Eye pain physical exam: Difference between revisions

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* Pupillary light response
* Pupillary light response
* Extraocular movements
* Extraocular movements
* Slit lamp examination: identifying any corneal disease
* Slit lamp examination: identifying any corneal disease
* Opthalmoscopic examination: visualizing of the inner layer so eye, retina.
* Opthalmoscopic examination: visualizing of the inner layer so eye, retina.
Line 34: Line 33:


Alarming findings in exam
Alarming findings in exam
Corneal edema
*Corneal edema
 
*Signs of systemic infection  
Signs of systemic infection  
*Decreased visual acuity
 
*Proptosis
Decreased visual acuity
*Impaired extraocular motility
 
Proptosis
 
Impaired extraocular motility

Revision as of 05:18, 2 July 2012

Eye pain

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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 Exam

Vital signs are noted to check for fever. 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