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Medical Forum / General / Vision / June 2007

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Occasional Pain and Tearing Up in One Eye

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Twinslo - 19 Jun 2007 13:54 GMT
Every once in a while I wake up in the morning and have a horrible
intermittent pain in my left eye and my nose is running like crazy.
It is always my left eye.  It has a feeling like it has been scratched
really bad and then every few minutes or so the pain comes in a wave
and the nose starts to run.  It usually goes away by noon when it
happens. Any thoughts?   It is my "bad" eye....I have 20/20 in my
right but my left is blurry.   I wear glasses for reading etc. Again,
this only happens a few times a year but today it is particularly
painful.
Mike Tyner - 19 Jun 2007 14:48 GMT
It sounds like recurrent corneal erosion.

Sometimes it starts as a plain old abrasion that doesn't heal well.

Sometimes it's because you sleep with one eye open a little.

Usually the first treatment is putting a bland ointment like Lacrilube in
the lower lid at bedtime. It forms a protective layer that reduces the
tendency for your upper lid to "stick" to dry corneal epithelium. There are
a couple of surgical techniques that help a lot, if it's happening often.

-MT

> Every once in a while I wake up in the morning and have a horrible
> intermittent pain in my left eye and my nose is running like crazy.
[quoted text clipped - 5 lines]
> this only happens a few times a year but today it is particularly
> painful.
Jeffy3 - 19 Jun 2007 17:05 GMT
> Sometimes it's because you sleep with one eye open a little.

BINGO!  I have been told this by my wife...(inherited this from my
dad)...is this considered dry eye possibly?   I bought a lubricant eye
drop today and it helped a lot, although it still feels dry.  The
horrible waves of pain have gone away
Neil Brooks - 19 Jun 2007 17:12 GMT
>> Sometimes it's because you sleep with one eye open a little.
>
>BINGO!  I have been told this by my wife...(inherited this from my
>dad)...is this considered dry eye possibly?  

No.  It's called "lagophthalmos" and it's a CAUSE of dry eye (which,
in turn, can be a cause of corneal erosions):

http://www.gpnotebook.co.uk/cache/-879099837.htm

You may want to look at taping it shut while you sleep AND using a
preservative-free lubricant ointment at bedtime.
Mike Tyner - 19 Jun 2007 17:47 GMT
> BINGO!  I have been told this by my wife...(inherited this from my
> dad)...is this considered dry eye possibly?   I bought a lubricant eye
> drop today and it helped a lot, although it still feels dry.  The
> horrible waves of pain have gone away

The lube helps some after-the-fact. Ibuprofen can too (by mouth, not in the
eye).

But if it's nocturnal lag (lagophthalmos), prevention is the best treatment
and it helps to get in the habit of using it every night, and/or taping the
lid shut.

-MT
Dr Judy - 19 Jun 2007 17:09 GMT
> Every once in a while I wake up in the morning and have a horrible
> intermittent pain in my left eye and my nose is running like crazy.
[quoted text clipped - 5 lines]
> this only happens a few times a year but today it is particularly
> painful.

Have you had anyone check you out the day it occurs?  Either a corneal
problem or cluster headache.  Since it goes away by noon, more likely
cluster headache.

http://www.clusterheadaches.com/

Dr Judy
pinkfloyd_fan44@hotmail.com - 20 Jun 2007 06:31 GMT
> > Every once in a while I wake up in the morning and have a horrible
> > intermittent pain in my left eye and my nose is running like crazy.
[quoted text clipped - 12 lines]
>
> Dr Judy

It is certainly very UNLIKELY, cluster headaches.

Clusters don't happen "Every once in a while I wake up in the morning"
They would tend to happen EVERY day at the same time(s)
Clusters don't last from early morning until noon. They come in
groups....hence the name "cluster", but not as "every few minutes or
so the pain comes in a wave"
The pain lasts from 45 minutes to 3 hours. (on the rare occasion of
one lasting 3 hours, the person is either in the ER by then, or on the
phone with a suicide hotline. ;-(

Being awakened, a teary eye, runny nose, terrible pain...all symptoms
of clusters, yes. The rest doesn't add up to clusters
though....thankfully, for the original author.

Bobw
alt.support.headaches.migraine
www.clusterheadaches.com
www.clusterbusters.com
Revival - 20 Jun 2007 13:33 GMT
Dear Twinslo.

Hello!! Did you try sleeping on your back.

I think it is a Good habit to sleep on your Back!!

Maybe that will Fixes your Problem!!
retinula - 20 Jun 2007 13:55 GMT
> Dear Twinslo.
>
[quoted text clipped - 3 lines]
>
> Maybe that will Fixes your Problem!!

I agree with MT.  Sounds like classic recurrent corneal erosion.  Your
eyes get drier at night and the lids can actually adhere to the
surface epithelium pulling some off when you first wake up and start
blinking.

Treat with lubricants, lubricants, lubricants.  At night use a gel.
Dr Judy - 20 Jun 2007 20:50 GMT
> > Dear Twinslo.
>
[quoted text clipped - 10 lines]
>
> Treat with lubricants, lubricants, lubricants.  At night use a gel.

I would suggest having your eye doctor look at the eye during an
episode and get an accurate diagnosis before self treating.

Dr Judy
michael toulch - 20 Jun 2007 01:41 GMT
> Every once in a while I wake up in the morning and have a horrible
> intermittent pain in my left eye and my nose is running like crazy.
[quoted text clipped - 5 lines]
> this only happens a few times a year but today it is particularly
> painful.

sounds like you need a thorough eye exam...
michael toulch - 20 Jun 2007 19:54 GMT
> Every once in a while I wake up in the morning and have a horrible
> intermittent pain in my left eye and my nose is running like crazy.
[quoted text clipped - 5 lines]
> this only happens a few times a year but today it is particularly
> painful.

bandage contact lenses (like focus n&d) can help if it is corneal
erosion, ask your eye doctor if this might be appropriate.
 
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