Causes and Symptoms of Pressure Behind Eye

Our eyes are incredibly delicate and complex, and any discomfort or unusual sensations in and around them can be concerning. One such sensation is the feeling of pressure behind the eyes. It's important to understand the causes and accompanying symptoms, as this is crucial for proper diagnosis and treatment.

Let's take a closer look at the common causes and symptoms that often accompany pressure behind the eye.

Short Summary

Causes of Pressure Behind the Eyes

Feeling pressure behind the eyes is a symptom that should not be ignored, as it could be a sign of different health problems. This pressure can have many causes, from straightforward issues like tiredness from too much screen use to more severe conditions such as infections in the sinuses or problems with the nervous system. The following are some potential causes:

Senior woman in glasses rubs her eyes suffering from tired eyes ocular diseases.
Photo by stefamerpik Freepik

1. Tension Headaches

Pressure behind the eyes is commonly associated with tension headaches. While not everyone will experience tension headaches, they are considered one of the most common types of headaches. They can occur at any age and are characterized by a dull, aching pain that may feel like tightness or pressure across the forehead or on the sides and back of the head. Unlike migraines, tension headaches usually do not cause visual disturbances such as zigzag patterns or flashes of light.

Tension headaches can arise without a clear trigger or may be induced by factors such as stress, certain foods, or medications. They often lead to a generalized sensation of head pressure and can be accompanied by muscle stiffness in the neck and shoulders.

Other symptoms of tension headaches can include:

It's important to recognize these symptoms and seek medical advice for appropriate management and treatment strategies.

2. Problems with Teeth

Woman has a toothache touches her teeth and frowns from painful discomfort stands over.
Photo by benzoix Freepik

Dental problems can cause pain that extends to the head and neck area, sometimes even behind the eyes. This is known as "referred pain," where discomfort originates in one area but is felt in another. Tooth pain, for instance, may manifest as a persistent ache near the eye sockets.

Misalignments in the dental bite, due to uneven teeth or gaps, can overtax the jaw and facial muscles, leading to a dull pain in the temples or a sensation of pressure behind the eyes. The complex network connecting the eyes, teeth, sinuses, and nasal pathways means pain can be experienced far from its actual source.

People sometimes report experiencing intense headaches around the eyes, similar to cluster headaches, which can actually be attributed to dental issues. Symptoms associated with such dental problems may include:

3. Sinus Infection (Sinusitis)

Sinuses are air-filled spaces within the bones around the nose that help humidify the air and enhance voice resonance. Sinusitis is the inflammation of sinus linings and can affect the maxillary sinuses beneath the eyes, the frontal sinuses above the eyes, the ethmoid sinuses between the eyes, and the sphenoid sinuses behind the eyes.

Sinus infections can cause sinus headaches characterized by dull, throbbing pain behind the eyes and uncomfortable pressure. This pain might spread to the forehead, cheekbones, and nose bridge, with symptoms like a stuffy nose and diminished sense of smell and taste.

4. Optic Neuritis

Optic neuritis is an autoimmune disease. This condition involves inflammation of the optic nerve, leading to pain and temporary vision loss, peaking within days and improving over 4 to 12 weeks. Commonly linked to multiple sclerosis (MS), optic neuritis can also follow infections. Symptoms include impaired vision, loss of vision in one eye accompanied by pain, especially with movement, and vision loss after a fever.

5. Eyestrain

Eyestrain can cause dryness, eye pain, headaches, and blurred vision. People who look at screens for long periods tend to blink less, resulting in dry eyes. To avoid eyestrain, it's advisable to keep digital devices at a proper distance and take regular breaks.

Often, the sensation of pressure or pain behind the eyes can be mitigated by simply giving your eyes a chance to rest and recover. Implementing the 20-20-20 rule—looking at something 20 feet away for 20 seconds every 20 minutes—can help alleviate symptoms.

6. Grave’s Disease

An overactive thyroid gland, a symptom of Grave’s Disease, can lead to eye issues due to inflammation and swelling of the surrounding tissues. Symptoms may include redness, itching, excessive tearing, blurred vision, and pain or pressure behind the eyes.

Increased intraocular pressure (IOP) and visual field abnormalities might mimic primary open-angle glaucoma (POAG), but Graves' orbitopathy includes distinctive signs such as:

7. a Burst Aneurysm in the Brain

Discomfort or a headache behind the left eye might be due to a brain aneurysm. This condition develops when a blood vessel in the brain has a weakened wall that bulges outward due to the pressure of the blood flow. Such bulging can press on nearby nerves or tissues, leading to pain or a tension headache.

Other symptoms can include vision problems, numbness or weakness on one side of the face, difficulties with speech or walking, and issues with balance.

In rare cases, this weakened blood vessel wall might burst, leading to a sudden and severe headache comparable to a blow to the head, with possible nausea, vomiting, neck pain, confusion, and loss of consciousness.

Such a medical emergency requires immediate attention, and treatments might include surgical procedures to repair the aneurysm and relieve pressure.

8. Eye Socket Fractures

Trauma to the face can lead to fractures in the bones surrounding the eye, known as the eye socket or orbital fractures. These fractures can cause a noticeable sensation of pressure behind the eye, along with bruising, swelling, and sometimes changes in vision. If an eye socket fracture is suspected, especially after an injury, it's crucial to seek medical care immediately, as these fractures can impact eye health and function.

Treatment for Pressure Behind the Eyes

Male doctor writing on form and typing on laptop keyboard.
Photo by pressfoto Freepik

There are various treatments available to alleviate pressure behind the eyes, and the approach depends on the underlying cause.

Sinus infections are typically treated with antibiotics to eliminate the infection and nasal sprays to reduce inflammation. Home remedies like inhaling steam may also be beneficial.

For headaches, such as migraines, that contribute to eye pressure, over-the-counter pain relievers may be effective. If these are insufficient, prescription medications are available. Resting in a dark, quiet space or applying a cold compress can provide additional relief.

In cases of thyroid issues like Graves' disease, the focus is on suppressing the overactivity of the thyroid, potentially with medication or other interventions to decrease its activity. Medications may also be needed to address associated eye swelling.

With eye-related conditions like glaucoma, the aim is to reduce intraocular pressure. This can be done through eye drops, oral medications, laser treatments, or surgery.

You need to remember that consulting a doctor is essential for diagnosing the cause of eye pressure and initiating the most appropriate treatment.

Conclusion

When you start to feel pressure behind the eye, it can be a sign of various health issues, from infections to chronic diseases. Accompanying symptoms like pain, blurry vision, and sore or red eyes are key indicators. Remember that timely medical intervention is crucial for relief and preventing further complications.

If you experience such pressure, seeking the advice of an eye doctor is recommended to protect your eye health.

Frequently Asked Questions

What Causes Pressure Behind the Eyes?

Often, it's due to everyday things like looking at screens for too long or sinus troubles. Stress headaches can also lead to this feeling. But sometimes, it might be due to an eye condition or another health issue that needs checking out.

When Should I Visit a Doctor About the Pressure Behind My Eyes?

If the discomfort doesn't go away, gets worse, or if you notice other issues like changes in your vision or really bad headaches, it's time to see a doctor. They can help figure out what's going on and how to treat it.

How Can I Ease the Pressure Behind My Eyes at Home?

Try to cut down on-screen time and take breaks. For sinus pressure, a warm cloth over your forehead and nose can help. Stay on top of your dental care, too. If these tips don't help, it's a good idea to get some advice from a healthcare provider.