Eye/orbit pain for a few months, please help

Discussion in 'Eye-Care' started by ns666ns, Apr 17, 2007.

  1. ns666ns

    ns666ns Guest

    Hi, when I frown or move the right eyebrow or touch/press it, I feel
    dull pain in the area and deep inside the head, it's like this for a
    few months now, usually feel less in the morning, but getting worse
    late at night. I use computer alot but I don't think it's eyestrain
    since my left eye is fine even though it has higher degree of

    I tried different type of eyeglasses, not sure if this is caused by
    eyeglass nose piece pressing on the sinus area, although putting some
    soft tissue cushion seems to help.

    I went to see a opathomologist who did a complete eye exam on me, but
    he found nothing wrong in the right eye (except central serous
    retinopathy which is not realated to pain), he said could be
    neuralgia, although he said may not be necessary but he still gave me
    a prescription of MRI scan in the orbit area, but I want to get some
    idea before I spend the money going that route.

    Do you have any suggestion what is causing this pain? it's not sharp
    pain but it's always there whenever I move my eyebrow or eye or even
    sleep on the right side, it's quite depressing, I never had any injury
    or infection that I can think of...

    If I have to do the MRI, should I only do the orbit or include the
    brain (since it maybe related to head as the pain goes into the head)?
    one imaging lab charge double if include the head but the other said
    it's the same charge just do the whole head scan. I am a bit lost

    thanks a lot!
    ns666ns, Apr 17, 2007
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  2. ns666ns

    Falala Guest

    I am a chiropractor and personally prefer natural remedies, but first
    you always want to rule out any underlying problems. It's great that
    you got checked by the eye doctor and your body passed in that
    department, but I would now get checked by a neurologist. He probably
    would want to see and MRI of both brain and orbit.

    If everything checks out fine, and all major problems are ruled out, I
    would try acupuncure, which has been known to work great with
    nueralgia. By today's medical explanations it's hard to describe how,
    but acupuncture has been around for thousands of years and has helped
    people without the use of drugs or surgery.

    I assume you don't have health insurance? I know it's really
    difficult these days to squeeze out an extra few hundred dollars a
    month, but if there's any way you can re-budget, it will be well worth
    it in times like these.

    Good luck!
    Falala, Apr 17, 2007
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  3. ns666ns

    ns666ns Guest

    thanks for the reply, the doctor back from vacation left a message
    today saying my pain could also be migraine and a word sounds like
    "arosure" (what is that?). I think if I want to check further I would
    do MRI with brain/orbit first, if there's anything wrong there I would
    go see a neurologist as you suggested?

    is the whole head MRI scan less detailed than orbit only? that's my
    concern since one lab said cost the same, which makes me wonder...

    ns666ns, Apr 17, 2007
  4. ns666ns

    ns666ns Guest

    thanks for the reply.
    I never took that, and no idea what it does... i have never felt this
    pain, just happened a few months ago, that's why I am a bit worried if
    there's something wrong there like tumor or something like that? I
    don't have congested nose or running nose or something like that,
    although after I blow nose sometimes I see traces of blood on tissue
    but most of the time not.
    ns666ns, Apr 18, 2007
  5. ns666ns

    p.clarkii Guest

    dr. tyner is describing a scenario that is common in patients who
    complain of deep pain/pressure in the areas around the eye, at least
    in my practice. either chronic or acute sinusitis is a distinct
    possibility. to test this hypothesis I would recommend a 10 day round
    of antibiotics (cephalexin and zithromax are good candidates and both
    are available as generics) as well as taking of 30-60 mg
    pseudoephedrine q6 hours. blocked and infected sinuses give rise to
    lots of non-specific complaints that include what you are describing.
    chronic sinusitis would not be accompanied by nasal congestion and
    could certainly give rise to streaking of blood when you you blow your
    nose. its simple enough to test that treatment approach! ps-- also,
    long exposure to humid warm air might help to open up blocked
    sinuses. for example, a long hot shower or a steam bath. good luck.
    p.clarkii, Apr 18, 2007
  6. ns666ns

    ns666ns Guest

    thank you and dr. tyner for the replies.

    I think it might be chronic sinusitis turn worse since I have this
    streaks of blood when blow nose since years ago just no other symptoms
    so I never paid attension. I will try this treatment to see if it
    improves and report back. and postpone the MRI (can MRI dectect the

    what's q6 hours? every 6 hours? I will try antibiotics for 10 days,
    how long should I take sudafed and how many times a day?

    thank you and appreciate your help
    ns666ns, Apr 18, 2007
  7. ns666ns

    ns666ns Guest

    thanks for the reply.
    I don't particularly notice increased pain when bend over or stand up,
    only if I move right eyebrow, also I don't have congested nose and no
    problem at all breathing...
    ns666ns, Apr 18, 2007
  8. ns666ns

    ns666ns Guest

    Hi, I tried cephalexin for 10 days and sudafed for 6 days, it didn't
    seem to cure it, I still feel the pain. so I went to a MRI imaging
    center and did MRI 1.5T for orbits and brain. here is the report:

    The ventricles and sulci are within normal limits. The flair imaging
    demonstrates a small hyperintensity lesion in the right frontal
    subcortical white matter. the brain parenchyma is otherwise normal in
    signal intensity and configuration. No acute hemorrhage, mass lesion
    or mass effect is demonstrated intracranially. the patient has septum
    pellucidum, normal variant. there is no extraaxial collection. the
    sella is normal in size. the craniovertebral junction is normal. the
    internal carotid arteries and basilar artery show normal flow void
    signal intensity.

    the globes are normal in size and configuration. the optic nerves are
    normal in size, course and signal intensity. the extraocular muscles
    and retrobulbar fat are unremarkable bilaterally. the optic chiasm is

    there is mild mucosal thickening of the bilateral ethmoid, frontal
    and maxillary sinuses compatible with chronic sinusitis. the right
    maxillary sinus demonstrates a polyp versus retention cyst measuring
    1.8x.1.8 cm in the inferior all. there's no evidence of air-fluid
    level. the osteomeatal complex is patent bilaterally. the nasal
    septum is midline. the nasal cavity is unremarkable.

    1. single small right frontal white matter lesion is nonspecific and
    may represent small vessel ischemic disease or gliosis.
    2. normal variant septum pellucidum
    3. chronic paranasal sinusitis.
    4. polyp versus retention cyst in the right maxillary sinus.

    I don't understand much about this report, seems like there's a
    sizable tumor that need be removed? is that the reason I feel the
    pain? if it's I am happy at least I know what's the cause.
    what kind of doctor do I need to see? a surgeon?

    thank you very much.
    ns666ns, May 6, 2007
  9. ns666ns

    Ms.Brainy Guest

    It seems like sinusitis, so the answer is almost obvious: ENT.
    Ms.Brainy, May 6, 2007
  10. ns666ns

    ns666ns Guest

    thanks for the reply
    ns666ns, May 6, 2007
  11. ns666ns

    ns666ns Guest

    dr. tyner, thanks for the reply, I just noticed the cysts as you said
    is located on the right cheerbone, which is not where it hurts, the
    pain is on the right eyebrows area closer to the nose and goes inside
    head, and as you said if cysts usually doesn't hurt, is it relatively
    safe to assume that it's not the cause of the pain?

    chronic paranasal sinusitis is most likely the cause of the pain? can
    it be cured? I took 10 days of cephalexin and went back to my old pair
    of glass (with nose pieces lower than the new pair and worn for 10
    years without pain), the pain is less but still there... I already
    mailed the report to my eye doctor.

    ns666ns, May 6, 2007
  12. ns666ns

    ns666ns Guest

    dr judy thanks for the reply, will ENT doctor know what that "single
    white lesion" means? I have 3 print out images, I don't know if ENT
    doctor can locate the thing from pictures or need cooperation from
    imagining center? I don't see "exact location" on the report. do I
    need to see a neurologist?

    ns666ns, May 7, 2007
  13. wrote in @p77g2000hsh.googlegroups.com:
    The ENT probably won't deal with the white *matter* lesion, but try to make
    sure your primary care physician gets a copy of the report.

    It really sounds like your problem is sinuses, though. Give the ENT his
    crack at it. You've had three or four practitioners tell you that your
    problems sound sinus-related, and an MRI confirming chronic sinusitis. The
    "tumor" that is more likely related to your pain is sinus-related, and
    likely has nothing to do with the white matter lesion.

    Do some googling for gliosis, and make sure your primary doctor knows about
    it. My suspicion is that they may want follow up imaging at some time in
    the future, but that nothing will really be done unless you show
    neurological symptoms-- or maybe if the sinus stuff is cleared up and your
    pain remains.
    Scott Seidman, May 7, 2007
  14. ns666ns

    ns666ns Guest

    dr. tyner, thanks for the reply.

    I got a message from eye doctor recommending an ENT doctor, I haven't
    decided to go to see him yet (very little information available about
    him). I searched for some ENT doctors, I don't see any specialized in
    chronic sinusitis, but found a few in Sinus Disorders/Surgery, is that
    the specialty best suit my situation?
    ns666ns, May 8, 2007
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