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Why Does My Eye Hurt When I Close It?

Published in Eye Pain Diagnosis 2 mins read

Eye pain upon closure can stem from several causes, ranging from minor irritations to more serious conditions. Let's explore the possibilities.

Common Causes of Eye Pain When Closing Your Eyes:

  • Dry Eyes: A common culprit, dry eyes cause discomfort and irritation, often worsened by blinking, which can exacerbate the sensation of dryness and scratchiness. This is frequently relieved with artificial tears or other lubricating eye drops.

  • Stye (Hordeolum): This is an infected gland near the eyelid edge, causing redness, swelling, and pain. Closing the eye can increase pressure on the stye, intensifying the discomfort.

  • Pink Eye (Conjunctivitis): Inflammation of the conjunctiva (the membrane lining the eyelid and covering the white part of the eye) leads to redness, itching, and often pain, particularly when the eye is closed and the inflamed tissues are compressed.

  • Blepharitis: A chronic inflammation of the eyelids, often involving the base of the eyelashes. This can cause soreness, grittiness, and pain when blinking or keeping the eye closed.

Less Common, but More Serious Causes:

  • Glaucoma: Increased pressure within the eye can damage the optic nerve, leading to pain, blurred vision, and potential vision loss. While not always directly related to closing the eyes, the pressure can be felt more acutely when the eye is closed.

  • Optic Neuritis: Inflammation of the optic nerve, often causing sharp pain and vision problems. Pain may be amplified when closing the eye due to pressure changes.

  • Corneal Abrasion: A scratch or injury on the surface of the eye. Blinking can cause increased friction and exacerbate the pain.

  • Uveitis: Inflammation of the uvea, the middle layer of the eye, can cause severe eye pain, sensitivity to light, and blurred vision.

What to Do:

If your eye pain when closing it persists or worsens, consult an ophthalmologist or optometrist immediately. They can accurately diagnose the underlying cause and recommend appropriate treatment. Self-treating can be risky; professional assessment is crucial for proper diagnosis and management.

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