Are you on any treatment(s) now? If so, it could be a herx. If not, it could be the Lyme coming back... or could be something unrelated...
Maybe a chiropractor or neck massage therapy could help? I know when I get my headaches, I go get my neck rubbed and it sure feels good and helps the headache go away sooner.
Also, with the eye pain I've experienced, it may come from allergies. Some pollens really get me good. I had to get antihistamine eye drops because even the prescription Patanol (mast cell stabilizer) eye drops were doing nothing for the eye pain and irritation from allergies. Now I use homeopathic eye drops and they seem to make a lot of difference for me whenever my eyes are upset about something (eyelash in the eye, allergies, dryness, eye strain, etc.). I get them at a local health food store - the eye drops are called "Optique 1"
I hope this helps - take care,
Chronic Lyme Disease, Chronic Bartonella (clinical dx only), Gluten & Sulfite Sensitivity, Many Food/Inhalant/Medication/Chemical Allergies & Intolerances, Asthma, Gut issues (dysmotility, non-specific inflammation), UCTD ("Secondary Lupus-Like Syndrome"), Osteoporosis, chronic Lymphopenia, etc.; G-Tube; Currently weaning off TPN.
Meds: Pulmicort, IV Doxycycline, Heparin (to flush PICC line), Claritin, Singulair, Domperidone, Colloidal Silver (topically & nasally), probiotics, Liver support herbs, Ailanthus, digestive enzymes, homeopathy.