Eye pain physical examination

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 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

References

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