Understanding eye pain: what you need to know

Whether it’s a dull ache, sharp discomfort, or the feeling of pressure, eye pain can mean a lot of different things and happen for a lot of different reasons. Read about some of the common causes and potential treatments and remember—if you’re experiencing eye pain that is concerning to you, reach out to a doctor.

Eye pain comes in all shapes and sizes

Man rubbing eyes at computer

Pain is a signal to the body that something is wrong. Everyone’s experience of it is personal and everyone has a different tolerance for it. Eye pain is no different—depending on the cause, eye pain can range from mildly irritating to excruciating. It can feel sharp, throbbing, or aching, and it might affect one eye or both eyes at the same time. The causes can be as varied as the pain. It’s important to note that if you’re experiencing eye pain right now that’s severe or persistent, contact an eye care professional immediately so that they can help diagnose and treat the source of your pain.

Common causes of eye pain and their possible treatments

While the only way to determine the source of your eye pain and come up with a treatment plan is by seeing your doctor, it may be helpful to know some of the more common causes and potential treatments to talk to your doctor about.

Eye infection

Infections from bacteria, viruses or fungi can cause pain, red or swollen eyes, and discharge. Viral conjunctivitis, or pink eye, is a common example. If you're experiencing symptoms like red, itchy, or watery eyes, your eye pain could be the result of an infection.

Potential treatments:

  • Antibiotic, antifungal, or antiviral eye drops
  • Warm compress

Sinusitis

If your sinuses become inflamed, you might experience pain behind the eyes, especially when bending over or lying down. Thick nasal discharge, congestion, and a reduced sense of smell are often accompanying symptoms. Many people use the term "sinus headache" to describe the pain behind the eyes when experiencing sinus issues.

Potential treatments:

  • Rest
  • Hydration
  • Medication including antibiotics and/or decongestants

Glaucoma

This serious eye condition is characterized by increased pressure in the eye, which can damage the optic nerve. Causes and symptoms can vary, but some people experiencing a type of glaucoma called 'angle closure' experience a throbbing pain behind the eye and occasional headaches accompanying this pain. If left untreated, glaucoma can lead to significant vision loss.

Potential treatments:

  • Prescription eye drops
  • Regular monitoring
  • Surgery to reduce the eye pressure

Optic neuritis

This disease is usually quite painful, often leading to shooting pain behind the eye, especially when moving the eye. This condition can result from various factors, including autoimmune diseases and infections. Patients may also notice vision changes like blurriness.

Potential treatments:

  • Corticosteroids
  • Visual rehabilitation

Injury

Accidents happen. If something strikes or scratches your eye, or if dirt, debris or chemicals get onto your eye, it can lead to pain. Corneal abrasions, which are scratches on the clear covering of your eye, can cause sharp pain and sensitivity to light. Do not rub your eye if you suspect you have an injury; seeking medical attention is vital.

Potential treatments:

  • Bandaging the eye closed

  • Using a special bandage contact lens

Inflammation

Several conditions cause inflammation in the eye, including keratitis (inflammation of the cornea), iritis (inflammation of the colored part of the eye), and scleritis (inflammation of the white part of the eye). These conditions can be extremely uncomfortable, and cause light sensitivity, and even vision changes. Inflammation can come from a few different sources, including autoimmune diseases or infections.

Potential treatment:

  • Treatment of the underlying cause of the inflammation
  • Corticosteroid eye drops

Dry eyes

If you’re not producing enough tears or your tears evaporate too quickly, your eyes can become dry. One common source of dryness in today’s world? Screen time. When you stare at digital screens while watching tv, working or browsing the internet, you blink less, which can contribute to dry eyes. Other symptoms can include redness, a gritty feeling in the eye, and blurred vision.

Potential treatments:

  • Over-the-counter eye drops
  • Hydration
  • Reduced screen time
  • Prescription eye drops

  • In-office procedures that can help alleviate dry eye

Allergies

Allergic reactions can cause the eyes to become itchy, red, and watery. This is common during certain seasons when pollen and dust are prevalent. If you notice that your symptoms flare up during specific times of the year, you might be dealing with seasonal allergies.

Preventative measures, such as avoiding allergens or taking antihistamines, can help manage these symptoms.

Potential treatments:

  • Over-the-counter eye drops
  • Allergy medications
  • Lifestyle changes like limiting allergen exposure

Headaches

Tension headaches and migraines can create sensations of pain behind the eyes and may be caused by things like muscle tension or dehydration. It’s essential to note that if you have a severe or persistent headache that feels different than what you're used to, it’s best to consult a doctor.

Potential treatments:

  • Cold compress
  • Lifestyle changes that eliminates triggers
  • Hydration
  • Proper nutrition
  • Over-the-counter pain medications

  • Prescription migraine medication

When does eye pain mean it’s time to see a doctor?

Always reach out to your doctor any time you’re experiencing eye pain that concerns you. Some types of eye pain are common, mild, transient and easily explained, but there are some types of eye pain that should cause you to seek medical attention immediately. While not comprehensive, here are some important warning signs that it’s time to see your doctor as soon as possible.

  • Pain that is severe
  • Pain that will not go away
  • Pain associated with vision changes
  • Pain with other symptoms like fever, nausea, or vomiting
  • Difficulty moving your eyes
  • Pain associated with swelling and/or discharge

Questions your doctor may ask you

If you visit a healthcare provider with eye pain, they’ll usually start by asking about your medical history and when your symptoms began. They may ask questions like:

  • When did you start feeling eye pain?
  • Are you experiencing any other symptoms?
  • Do you have a history of eye injuries or infections?
  • How does the pain feel? Is it sharp, aching, or throbbing?

In addition to this discussion, the provider may perform part or all of a complete eye exam. This could mean examining your eye with specialized equipment. Sometimes, eye drops are used to widen your pupils to get a clearer view of what’s happening inside your eye.

Don’t hesitate to reach out to your doctor

Eye pain can be a concerning experience, and it’s better to err on the side of caution. Remember to listen to your body—if something doesn’t feel right, check in with your healthcare provider. In the meantime, take good care of your eyes by staying hydrated, managing stress, and avoiding known triggers.

FAQs

Frequently asked questions

What is the most common cause of eye pain?

While it’s hard to say what the most common cause of eye pain is, a very common cause of discomfort is eye strain, often because of excessive digital screens use, reading, and/or inadequate lighting. Symptoms may include discomfort, fatigue, and difficulty focusing.

What to do if my eyeball hurts?

Since there are many different reason your eyeball may hurt, it’s best to consult an eye care professional.

What causes pain in only one eye?

Pain in only one eye could be caused by any number of things, like infections, foreign objects in the eye, or more serious issues like glaucoma. It's essential to monitor the symptoms and seek medical attention.

When should I worry about eye pain?
You should worry about eye pain if it is severe, persistent, or accompanied by other symptoms like vision changes, redness, swelling, or nausea. If that’s the case, seek immediate medical attention.

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The information provided on this page and across the entire Acuvue.com experience is designed to offer educational insights into eye health, referencing expert advice from reputable medical and government organizations, including the American Academy of Ophthalmology, the American Optometric Association and the National Eye Institute. While we research, report, and review the content on Acuvue.com and its extended social media to deliver accurate and up-to-date vision, vision care, and vision correction information, we do not make any assurances, and content accessed on or through Acuvue.com and its extended social media is not intended to replace professional medical advice, diagnosis, or treatment of any eye conditions or health issues. This brings us to our #1 eye health tip: Always consult a qualified healthcare professional for personalized medical guidance and care.

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