What causes headaches with a sensation of pressure in the eyes, and what should I do about it?

Headaches accompanied by a sensation of eye pressure may result from physiological factors, or they could be caused by pathological conditions such as tension headaches or hypertension. Treatment options include general management and medication. Specific details are as follows:

I. Physiological Factors

Excessive use of the eyes, such as prolonged viewing of mobile phones or electronic devices, may lead to eye fatigue. Increased intraocular pressure can also cause muscle pain in the head and ears. It is important to get adequate rest and avoid overusing the eyes.

II. Pathological Factors

1. Tension Headache

Tension headaches are often caused by excessive mental stress or fatigue, leading to abnormal blood vessel constriction, impaired circulation, or local accumulation of pain-inducing substances in metabolic byproducts. This can affect the ears and eyes, causing pain. Under medical guidance, medications such as enteric-coated aspirin tablets or diclofenac sodium sustained-release tablets may be used for treatment.

2. Hypertension

In cases of severe hypertension, cerebral blood vessels may dilate, increasing intracranial pressure. This not only causes headaches but may also lead to sensations of eye pressure and swelling. Medications such as amlodipine besylate and benazepril hydrochloride tablets (Ⅱ) or losartan potassium tablets may be prescribed under medical supervision.

Besides the above causes, similar symptoms may also arise from cerebral hypoxia, cerebral hemorrhage, or cerebral infarction. It is important to maintain a positive mindset and avoid emotional agitation. Patients should seek timely medical attention when experiencing discomfort and receive standardized treatment under professional guidance to promote recovery.