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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pressure In The Sinus Cavity Under The Eye But No Pain?

What cause pressure in the sinus cavity under you eye but no pain? GP couldn t cure it with steroids or antibiotics, so I am going to an Allergist. What is he going to do different. GP took x-ray and showed me the sinus cavity was packed. Thank you....
Mon, 12 Oct 2015
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General Surgeon 's  Response
Hi.
Thanks for your query.
Noted your history of pressure in the sinus cavity under the eye but no pain. GP dis X-ray which showed packed sinuses but not cured by steroids or antibiotics. You are going to consult an allergist.
As per the history you have provided, this looks to be allergic sinusitis having polypi packed in the sinus causing the pressure symptoms. Since there is no pus or no extra pressure there will not be any pain.

I would advise you in such a case:
Get a consultation of an ENT Surgeon for proper clinical evaluation and examination.
CT scan is a must of the sinuses and nose to see the extent of polyposis.
Oral steroids in tapering dosages, antihistamines, nasal steroid spray for 3 weeks may dissolve the polypi if of pure allergic origin.
If the review CT scan after 3 weeks of treatment remains same, surgery of FESS will definitely help to cure your problem.
At the same time it is imperative to rule out other causes.
such as any skin condition or neuralgia in initial stages.
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What Causes Pressure In The Sinus Cavity Under The Eye But No Pain?

Hi. Thanks for your query. Noted your history of pressure in the sinus cavity under the eye but no pain. GP dis X-ray which showed packed sinuses but not cured by steroids or antibiotics. You are going to consult an allergist. As per the history you have provided, this looks to be allergic sinusitis having polypi packed in the sinus causing the pressure symptoms. Since there is no pus or no extra pressure there will not be any pain. I would advise you in such a case: Get a consultation of an ENT Surgeon for proper clinical evaluation and examination. CT scan is a must of the sinuses and nose to see the extent of polyposis. Oral steroids in tapering dosages, antihistamines, nasal steroid spray for 3 weeks may dissolve the polypi if of pure allergic origin. If the review CT scan after 3 weeks of treatment remains same, surgery of FESS will definitely help to cure your problem. At the same time it is imperative to rule out other causes. such as any skin condition or neuralgia in initial stages.