The reason for eye pain with ice or hot compresses depends mainly on the cause, some pain is suitable for ice, some pain is suitable for hot compresses, can not be generalized, in addition to ice and hot compresses, some pain also need symptomatic treatment. 1, excessive eye use: If the eye pain is caused by excessive eye use caused by visual fatigue, it is recommended to relieve through hot compresses. Hot compresses help the muscles around the eyes to relax, while promoting the blood supply around them and relieving pain symptoms; 2. Eye trauma: Eye trauma can lead to rupture of blood vessels in the eyelids or increase the permeability of blood vessels, resulting in localized swelling and pain in the eyes. In the early stage, ice packs can be applied to promote vasoconstriction and prevent further exudation of tissue fluid, and after 24 hours, hot packs can be applied to accelerate the absorption of swelling. For patients with trauma to the eye, it is recommended to go to the hospital for a detailed examination to prevent structural damage to the eye; 3. wheals: redness, swelling, heat and pain of the eye can occur, requiring hot compresses, which can be kept 3-4 times a day for 10-15 minutes each time in the early stage. The hot compress can accelerate the local blood circulation in the eye and promote the inflammation to subside, and it needs to be supplemented with antibiotic eye drops and ointment for treatment, such as levofloxacin eye drops, tobramycin eye drops, and oxyfloxacin eye ointment, etc. If necessary, systemic oral antibiotics are also needed, and if an abscess is formed, it needs to go to the hospital for incision and drainage; 4. contact blepharitis: if combined with burning sensation in the eye or If you have a painful sensation, you need to apply ice packs and use saline or boric acid solution for cold and wet compresses as prescribed by your doctor; 5, welding injuries: eye pain caused by strong light stimulation from welding requires ice packs to relieve the painful sensation in the eye, do not apply hot packs as this may aggravate the pain and damage. Ice packs can also be supplemented with drugs that promote corneal tissue recovery, such as sodium vitrate eye drops, recombinant bovine basic fibroblast growth factor eye drops, etc. Antibiotic eye drops and eye ointments can also be used as appropriate to prevent infection and shorten the course of the disease, commonly used drugs include levofloxacin eye drops, tobramycin eye drops, aureomycin eye ointment, etc. It should be noted that all of the above eye drops and medications need to be used under the guidance of a doctor and should not be used blindly on your own to avoid delaying the disease.