What should I do if I have a fever and high eye pressure?

Jan 18, 2023 Source: Cainiu Health
Dr. Li Man
Introduction
Fever generally refers to elevated body temperature. When fever is accompanied by high intraocular pressure, one should first observe whether there is eye congestion and seek prompt evaluation from an ophthalmologist for accurate diagnosis and appropriate treatment. Common symptoms of fever with high eye pressure include a sensation of fullness or pain in the eyes, dizziness, nausea, and vomiting. Symptoms can usually be relieved through adequate rest, active fever reduction, and lowering of intraocular pressure.

Fever generally refers to elevated body temperature. When fever is accompanied by high intraocular pressure, one should first observe whether there is eye congestion and promptly seek treatment from an ophthalmologist for accurate diagnosis and appropriate management. High eye pressure associated with fever commonly causes symptoms such as eye bulging or pain, dizziness, nausea, and vomiting. Symptoms can usually be alleviated through adequate rest, active fever reduction, and lowering of intraocular pressure.

1. Rest properly

Patients should avoid eye strain in daily life, as excessive use of the eyes can increase ocular fatigue and lead to elevated eye pressure. Prolonged visual tasks should be avoided. After using the eyes for a period of time, it's important to take breaks, reduce screen time on computers and mobile phones, look into the distance frequently, and ensure sufficient sleep at night. These measures can help relieve eye bulging and pain caused by increased intraocular pressure.

2. Actively reduce fever

Fever is often caused by viral or bacterial infections. When fever symptoms occur, patients should seek medical attention as early as possible and receive medication under a doctor’s guidance to prevent potential damage to the optic nerve from high body temperature. Common antipyretic medications include acetaminophen, ibuprofen, and amoxicillin capsules. Once the viral or bacterial infection is resolved, elevated intraocular pressure typically improves gradually.

3. Lower intraocular pressure

When increased eye pressure leads to significant eye pain or even visual disturbances, patients should seek immediate medical care. Under medical supervision, treatments such as intravenous infusion of mannitol injection or application of pilocarpine nitrate eye drops may be used to relieve symptoms.

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