Eye pain physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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.

Vital signs are noted to check for fever and infections.

• Eye discharge
• Purulent rhinorrhea
• Red eye
• Corneal haziness
• Proptosis

• Eyelids are everted and observed for foreign bodies
• Facial tenderness for sinus
• Lymph node enlargements

• 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

• Corneal edema
• Signs of systemic infection
• Decreased visual acuity
• Proptosis
• Impaired extraocular motility

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