Symptom >> Internal Medicine >> Neurology

Eye and face pain

Introduction
Cause
Examine
Diagnosis

Introduction

Introduction Vascular symptoms of intracranial arteries: manifested as local headache, eye pain, decreased vision, visual field defects, and extraocular muscle paralysis.

Cause

Cause

The cause of eye pain:

This is caused by the sudden enlargement of the aneurysm. The most axillary symptom of the most defined and localized significance is extraocular muscle paralysis, but only occurs in 7.4% of patients.

Examine

an examination

Related inspection

Ophthalmic examination eye function examination

Examination and diagnosis of eye pain:

It manifests as local headache, eye pain, decreased vision, visual field defects, and extraocular muscle paralysis. Hunt and Hess divide the patients with intracranial aneurysms into five levels according to the risk of surgery:

Grade I: Asymptomatic, or mild headache and mild neck stiffness.

Grade II: Moderate to severe headache, neck stiffness, no neurological deficits other than cranial nerve palsy.

Level III: lethargy, confusion, or slight loss of focal nerve function.

Grade IV: stupor, moderate to severe unilateral paralysis, may have early cortical rigidity and autonomic nervous system dysfunction.

Grade V: Deep coma, going to the cortex and being strangled.

Diagnosis

Differential diagnosis

Symptoms of eye pain that are confusing:

Eyelid relaxation and upper lip thickening: characterized by loose eyelids and progressive thickening of the upper lip, it is called eyelid relaxation-upper lip hypertrophy syndrome, and some patients have goiter, also known as eye-mouth-thyroid syndrome. From the early onset, the eyelid edema began, after repeated episodes of eyelid skin relaxation, wrinkling, accompanied by telangiectasia, severe eyelid ptosis. From the infants and young children, the lips are repeatedly swollen, and the lips become fibrotic due to inflammation and become thicker into lips. Simple thyroid gland and swelling occur during puberty.

Face pain: The so-called facial pain refers to pain in the face. Clinically, although facial migraine and atypical facial pain have been recognized, many patients with chronic facial pain are still misdiagnosed as diseases of the teeth or sinuses, and thus suffer from unnecessary pain such as tooth extraction, sinus puncture, and facial surgery.

Facial pain: refers to pain on one or both sides of the face, or pain at the forehead. This pain can be dull or fluctuating, or it can be a very strong sting. Facial pain or paralysis, generally no life-threatening threat, but the pain is very painful, even if it can hold back the pain, the expression is numb.

Eye irritation: There are many reasons for corneal diseases. The normal eye surface is covered with a tear film, which is the basis for maintaining healthy and comfortable ocular surface. White-collar workers are staring at the computer for a long time, their concentration is high, their eyelids are wide open, and the tear evaporation increases more than usual. At the same time, the number of blinks is greatly reduced, resulting in insufficient moisture on the surface of the eyeball, and the radiation of the screen light is easy to appear. The eyes are dry and stinging.