Published on: 11/18/2024
Eye pain when blinking can be caused by various factors, including surface irritation, infections, and underlying medical conditions. Identifying the specific cause is essential for effective treatment and relief.
One of the most common causes of eye pain when blinking is surface irritation. This can occur due to dry eyes, where the eyes do not produce enough tears to keep them moist. When you blink, the lack of lubrication can cause discomfort. Other irritants, such as dust, smoke, or allergens, can also lead to a sensation of pain or discomfort when blinking.
Infections of the eye, such as conjunctivitis (pink eye) or keratitis, can cause significant pain, especially when blinking. Conjunctivitis is an inflammation of the conjunctiva, the thin membrane covering the white part of the eye and the inner eyelids. Symptoms may include redness, swelling, and discharge. Keratitis, on the other hand, is an inflammation of the cornea, which can lead to severe pain, sensitivity to light, and blurred vision.
A corneal abrasion, which is a scratch on the surface of the cornea, can also result in pain when blinking. This condition can occur from accidental injury, such as rubbing the eye or getting a foreign object in it. Symptoms typically include sharp pain, tearing, and a feeling of something being stuck in the eye.
Problems with the eyelids, such as blepharitis (inflammation of the eyelid margins) or styes (painful lumps on the eyelid), can also cause discomfort when blinking. These conditions can lead to swelling, redness, and irritation, making blinking painful.
Certain underlying medical conditions, such as migraines or neurological disorders, can also manifest as eye pain. Migraines may cause visual disturbances and pain around the eyes, while conditions affecting the nerves can lead to unusual sensations or pain in the eye area.
(References)
Brazis PW, Lee AG, Stewart M, Capobianco D. Clinical review: the differential diagnosis of pain in the quiet eye. Neurologist. 2002 Mar;8(2):82-100. doi: 10.1097/00127893-200203000-00003. PMID: 12803694.
Pflipsen M, Massaquoi M, Wolf S. Evaluation of the Painful Eye. Am Fam Physician. 2016 Jun 15;93(12):991-8. PMID: 27304768.
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Family Medicine, Primary Care Roots Community Health Center, Hippo Education, Kameda Medical Center
Kenji Taylor, MD
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