Why do my eyes hurt every morning but feel fine in the afternoon?

Experiencing eye pain every morning but feeling better in the afternoon might be attributed to improper diet, excessive eye use, accidental bumping, bacterial conjunctivitis, glaucoma, or other factors. It is advisable to seek medical attention promptly, identify the underlying cause, and receive corresponding improvement or treatment measures under medical guidance. Detailed analyses are as follows:

1. Improper Diet

Consuming excessive water or salty foods before bedtime may lead to eye swelling and pain. This is because the body's ability to metabolize water decreases at night, causing water retention. The thin skin and loose subcutaneous tissue around the eyelids are more prone to edema, resulting in morning eye pain. Generally, no special treatment is required, and symptoms will resolve after half a day. Alternatively, a clean towel soaked in warm water can be gently applied to the affected eye for about 10-15 minutes each time, repeated multiple times daily. Heat application promotes eye blood circulation, alleviates inflammation, and reduces pain and discomfort.

2. Excessive Eye Use

Prolonged exposure to electronic devices such as phones and computers at night can lead to eye strain, muscle tension, and subsequent pain or soreness. Closing eyes for a break or gazing into the distance can provide some relief. Additionally, massage can be helpful by closing eyes, placing the ring fingers on the eye sockets, resting the index and middle fingers on the forehead, and gently massaging the eyeballs for 10-20 minutes each time, repeated 10-20 times to promote vasoconstriction.

3. Accidental Bumping

Inadvertent collisions during sleep may cause mild trauma to the eyes, leading to surrounding tissue fluid exudation, swelling, and pain. Cold compresses with ice bags can be applied for 10-20 minutes each time, repeated 5-6 times daily, to promote vasoconstriction and alleviate symptoms.

4. Bacterial Conjunctivitis

Rubbing eyes with dirty hands can introduce bacteria into the eyes, causing bacterial conjunctivitis, manifested by redness, tearing, and increased secretions. Medications such as Levofloxacin Hydrochloride Eye Drops, Tobramycin Eye Drops, and Norfloxacin Eye Drops can be prescribed to combat bacteria. Maintaining eye hygiene and avoiding rubbing with hands is crucial.

5. Glaucoma

Individuals with a family history of glaucoma are at a higher risk due to genetic factors. Glaucoma causes increased intraocular pressure, damaging optic nerves, and presenting with eye pain, dizziness, and vision loss. Medications like Pilocarpine Nitrate Eye Drops, Travoprost Eye Drops, and Timolol Maleate Eye Drops can help lower intraocular pressure and alleviate symptoms. In severe cases, surgical options like laser peripheral iridotomy or trabeculoplasty may be considered. Patients should maintain a regular sleep schedule, aiming for 8-9 hours of sleep per night, and actively cooperate with treatment, avoiding unauthorized discontinuation of medication.