Causes of Eye Pain,” please contact board certified ophthalmologist Dr. Samuel Boles, consultative optometrists Dr. Nathan Frank and Dr. Corinne Casey, and the eye care specialists at the Anne Arundel Eye Center by calling 410-224-2010 or visiting AnneArundelEyeCenter.com today. You can also follow us on Facebook, Twitter, Google+, and YouTube as well!

For more eye care advice and information, please take a look at our previous blog posts.

Source:

Eye Pain: Causes, Symptoms, Diagnosis, and Treatment WebMD

The Elderly are at an Increased Risk for Eye Disease

October 28, 2011 by Anne Arundel Eye Center

In a statement by National Eye Institute Director Paul A. Sieving, M.D., Ph.D., on World Sight Day 2011, the Director urged older Americans to protect their vision. Because, as Sieving explained, older people are simply at an increased risk for eye diseases, including age-related macular degeneration (AMD), Cataracts, Glaucoma, and Diabetic Retinopathy.

AMD – This eye disease can cause loss of central vision due to the breakdown of the light-sensing cells in the retina.

Cataracts – This eye disease clouds vision because of a clumping of proteins in the eye’s lens.

Glaucoma – This eye disease involves damage to the optic nerve caused by increased intraocular pressure (IOP).

Diabetic Retinopathy – This eye disease impairs vision due to diabetes-related injury to the eye’s blood vessels.

Early stages of these diseases have no symptoms, which is why regular eye exams are crucial to catching eye disease before permanent vision loss occurs. The importance of early detection and treatment of age-related eye disease cannot be overstated.

If you experience a sudden change in vision, such as blurriness/blurry vision, schedule an appointment with your eye doctor immediately. If this change in vision is extreme or if any eye pain is involved, consider having a family member or friend drive you to the emergency room.

Any change in your sight is a serious medical condition that requires immediate attention.

If you have any questions about what you have just read, please contact board certified ophthalmologist Samuel Boles and the eye care specialists at Anne Arundel Eye Center by calling 410-224-2010 or click here to visit AnneArundelEyeCenter.com today!

For more eye care advice and information, please take a look at our previous blog posts.

You can also follow Anne Arundel Eye Center on Facebook, Twitter and YouTube as well!

Sources:

National Eye Institute urges older Americans to protect their vision