What's wrong with me? (Pics included)

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Hello All

I have had a constant pressure behind my right eye and do not know what it is, It spans from my right forehead, down around my right eye and back towards the back of my head past my right ear,or at least this is what it feels like, also my right eye is wetter on this side and there is some discoloration of the skin on the right of my forehead down to around my right eye, I have a really dark ring around my right eye, I’ve often been asked who punched me, my left eye and side of head is completely unaffected and normal.

If I rub my right eye it also makes funny sounds, like farting almost, Note that there is no tearing involved in any of this, I say this eye is wetter because it sounds wetter. Also it feels more tender than my “normal eye” when I look side to side.

My vision is fine.

I went for an eye exam before a sinus doctor to rule out any eye problems, This is what she said:

Age 22

The patient presented to me with a main complaint of headaches especially to right temporal side. He does not report any visual complaints. He is not using any eye drops or other medication.

Unaided vision:

R) 1.0 or 6/6  

L) 1.0 or 6/6

Refraction:

R) -0.25/-0.50 x 121 

L) +0.25/-0.50 x 88

Intra Ocular pressures taken at 16.30pm R) 19mmHg L) 22mmHg. This is well within the normal range.

Ophthalmoscopy revealed no abnormalities, CD ratio in both eyes are 0.3 no cupping or any other signs of glaucoma or raised intracranial pressure.

Slitlamp revealed skin discoloration to the periorbital skin to the right eye. Slight swelling and redness of the conjunctiva and lower lid margin although the glands are not obstructed.

It is of my opinion that the patient’s symptoms are not vision related. It may be allergy/sinus related because the conjunctiva is affected.

 

I thought it was maybe sinus / allergy related, Since I do have allergies mostly to dust particles, So I went to an ear, nose and throat doc. , He said it was likely due to my deviated septum and fixed it.

It's been more than two months and still have a pressure around the areas mentioned; I’ve told him this and recommended a nasal corticosteroid spray, which I have yet to pick up, He said it could be the membranes on the right side responding to allergy and giving me this sensation. But why only one side then?

Anyways he said maybe a CT scan taken of my sinuses would reveal something, He says that everything looks normal, sinuses are looking good and should take the spray to see if it’s the membranes maybe.

Attached are the pics

He says if the pressure persists he will arrange a brain scan (Worth it?), Also note that I have never had relieve of this pressure, not for a minute, I’ve been through many nasal sprays, antihistamines and steroidal injections which gives me the feeling the spray won’t work, but I’ll obviously give it a go and report back.

Just wanted to get some opinions, any ideas?

Thanks

 

 

 

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6 Replies

  • Posted

    When you say your septum was fixed, what do you mean? Where are you, why do you think youare allergic to dust, have you had any prick, blood test?
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    • Posted

      I had a deviated nasal septum, so my right nostril was quite narrow and couldn’t really breathe through it, so had it surgically straightened, Doc thought this could be why there is a pressure. But no, Can breathe a lot better though…
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  • Posted

    Ok that helps me to understand, if your doctor wants to make an scan just do it, discarding something worse may help to focus in what the problem is.

    as regard your problem,

    - There is something in your scan you need to go to a second doctor for, your turbinates on the right of my screen (not clue if your left or right) look exactly as overgrown than mine before going for sinus surgery. The lower turbinates are able to cause a sinus problem in the same way like the upper ones. I am not a doctor so I will not speculate about it. You gotta bring that scan for further opinion, do not go to the same, I am not happy at all with what I am seeing.

    - If you do not know that: Allergy causes sinus infections, this is because the allergy interrupts the selfcleaning process of your sinuses, hence an allergy on its own is enough to make your life extremaly miserable and cause a permanent sinus infection cicle. This is information provided by an allergy specialist I have so you have to test for major allergies and put that in the centre of your medical problems.

     

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