What causes orbital bone pain

Sometimes, people may feel pain in the bones above their eye sockets. This may actually be caused by staying up too late at night, which causes some irritation to the eyes. It is also possible that the pain in the eye socket bones is caused by catching a cold. Of course, pain in the orbital bones may also be caused by excessive use of the eyes, which leads to excessive fatigue of the eyes. Incorrect sitting posture and lack of eye protection may also cause orbital bone pain.

There are many kinds of eye pain. Do you feel swelling, soreness, or stinging in your eyes? Also, the fundus you mentioned refers to the area under the eyes, or the professional term for eye fundus in ophthalmology. The fundus in professional terminology should not be painful. I think it should be a stye, which is easily caused by a bad mood or anger. Press the painful area with your hand to see if it only hurts there and no other places hurt.

Stye, also known as sty and hordeolum, is an acute suppurative inflammation of the sebaceous glands or meibomian glands near the eyelash follicles. There are two types of styes: internal sty and external sty:

1. External stye

It is an acute suppurative inflammation of the Zeis gland. Initially, the eyelid margin shows localized congestion and swelling, and a nodule forms after 2 to 3 days. There is obvious swelling, pain and tenderness. Later, the nodule gradually softens and a yellow pustule forms at the root of the eyelashes, which breaks through and discharges pus quickly. Severe cases may have systemic symptoms such as chills and fever.

2. Internal stye

It is an acute purulent inflammation of the meibomian glands. Its clinical symptoms are not as severe as those of external hordeolum, because the inflamed meibomian glands are surrounded by firm tarsal plate tissue. Yellow pus masses are often faintly visible on the surface of the congested palpebral conjunctiva, which may rupture and discharge pus into the conjunctival sac on their own. The opening of the meibomian glands may be slightly raised and congested, and pus may also be discharged along the palpebral gland duct. A few cases may rupture and discharge pus from the skin. If the tarsal plate fails to rupture and the pathogen is highly toxic, the inflammation will expand, invade the entire tarsal plate tissue, and form an eyelid abscess.

When the inflammation is under control and pus accumulates to form a fluctuating feeling, it can be drained by incision, and the necrotic or granulation tissue can be properly cleaned. Depending on the situation, placement of a drainage strip can be considered. After the inflammation subsides, if there is still residual granulation tissue or nodules left, surgical removal can be performed again. However, it should be noted that the skin incision of the external hordeolum should be parallel to the eyelid margin, and the conjunctival incision of the internal hordeolum should be perpendicular to the eyelid margin. Avoid inappropriate squeezing to prevent the inflammation from spreading into the orbit and cranium, causing orbital cellulitis, cavernous sinus phlebitis, meningitis and abscess, which may be life-threatening.