Eye pain physical exam

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