WITHр, 04 май 2016 Автор: врач-хирург АртёмShiman
Discomfort in the eyes for many people is becoming the norm:
long work at the computer, reading in uncomfortable conditions and
other
All this is the immediate cause of the development of many unpleasant
symptoms.
The human eye is not adapted for long loads.
of this kind.
If the eyes are not sufficiently cared for, it may
cause the development of serious diseases whose outcome in
most cases are pitiable.
How to determine the cause of pain and how to prevent
pathology formation?
Contents
Eyes hurt: causes
If your eyes hurt, the reasons are always pathological. Question
only in how severe the pathology is. Fortunately, really
severe diseases are mostly painless
(they are “dumb” and do not make themselves known to the last) and skip them
difficult, but there are exceptions. What diseases can talk pain
syndrome:
• Воспалительные поражения структур глаза.
Among them, the notorious and well-known conjunctivitis. Presents
an inflammation of the conjunctiva – the shell of the eyeball.
Immediately endangering eyesight, but causes mass
discomfort, besides easily transferred from the carrier
(extremely contagious).
Uveitis is much more severe. This is a whole group
pathologies characterized by choroid inflammation
eyes (can be anterior when the iris inflames, can
cover the whole shell). Uveits are dangerous in their aggressive course:
inflammation easily passes to the retina, which is fraught with partial or
complete loss of vision.
Keratitis Corneal lesions. Corneal inflammation is able
cause its turbidity and a significant reduction in vision.
All three specified groups of diseases have infectious
origin. These are diseases that are easier to prevent than
treat (especially true for uveitis and keratitis).
• Травмы глаза. A variety of mechanical,
thermal, chemical lesions of the eye are expected accompanied
pain.
• Перенапряжение глаз. Professional
�”Disease” of office workers, jewelers, students,
programmers (also other persons whose work is associated with high
visual load). Strictly speaking, the disease is not. With
long look at an item located on the same
distance from the eye, the muscles of the body overwork.
• Патологии глаза. Extremely dangerous and no less
insidious disease in which there is pain syndrome
glaucoma. Unfortunately, the “azure” disease can occur with lethargic
symptomatology: a person in this case does not know about his
problem, writing off the aching pain in the eye for fatigue.
• Заболевания нервной системы. Migraine,
cluster headaches are always characterized by intense pain in
one eye.
• Аллергия. Allergy can manifest
differently: asthmatic attacks, edema, and may inflammation
medium eyes. Allergic conjunctivitis is more common. By their
forces distinguish the allergic form of the disease and the infectious
may be difficult.
• Заболевания опорно-двигательного аппарата.
Oddly enough, osteochondrosis of the cervical can cause pain in the eyes.
of the spine. This is a reflected sensation.
• Аутоиммунные заболевания, поражающие соединительную
ткань. There are extremely rare.
• Иные механические причины. So, excessively
long wearing lenses can lead to pain.
Eyes hurt (causes): symptoms
As it turned out, if the sore eyes cause different. Except pain
with the problems described, there are other manifestations:
• Воспалительным поражениям сопутствуют
intense aching and / or burning pains localized on the surface
eyeball. With задних увеитах болевой синдром ощущается
somewhere in the back of the eye, this is an alarming symptom. Except pain
The following symptoms occur:
-intense lacrimation. Due to increased activity
lacrimal gland (this is the body’s natural defensive reaction). Eye
thus trying to get rid of the causative agent of inflammation,
at the same time accumulating a large number at the site of injury
leukocyte cells.
– redness of the eyes. Blood supply to the eye increases dramatically. WITH
blood to the site of the defeat comes cells fighting infection
(leukocytes).
– separation of pus (characteristic of conjunctivitis). Probably all
at least once in their lives have woken up with stuck together in the literal sense
eyes. Separation of pus is normal in infectious
defeat. This is proof of the active work of the immune system (in
pus contains a huge number of dead bacteria interspersed with
dead leukocytes).
– a frequent companion of eye inflammation is hyperthermia
(fever). Symptoms of intoxication develop
организма: головная боль, слабость и other
• Перенапряжению сопутствуют рези в глазах,
lacrimation. Eyeа становятся красными (видны капилляры). Contours
distant objects become blurred, sharp visual acuity
is falling. This is a temporary phenomenon that passes without a trace later
1-2 days (provided that the eyes “rest”). If overvoltage
occurs constantly, there is a high risk of myopia
(myopia), accommodation spasm. Similar problems to solve where
more difficult.
• Заболевания глаз (в частности глаукома)
proceed in different ways. Pains are almost always present, but
you need to have a fair amount of observation to determine
the presence of the disease. Glaucoma is often disguised as neurological.
pathology: migraine, osteochondrosis. One-sided pains may be
extremely intense (with a sharp increase in intraocular pressure).
Eye становится красным, зрачок расширяется и перестает адекватно
respond to light. With взгляде на источник света (лампу, фонарь и
other) пациент видит радужные круги.
• With остеохондрозе шейного отдела позвоночника
It hurts not only and not so much the eyes. The discomfort “spreads”,
its source is determined in the region of the spine. Often patients
note the severity and throbbing pains in the back of the head. Distinguish
osteochondrosis from other pathologies that cause ocular symptoms
not so easy. WITHделать это может только врач.
Eyes hurt (causes): diagnosis
To determine exactly why the eyes hurt is not so simple: the reasons
heterogeneous, symptoms often blurred. Without help
ophthalmologist impossible to understand: the risk is too great
make a mistake, and the price of such a “miss” is high. Diagnostic
The strategy, in general, is standard:
• Initial inspection. Includes oral patient interview and
conducting “routine” research. WITHюда входит проверка зрения по
special tables, fundus examination. Retinal examination,
the optic nerve and the fundus vessels “routine” methods
determines only the most serious violations, therefore informative it
It is impossible to name, but a visual acuity check is necessary.
• IOP measurement. Almost universally installed contactless
devices for changing intraocular pressure. High IOP
gives reason to suspect glaucoma.
• Biomicroscopy. Study with a slit lamp.
Allows you to inspect the environment of the eye (including the choroid).
Withменяется для диагностики увеита.
• Computer perimetry. Gives you the opportunity to assess the field of view.
With некоторых заболеваниях (глаукоме, патологиях сетчатки и т. д.)
there are “blind” sites (scotomas). Perimetry allows
identify similar areas. The most informative computer
perimetry. Other methods are less accurate.
• Ophthalmoscopy with Goldman’s lens. Withменяется реже, поскольку
requires special equipment and skills. In the district
clinics to meet an electronic ophthalmoscope is almost impossible
according to indications refer to the so-called. laser surgeon.
• Genioscopy. Contact method for the diagnosis of glaucoma. WITHостоит в
examination of the anterior chamber of the eye (makes it possible to assess the drainage
organ system of vision). A simple, yet informative method.
research.
• Ultrasound examination of the eye. Appointed in controversial
cases, allows to reveal changes from all environments of an eye:
choroid, retina.
In the complex of these studies is sufficient for the formulation
diagnosis. As a rule, only some of the specified
methods. It all depends on the clinical picture and observation.
the doctor.
Eyes hurt (causes): treatment
Specific treatment methods and drug names are determined
doctor based on the identified pathology. Treatment is overwhelming
most cases conservative and is local
the use of drugs (in the form of drops and ointments). With тяжелой форме
glaucoma may be prescribed surgical treatment.
The following groups of drugs are prescribed:
• Антибактериальные лекарственные средства
(антибиотики). Assigned to all types of infectious
поражения medium eyes. Helps immunity cope with
the causative agent. The form is different: ointments, drops.
• Препараты от усталости глаз. Practically not
prescribed by physicians because the therapeutic value of such
medication is questionable, but a huge contraindication is found
quantity. WITHтоль популярные капли «Визин» и им подобные опасны:
they have a vasoconstrictor effect, worsen the outflow of fluid and
eye nutrition. Their use is fraught with serious consequences.
• Препараты при травме роговицы. Traumatic
factors, even minor, violate the integrity of eye tissue:
cornea and conjunctiva, which is manifested by swelling, redness, pain
and burning sensation, the sensation of a foreign body in the eye. Recovery
eye tissues after injuries have proven themselves well with
dexpanthenol – a substance that has a regenerating effect on
tissues, in particular, eye gel “Korneregel”. He is having
healing effect due to maximum concentration
Dexpanthenol 5% *, and its carbomer due to the viscous
texture prolongs dexpanthenol contact with the ocular
by the surface.
• Противовоспалительные капли. For removal
discomfort caused by inflammation. In uncomplicated clinical
cases, doctors prescribe Diclo-f, Indocollir (at the same time
является обезболивающим) и other
• Обезболивающие препараты. Withменение
analgesics practiced to relieve discomfort.
• Препараты для борьбы с глаукомой. Include in
yourself a whole range of tools. They are selected only by a doctor and strictly
based on the characteristics of the patient and the pathology.
• Антигистаминные средства. Assigned to
complex with analgesics and anti-inflammatory with proven
аллергической этиологии проблемы с eyes.
Eyes hurt (causes): prevention
Described diseases are difficult and give dangerous complications.
Meanwhile, there are simple rules, adhering to which risks
can be minimized.
• Eyeам следует давать отдых. The traditional “formula”, according to
which every hour needs to be interrupted for five minutes, does not work.
Much more effective to translate the view to the most distant
items every 2-5 minutes for 10-20 seconds.
• Hygiene rules are mandatory. Dirty hands
eyes should not be touched. Simple truth we have often heard
children and tell their children, but poorly assimilated.
• With любом дискомфорте в области глаз следует немедленно
contact an ophthalmologist. It can be banal
overwork, and maybe about glaucoma. Sight is not worth joking.
Thus, the causes of eye pain are numerous. Nearly
we are always talking about diseases, many of which are fraught
vision impairment and problems in the future. As soon as the patient
feels discomfort in the eyes, it is impossible to postpone the visit to the doctor.
Thanks to this responsible approach, it will be possible to identify in time.
the disease and begin its treatment.
* 5% – the maximum concentration of dexpanthenol among the eyes
forms in the Russian Federation. According to the State Registry of Medicinal
funds, State medical devices and organizations
(individual entrepreneurs) engaged in the production and
manufacture of medical devices, as well as data from open
sources of producers (official sites, publications), April
2017Имеются противопоказания. Need to read
instructions or consult with a specialist.
