Eye pain physical examination: Difference between revisions
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{{Eye pain}} | {{Eye pain}} | ||
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== 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. | 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 Exam == | |||
==Physical Exam== | |||
Vital signs are noted to check for fever and infections. | Vital signs are noted to check for fever and infections. | ||
'''Inspection''' | |||
* Eye discharge | * Eye discharge | ||
* Purulent rhinorrhea | * Purulent rhinorrhea | ||
Line 22: | Line 21: | ||
'''Palpation''' | '''Palpation''' | ||
* Eyelids are everted and observed for foreign bodies | |||
* Eyelids are everted and observed for foreign bodies | |||
* Facial tenderness for sinus | * Facial tenderness for sinus | ||
* Lymph node enlargements | * Lymph node enlargements | ||
'''Eye Examination''' | |||
* Best corrected visual acuity | |||
* Best corrected visual acuity | |||
* Visual field test | * Visual field test | ||
* Pupillary light response | * Pupillary light response | ||
Line 35: | Line 35: | ||
* Opthalmoscopic examination: visualizing of the inner layer so eye, retina. | * Opthalmoscopic examination: visualizing of the inner layer so eye, retina. | ||
* Tonometry to measure ocular pressure | * Tonometry to measure ocular pressure | ||
'''Alarming findings in exam''' | '''Alarming findings in exam''' | ||
* Corneal edema | |||
* Signs of systemic infection | |||
* Decreased visual acuity | |||
* Proptosis | |||
* Impaired extraocular motility | |||
== References == | |||
==References== | |||
{{reflist|2}} | {{reflist|2}} | ||
{{WH}} | |||
{{WS}} | {{WS}} |
Revision as of 06:41, 2 July 2012
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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 Exam
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