Damage to the drainage angle of the eye (which cannot be seen without a mirror contact lens and a slit lamp microscope) increases the chances of glaucoma developing in later life. The lens may be damaged or dislocated and a cataract may develop. This is particularly important in a patient with an associated head injury, as this may be interpreted as (or mask) the dilated pupil that is suggestive of an acute extradural haematoma. The iris may also be damaged and the pupil may react poorly to light.
All patients with visual impairment after blunt injury should be seen in an ophthalmic department. Haemorrhage may also occur into the vitreous or in the retina, and this can be accompanied by a retinal detachment. Patients who sustain such injuries need to be reviewed at an eye unit as the pressure in the eye may rise, and further haemorrhages may require surgical intervention. Haemorrhage may occur and a collection of blood may be visible in the anterior chamber of the eye (hyphaema). However, if a smaller object (such as a squash ball) hits the area, the eye itself may take most of the impact. Injuries to the eyeball can be serious, and should always be examined by a doctor.When a large object (such as a football) hits the eye, most of the impact is usually taken by the orbital margin. This is an important remedy when the eyeball has been bruised or injured by a blow from a blunt object (for example a tool-handle, baseball, or rock). This remedy relieves strained ligaments and tendons, including the small ligaments of the eyes. The eyelids feel heavy, and the person may be inclined toward headaches. The muscles around the eyeballs can feel weak and stiff, and the letters on a page may appear to run together.
This remedy may be useful if extended periods of reading or doing schoolwork have led to a weak, bruised feeling in the eyes. A person who needs this remedy may also have nerve pains in the face and teeth, or joint and muscle stiffness that shifts from place to place.
The vision may seem to be impaired or weak. Great stiffness felt in the eyes and eyelids, worse when moving the eyes, suggests a need for this remedy. A person who needs this remedy often startles easily and is oversensitive to light. The eyes feel very tired and the vision seems blurred and weak. This remedy can be helpful when exhaustion from illness, overwork, or stress has led to eyestrain. ) The person may feel a need to keep the eyes open, getting dizzy when closing them.
This remedy can bring relief to a person with a bruised, sore feeling in the eyes after closely-focused work or from looking into the distance (sightseeing, watching movies, etc. Being in an overheated room may aggravate the symptoms. The whites or corners often look inflamed. The muscles around the eyes feel weak and the person is unable to keep them focused and steady. As the name suggests, dry eye occurs when the eye does not produce. Apis can also be useful after overexposure to very bright light (looking at snow in bright sunlight or sun reflecting off the water for long periods, driving into the sun, etc.) when the eyes feel sore and oversensitive.Īching from overuse or detailed work, relieved by closing the eyes or pressing on them, suggests a need for this remedy. Sore and painful eyes at night or in the early morning are typically signs of dry eye. This remedy can be helpful if the eyelids and surrounding areas get very puffy and tender, with burning or stinging pain that cold applications partially relieve. The person feels fearful and agitated - with eye pain, heavy watering, and heightened sensitivity to light. Corneal damage: Abrasions and ulcerations on the cornea can cause pain in or behind the eye. If the infection from the tooth spreads through muscle or bone and moves up the face, it can cause the eye to swell, appear pink or red, or feel more painful. This remedy may bring relief when foreign matter gets into the eye and causes irritation. As a result, it can add pressure or pain around the eye.
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