Pain in Eye Socket

Pain in Eye Socket is a symptom that can occur in a wide variety of diseases. It is a rather nonspecific phenomenon and can have many different causes. Frequently, structures outside the eye socket are also affected here. These are usually harmless causes such as flu, even dental problems can cause pain in eye socket.

Likewise, there are also rare diseases that can sometimes have serious consequences and require medical treatment. In the following, the most common possible causes of pain in eye socket are discussed starting from various structures.

Pain in Eye Socket

Pain in eye Socket due to flu or cold

A cold or the real flu is noticeable with a variety of symptoms. This can also cause pain in eye socket, which is usually caused by an inflammation of the sinuses.


The reason for pain in eye socket with the flu or a cold is in most cases a sinusitis.

If you suffer from the flu or a cold, especially the nasopharynx is affected. It is inflamed and filled with secretions, in which many pathogens (mostly bacteria ) are.

However, there are other airborne paranasal sinuses in the craniofacial skull, which are connected by small passages to the nasal cavity, namely four different cavities located in the forehead ( frontal sinus ), jaw ( maxillary sinus ) and sphenoid bone.

In some cases, it can come in the context of the flu or cold to a transfer of pathogens into the sinuses, so that here a sinusitis ( sinusitis ) develops. Especially children are affected during a cold or flu.

The immediate anatomical proximity to the orbit also causes pain here.

In rare cases, the inflammation directly attacks adjacent bone layers or the orbit, which aggravates the symptoms.

Most pains exist in the eye socket without inflamed sinuses by the pressure ( IOP ) in these by difficulty in the drainage of secretions increases is. This also irritates nerves in the eye socket.


In addition to the pain in eye socket, which occur during the flu or cold, there are other symptoms that suggest a sinusitis. Thus, watery eyes and slight redness can be observed.

Also, headaches occur frequently. The pain itself is oppressive and increases when you lean forward, for example, when you tie your shoes.

The pain becomes worse during eye movements. Even a slight tapping in the forehead and over the eye socket causes an unpleasant pain.


The diagnosis of sinusitis in the context of a cold or flu is primarily by the detection of the typical symptoms (in the context of the anamnesis ).

Furthermore, it is possible to take a smear of nasal secretions if you want to identify a pathogen.

In case of complications such as inflammation of the eye socket, imaging such as MRI, CTor X-ray may be useful.


The therapy for pain in eye socket, which are caused by a sinusitis with flu or cold, is mainly symptomatic.

The eye pain disappears as the disease subsides.

As a supportive measure against sinusitis or blockage of the paranasal sinuses, decongestant nasal sprays and liquefying measures such as steam inhalation are used.

Painkillers such as ibuprofen or acetaminophen relieve the symptoms.
Herbal remedies such as Sinupret forte or Sinupret drops promote recovery.

In severe cases, inflammation must be controlled with antibiotics, especially if the pain in eye socket increases and does not disappear after a few days.

Chronic complaints may require surgery.

Nose / nasal bridge

Another cause of pain in eye socket can be found on the nasal bone or at the root of the nose.
It is the so-called nasociliary neuralgia.


Neuralgia is a form of nerve pain, which already by simple touches or even in complete tranquility does pain.
In this case, the nasociliary nerve is affected.

There is a hypersensitivity in the supply area of the nerve, which extends from the tip of the nose over the root of the nose to the inner corner of the eye.

Neuralgia is caused by inflammatory processes in the nerves, metabolic diseases such as diabetes or rare diseases that directly cause nerve damage.

A decreased blood flow in the area of the nose or the nose can lead to damage to the nerves lead.


The main symptom of this disease is the pain in the nasal bone or nose.
These usually have stinging or burning character.

Most of the pain is located on one side of the nose, pulling into the corner of the eye and the eye socket.

The pain in eye socket can occur out of complete peace or be caused by touches in the supply area of the nerve and last usually several seconds.

In some cases, pains in the nose or nose are still noticeable after hours.
In addition, symptoms such as swelling and tearing can occur.


The diagnosis is often not easy and lengthy, because the symptoms are rather unspecific.
An exact survey ( anamnesis ) of the patient brings the most knowledge.

After exclusion of all other causes such as a special headache or other forms of neuralgia, you can see the cause of nasociliary neuralgia.


An acute attack can be treated with topical anesthetics applied superficially to the nasal bone or root of the nose or injected into the skin.

Medically similar drugs are used, which are also used against a cluster headache and migraine, so-called triptans or ergotamines.

In addition, the affected nerve can be blocked and severed as a last resort.


In some cases, dental problems can cause pain in eye socket.

Thus, inflammation or injury of nerves partially radiates into the eye socket.


A common cause of orbital pain that develops on the tooth is tooth root inflammation.

Unlike caries, the root that anchors the tooth in the jaw is affected.
In this area are also many nerve fibers that bundled as a nerve via switching stations to the brain pull.
These nerves are irritated by an inflammation in the tooth, the pain can radiate through the special course of the nerves in the eye socket.

A different cause of the pain in the orbit caused by tooth basis is the so-called odontogenic maxillary sinusitis (odontogenic: lat for “starting from the teeth”; maxillary sinusitis. Lat for inflammation of the maxillary sinus.).
It is an inflammation of the paranasal sinuses in the area of the upper jaw, which are not caused by a cold or flu.

Rather, it comes to an expansion of a dental root inflammation in the upper jaw on the adjacent paranasal sinus.
This is anatomically in very close relationship to the teeth.

In addition to inflammation in the tooth, which gets worse in the process and penetrates into the antrum, after a tooth has been pulled, also germs from the oral cavity can penetrate into the wound and cause inflammation.

If the maxillary sinus is inflamed, it comes through the neighborhood to the eye socket there to pain.

In the worst case, an abscess develops over time that aggravates the pain.


The symptoms of dentogenic sinusitis include pressure, pain in the cheeks and eye socket, and possibly swelling or redness.

In the case of an abscess, the pain gets worse. These symptoms occur a few hours to a few days after a tooth extraction, or in the course of an untreated tooth root inflammation.

If you have problems with the tooth and noticed pain in eye socket or if you experience it after an operation in the mouth area, you should consult a doctor immediately.


At the beginning of the diagnosis is a detailed history of the symptoms, together with the question of previous symptoms on the tooth.

A knocking pain over the maxillary sinus indicates further evidence of maxillary sinusitis. An accurate diagnosis is made with an MRI or CT. In addition, a blood test for signs of inflammation helps, possibly a nasal reflection is performed.

The eye socket should also be examined by an ophthalmologist to assess the involvement of the eye.


The elimination of the cause is the first and most effective step to treat pain in eye socket, which has its origins in the tooth. Decongesting nose drops and inhaling hot steam help against sinusitis, antibiotics are used in severe cases.

If it comes to the formation of a suppurative abscess, a surgical procedure is carried out for the removal. Ibuprofen
can be given for the pain and the inflammation.

Temples / forehead

Pain in the area of the eye socket can also be associated with processes in the forehead or temple.

Here, an inflammation of the paranasal sinus in the forehead ( frontal sinus ) in the foreground, even headache can cause pain in eye socket, temple, and forehead.


The most likely cause of pains on the temple, forehead and eye socket is a sinusitis caused by a cold. In this case, the frontal sinus, which is behind the forehead, is affected.

Due to a swollen nose, secretion is disturbed and can lead to obstruction of the connecting passages to the paranasal sinuses, which are connected to the nasal cavity.

In some cases, it then comes to inflammation. Also, various forms of a headache can cause pain in all the areas mentioned.


A sinus infection of the sinuses causes pain in the forehead apparent on orbital and temporal overlap can.
There are also typical cold symptoms such as stuffy nose, headache, and fatigue, possibly with fever.

Pressure on the forehead aggravates the pain, in the temple a throbbing is often noticed.


The diagnosis of an inflammation of the frontal sinus is above all a clinical one, ie one asks the complaints and symptoms with the patient in the course of the anamnesis.

In cases of doubt can imaging using X-ray, CT or MRI provide information.

The exact diagnosis of headaches is not necessary in many cases.
However, this can be necessary for severe cases and should be carried out by specialists. An exact survey is trend-setting here and can be extended by special tests.


sinusitis (sinus infection) is conservative with pain medication and supportive measures such as decongestants and steam inhalation therapy.

Usually, this is cured after a few days.

Therapy for headaches that cause pain in eye socket is also symptomatic. Only if there is an organic cause behind it, targeted treatment, such as a migraine against which triptans are used.


Pain in eye socket is in most cases harmless and only secondary symptom of another above-mentioned illness.

When the cause is treated, the pain in eye socket also disappears.
Only in rare cases, such as an abscess in the jaw or an eye-spreading sinusitis caution should be taken, as in the worst case, the eye can be damaged here. However, this only happens if you do not go into treatment. The course of nasociliary neuralgia can last longer.


It is difficult to specifically prevent pain in the eye.

In order to avoid sinusitis, it is advisable to put less stress on the first signs of a cold and to take nasal drops against the swelling of the nasal mucosa.

Headaches and neuralgia are associated with stress and an unhealthy lifestyle, providing starting points for prophylaxis against the pain in eye socket.

After a visit to the dentist, you should take good care of any changes, such as pain, so that they can be treated quickly and effectively to prevent worse complications.

Pain in Eye Socket
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