Chronic Eye Pain After Uveitis That Is Treated With Decongestants.

[Ash2493]

I've had chronic pain for over 5 years now. It is mostly from mild to moderate, and medications to treat depression and nerve pain (Lyrica, Gebapentin), have produced little results. What has consistently worked, however, is the use of nasal decongestants. This usually mitigates the pain significantly.
The pain began shortly after Uveitis, but follows have shown the Uveitis is gone and there is nothing to directly relate the pain to Uveitis on any scan or suggestively through medication.
I have had ENT's, neurologists, eye specialists and lung specialists examine me in the past, all coming up with few answers. It seems the scans mostly come up clear. The pain began shortly after I developed Uveitis five years ago, but follow-ups have shown the Uveitis is gone and there is nothing to directly relate the pain to Uveitis on any scan or suggestively through medication. Regardless of doubt by my ENT(s), I opted for Turbinate Reduction and Septoplasty, believing it may have been a deviated septum causing a pinched nerve.
It's been 2 years since the Turbinate Reduction / Septoplasty . Strangely, I don't remember it having a significant or even any impact on my headaches, yet the decongestants do. The pain itself is mostly mild to moderate and more of a throbbing feeling than a sharp one. It centralises in the eye region and moving my eyes can exacerbates it. Closing my eyes mitigates it. Using massage exercises to drain the mucus produces improved results as well. However, the single most consistently effective treatment is the use of nasal decongestants.

[John C Hagan III, MD, FACS, FAAO]

I have no explanation for your observation but glad it does help.  You might see a pain specialists and look into biofeedback, acupuncture, regional blocks, etc.