What causes high eye pressure accompanied by dizziness, nausea, and vomiting?
Sep 13, 2023
Source: Cainiu Health
Dr. Huang Shichang
Introduction
In general, high intraocular pressure accompanied by dizziness, nausea, and vomiting may be caused by factors such as anemia, glaucoma, hypertension, carotid and vertebral artery disease, or increased intracranial pressure. Anemia may lead to poor systemic circulation, resulting in insufficient cerebral blood supply and associated symptoms such as dizziness and nausea. Treatment with clopidogrel hydrogen sulfate tablets should be carried out under the guidance of a physician.
Under normal circumstances, high intraocular pressure accompanied by dizziness, nausea, and vomiting may be caused by factors such as anemia, glaucoma, hypertension, carotid or vertebral artery disease, or increased intracranial pressure. Specific analyses are as follows:
1. Anemia
Anemia may lead to poor systemic blood circulation, resulting in insufficient cerebral blood supply and symptoms such as dizziness and nausea. Symptoms can be improved under medical guidance with medications such as clopidogrel hydrogen sulfate tablets or aspirin tablets.
2. Glaucoma
Elevated intraocular pressure due to glaucoma may cause symptoms including headache, eye pain, nausea, and blurred vision. Patients may follow medical advice to use hyperosmotic dehydrating agents such as mannitol injection to reduce intraocular pressure. If drug therapy is ineffective, anterior chamber paracentesis may be performed to temporarily lower intraocular pressure.
3. Hypertension
Hypertension is a condition characterized by persistently elevated blood pressure at or above 140/90 mmHg. In hypertensive patients, thickened vessel walls and narrowed lumens obstruct blood flow, leading to retinal hemorrhage, edema, and other pathological changes. Additionally, hypertension affects cerebral blood flow, potentially causing cerebral ischemia or hemorrhage, which may manifest as dizziness and elevated intraocular pressure. Treatment involves strict adherence to prescribed antihypertensive medications to control blood pressure, possibly combined with intravenous mannitol injection to reduce intraocular pressure through dehydration. Adequate rest is essential, and excessive physical activity should be avoided to prevent further increases in blood pressure.
4. Carotid or Vertebral Artery Disease
Carotid or vertebral artery disease refers to a series of symptoms—such as headache, vertigo, and blurred vision—caused by damage or blockage of the carotid or vertebral arteries. This condition may result from cervical spondylosis or neck trauma. These disorders impair normal blood flow in the carotid or vertebral arteries, leading to cerebral hypoperfusion and symptoms such as dizziness and elevated intraocular pressure. It is important to keep the cervical region warm and avoid cold exposure; applying a warm compress with a hot water bag may help improve circulation. Sudden head movements should be avoided to prevent stimulation and spasm of the vertebral artery.
5. Increased Intracranial Pressure
Increased intracranial pressure refers to a range of symptoms—including headache, dizziness, nausea, and vomiting—caused by intracranial pressure exceeding normal levels. This may be due to conditions such as brain tumors, intracerebral hemorrhage, or intracranial infections. These diseases elevate intracranial pressure, compressing brain tissue and leading to symptoms such as dizziness and elevated intraocular pressure. Patients may take furosemide tablets as directed by their physician.
If symptoms such as dizziness and elevated intraocular pressure occur, prompt medical evaluation is necessary to determine the underlying cause and initiate appropriate treatment.
