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Nyctalopia (/ ˌ n ɪ k t ə ˈ l oʊ p i ə /; from Ancient Greek νύκτ-(núkt-) 'night' ἀλαός (alaós) 'blind, invisible' and ὄψ (óps) 'eye'), [1] also called night-blindness, is a condition making it difficult or impossible to see in relatively low light. It is a symptom of several eye diseases.
The pain can ultimately become disabling unless the ambient pressure is reversed. The pressure difference causes the mucosal lining of the sinuses to become swollen and submucosal bleeding follows with further difficulties ventilating the sinus, especially if the orifices are involved. Ultimately fluid or blood will fill the space.
Ethmoidal – may cause pain or pressure pain between or behind the eyes, along the sides of the upper nose (medial canthi), and headaches. [ 27 ] Sphenoidal – may cause pain or pressure behind the eyes, though it is often felt at top of the head , over the mastoid processes , or the back of the head.
Cluster headache is a neurological disorder characterized by recurrent severe headaches on one side of the head, typically around the eye(s). [1] There is often accompanying eye watering, nasal congestion, or swelling around the eye on the affected side. [1] These symptoms typically last 15 minutes to 3 hours. [2]
Photophobia develops with blurred vision and lymphadenopathy by the ear nearest the affected eye. [2] It is often associated with a sore throat and stuffy and runny nose, mainly in adults. [3] A type of adenoviral keratoconjunctivitis in very young children can present with a high fever, sore throat, ear infection, vomiting and diarrhea. [3]
The eye becomes itchy, painful, burning and reddish and lymphadenopathy may be felt by the ear nearest the affected eye. [2] The symptoms may last around 10 days to three weeks. [2] It may be is associated with blurred vision, photophobia and swelling of the conjunctiva. [2] [13] A sore throat and nasal congestion may or may not be present. [2]
Intraocular pressure varies throughout the night and day. The diurnal variation for normal eyes is between 3 and 6 mmHg and the variation may increase in glaucomatous eyes. During the night, intraocular pressure may not decrease [17] despite the slower production of aqueous humour. [18]
Ocular hypertension is treated with either medications (eye drops), surgery, or laser. Treatment, by lowering the intraocular pressure, may help decrease the risk of vision loss and damage to the eye from glaucoma. Treatment options include pressure-lowering 'antiglaucomatous' eye drops, surgery, and/or laser eye surgery. [4]
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