II. History
-
Eye Foreign Body
Sensation
- Corneal involvement (e.g. Corneal Abrasion, sicca syndrome)
- Eye scratchy or gritty Sensation
-
Contact Lens Wear
- Risk of infectious Keratitis
- Photophobia
- Corneal involvement (e.g. Keratitis, Corneal Abrasion)
- Uveitis
- Migraine Headache
- Acute Angle-Closure Glaucoma (Narrow Angle Glaucoma)
- Headache
- Vision Loss with Eye Pain (emergent ophthalmology evaluation needed)
- Autoimmune Conditions
III. Exam
- Increased Intraocular Pressure (esp. >40-50 mmHg)
- Extraocular Movement pain
- Eyelid Swelling
- Eyelid Vesicles
- Photophobia on penlight test (light applied from 6 inches for 2 seconds)
- Fluorescein uptake
-
Pupil defects
- Optic Neuritis
- Afferent pupil defect (Swinging Flashlight Test)
- Anterior Uveitis
- Aniscoria (Unequal Pupils)
- Acute Angle-Closure Glaucoma (Narrow Angle Glaucoma)
- Fixed, dilated pupil
- Optic Neuritis
IV. Causes: Eye Pain with Visible lesions
- See Red Eye
- Ocular foreign body
- Entropion Conjunctivitis
- Hordeolum
- Chalazion
- Corneal Ulcer
- Interstitial Keratitis
- Iritis
- Iridocyclitis
- Glaucoma
- Ocular Herpetic infection
- Conjunctiva calcification
- Band keratopathy
V. Causes: Eye Pain without lesions (quiet non-Red Eye)
- See Eye Pain without Redness
- Visual Loss or Visual Field Deficit
- Narrow Angle Glaucoma
- Intraocular tumor
- Uveitis
- Posterior Scleritis
- Optic Neuropathy, Optic Neuritis or retrobulbar neuritis
- Associated neurologic deficits
- Associated Headache
- Migraine Headache
- Temporal Arteritis
- Acute Sinusitis (Ethmoid, Sphenoid, or Frontal Sinus involvement)
- Cluster Headache
- Increased Intracranial Pressure
- Consider other diagnoses
- Corneal Abrasion
- Graves Disease
- Eye strain