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Dull, aching, throbbing pain in the area of the socket, which is moderate to severe and may radiate to other parts of the head such as the ear, eye, temple and neck. [ 2 ] [ 5 ] [ 7 ] [ 8 ] The pain normally starts on the second to fourth day after the extraction, [ 5 ] [ 8 ] and may last 10–40 days. [ 1 ]
Trochleitis is inflammation of the superior oblique tendon trochlea apparatus characterized by localized swelling, tenderness, and severe pain. This condition is an uncommon but treatable cause of periorbital pain. The trochlea is a ring-like apparatus of cartilage through which passes the tendon of the superior oblique muscle.
When the cornea dries out it may stick to the eyelid and cause an abrasion when the eye reopens. [11] Exposure keratitis. Chemical injury can occur if cleaning solutions such as povidone-iodine (Betadine), chlorhexidine or alcohol are inadvertently spilt into the eye, for example when the face, neck or shoulder is being prepped for surgery. [4] [1]
Orbital cellulitis is inflammation of eye tissues behind the orbital septum. It is most commonly caused by an acute spread of infection into the eye socket from either the adjacent sinuses or through the blood. It may also occur after trauma. When it affects the rear of the eye, it is known as retro-orbital cellulitis.
These infections can cause blindness within 24 – 48 hours and there is a possibility that the infection can move into the peri-orbital socket, resulting in the need for evisceration of the eyeball. In rare cases, the infection can enter the brain and cause death to the patient.
The main symptoms are swelling and pain of both eyes, fever, changes in vision, and headaches. On exam, redness and decreased range of motion of the eyes are present in about 90% of cases. Treatment includes antibiotics and antithrombotics to treat the infection and blood clot. [6]
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TMD is considered by some to be one of the 4 major symptom complexes in chronic orofacial pain, along with burning mouth syndrome, atypical facial pain and atypical odontalgia. [13] TMD has been considered as a type of musculoskeletal , [ 14 ] neuromuscular , [ 15 ] or rheumatological disorder. [ 14 ]