Pain Behind Eye

Pain Behind Eye. Headaches are one of the most common medical conditions in everyday practice. Chronic headaches are also common in the population. The Pain Behind Eye can be present in very different regions of the head. Often the pain goes behind one or both eyes, sometimes they are less pulling than isolated.

Pain Behind Eye

Pain as the leading symptom

Pain behind eye can have different causes. Often it is a tension headache or incorrectly set Dioptrienanzahl glasses. However, tumors can rarely cause pain. 

Depending on how the pain is characterized (pungent, oppressive, etc.) and where exactly it occurs, different clinical pictures can be limited.

Banging pain behind eye

Pain behind eyes, which are tapping, is most often caused by the very common migraine. The exact cause of this knocking painful phenomenon is still not fully understood. It is often the case that accompanying symptoms, such as nausea or sensitivity to light, accompany the pain behind eye. 

A migraine attack can occur suddenly or a few hours earlier due to the so-called auraInitiating. Aura is the term used to describe neurological phenomena such as visual disturbances or an indescribable, uneasy feeling. The visual disturbances are characterized by rapidly rotating flashes, which can severely limit the field of vision. Once the visual disturbances have disappeared, the headache located behind the eye begins. Also typical for a migraine headache behind the eye is often the pulse-synchronous character. Thus, the very strong pain, the patient does not move quickly, as the pulse rate and the knocking pain behind eye rises.

Squeezing pain behind eye

It rarely happens in a migraine attack to a pressing stationary pain behind eye. Sometimes, a strong tension headache, which is actually localized to the forehead, can also pull behind one or both eyes. With pain behind eyes, which occur suddenly and after a few days have not disappeared, one should exclude in any case a tumor event.

Tumors can form behind the eye, leading to increased pressure on the eyeball and its nerves, which can lead to inpatient pain. The examination is done by imaging with the help of a CT (Computed Tomography) or MRI (Magnetic Resonance Imaging),

Pain when moving the eyes

Stinging or pushing pain, which occurs when the eye moves by focusing (focusing), is very common and has no pathological value. Mostly associated with a flu infection, pain behind eye is indicated when moving the eyes.
A closer examination should be carried out only if the symptoms have not disappeared after a few days. In the case of “maximum diagnosis”, an MRI or CT would be used.

The treatment of such eye pain can be performed with the conventional analgesics and anti-inflammatory drugs such as ibuprofen or diclofenac.

Pain behind both eyes

Pain that occurs suddenly or creeping behind both eyes at the same time can always be related to changing vision. When the eyes get worse and the required dioptric power of the glasses increases, the eye has to work harder to make the focused image look just as sharp. In any case, an eye test should be carried out here, because, with an amplification of the necessary spectacle lenses, the pain problem behind the eye is often already remedied.

A headache behind the eye when moving

When headaches are triggered behind the eye, mainly by movement of the head, it is probably a muscular cause. Either it is the eye muscles, which are subjected to the heavy rotation (especially when the eye fixes only one point when the head turns), or it is a muscular tension of the neck or facial muscles, which passes the pain stimulus behind the eye.

If pain behind eye occurs only when the head moves and no pain is triggered at rest, a tumor behind the eye is unlikely to be the cause. Although a tumor may be attached to an ocular muscle in such a way that it causes painful pressure only when the eye is moving, imaging, in this case, should not be performed immediately by MRI or CT, but only after a few days get better or worse.

Pain behind both eyes and forehead

Pain behind eyes, which is associated with pain on the forehead, is in most cases harmless and should be clarified only if the pain has not improved after a few days.

In most cases, these are tension-type headaches that are triggered, for example, by stress or lack of drinking and that is conducted from the forehead to the back of the nerves behind the eyes. As a treatment, anti-inflammatory pain therapy should be started and the water balance should be checked.

Sometimes, the reason for pain behind eye and forehead may be due to a vascular cause. In a so-called sinus vein thrombosis, a blood clot occurs(see also: Thrombosis) in one or more, the Gehrig supplying, blood vessels. The formation usually goes unnoticed and becomes symptomatic only by drawing pain from the forehead into the eyes. The first evidence of a sinus vein thrombosis provides the blood count with elevated D-dimer contained therein. An MRI angiography often shows the blood clot in the area of the sinus (blood vessel of the brain).

Pain behind eyes and neck

The combination of back and back pain is very common and often due to tension. The neck muscles, which are located in the area of the upper spinal column sections, are very strong and also sensitive.

Mental tension often leads to tension in the neck muscles. This is then locally painful on the neck and can also radiate to other regions. In addition to the radiation in the forehead, in the arms and in the chest, the pain can also pull behind one or both eyes.

As a rule, however, the pain cannot be triggered by eye movements.

Although those affected complain about a pain behind eye, but can usually locate the starting point of the pain in the neck area. Sometimes the neck and combined eye pain may also be accompanied by blurred vision. In addition to anti-inflammatory and pain-relieving medicines, sometimes a heat treatment with a hot water bottle, which is placed in the neck, also helps.

If this does not help, and if the neck and eye pain recur, again and again, consideration should also be given to performing an X-ray of the cervical spine once. Wear and tear of the vertebral bodies, which have arisen over years, can be seen and presented in this way.

It must be said, however, that treatment in the case of wear-related vertebral body changes is more likely to be impossible. The most successful treatment for such complaints is most likely to be done by tensing up the muscles, which relax laterally on the vertebral bodies. This is made possible by physiotherapy, which the family doctor or the orthopedist can prescribe to the affected person. As a rule, for 3 weeks a corresponding training of the musculature, caused by ligaments and weights, is carried out next to the vertebral bodies of the cervical spine, which relieves the cervical spine accordingly.

Also, a treatment with analgesic injections can be performed. When also as wheels measure of pain is injected directly under the skin over the lateral muscles of the cervical spine. The effect takes place relatively quickly. Unfortunately, the drug is quickly flushed away from the body again, which then leads to a renewed increase in pain.

In many GP surgeries, treatment with stimulation current is also offered. In this treatment, a current is sent through the muscles to the side of the cervical spine. The application takes only a few minutes and should be perceived as a pleasant tingling sensation by the patient. The most effective application is about a week. Stimulation treatments are usually taken over by the statutory health insurance.

Any patient who reports pain in the neck and eye should also be screened for meningitis ( inflammation of the meninges ). With a simple test (strong flexion of the head on the chest), it can be determined whether it is possibly a cause of meningitis as a cause. In meningitis, the patient would not be able to put his head on his chest.

Pain behind eye due to a tumor

The most dreaded cause of back pain is the eye tumor. Compared to other cancers, a tumor behind the eye is relatively rare. It can be of benign or malignant origin. 

In addition to pain, which he can usually trigger in peace and in motion behind the eye, he makes mainly by the increased pressure on the eye caused by his complaints. The tumor on the eye can eventually occur at any position. Often it occurs behind the eye or even behind the retina.

A special feature of the treatment is in addition to the malignancy and the location. Because some tumors, even if they are of benign origin, are very difficult to access surgically. In the case, they try to reduce the size by irradiation before approaching them surgically. Some tumors are so unfavorable that an operative intervention would endanger the optic nerve and thus the sunshine. 

Benign tumors can be left and hoped that they will not enlarge. Sooner or later, a growing tumor has to be surgically removed, even at the risk of damage to the eye. 

In some cases, only the possibility remains of a complete surgical eye removal, In addition to the sometimes triggering pain behind eye, visual disturbances are often perceived as a first symptom by the patient. Some eye tumors can also be seen by the ophthalmologist directly by an Augenspiegelung. The most common ocular tumors are retinoblastoma in children (18,000-20,000 newborns and about 60 children a year), as well as choroidal melanoma in adults (the Malignant tumor arising from certain cells in the choroid in the eye). 

Mostly also visual disturbances are indicated here by the persons concerned. Some tumors are so large that they put pressure on one or more eye muscles. This has the consequence that the affected eye cannot be moved in the usual way. There is a deviation of the axis of the eye and a strabismus or outward vision. 

If an eye tumor is suspected, an imaging of the head should be performed. Here is the MRI examination used. It lasts about 15-20 minutes, is usually performed with a contrast agent and makes possible tumors visible in the area of the eye.

Pain Behind Eye
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