Eye pain physical examination
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Eye pain |
Diagnosis |
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Treatment |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
There are number of features we will observe in a painful eye depending upon the cause. various tests are performed to evaluate eye pain.Physical examination is very important in evaluation of cause and determining the prognosis. Several tests including opthalmoscopy, slit lamp examination, tonometry are done.
Physical Examination
Vital signs are noted to check for fever and infections.
Inspection
- Eye discharge
- Purulent rhinorrhea
- Red eye
- Corneal haziness
- Proptosis
Palpation
- Eyelids are everted and observed for foreign bodies
- Facial tenderness for sinus
- Lymph node enlargements
Eye Examination
- Best corrected visual acuity
- Visual field test
- Pupillary light response
- Extraocular movements
- Slit lamp examination: identifying any corneal disease
- Opthalmoscopic examination: visualizing of the inner layer so eye, retina.
- Tonometry to measure ocular pressure
Alarming findings in exam
- Corneal edema
- Signs of systemic infection
- Decreased visual acuity
- Proptosis
- Impaired extraocular motility