Eye Pain: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps:

  • General physical examination – including blood pressure, pulse, body weight, height; further:
    • Inspection (viewing).
      • Skin and mucous membranes
      • Eyes and conjunctiva (ocular conjunctiva) [foreign body exposure?]
  • Ophthalmological examination
    • Slit lamp: assessment of conjunctiva, cornea (cornea), sclera (sclera; outer covering of the eyeball), lens, iris (iris), and corpus ciliare (ciliary or ray body; a section of the middle eye skin) and corpus vitreum (vitreous body); visual acuity determination (determination of visual acuity) and, if necessary, refraction determination (refractive value of optical correction).
    • Examination of the eye position and pupillary reaction.
    • Eye pressure, palpatory [eye pressure palpatory high: suspected acute glaucoma; emergency]
  • If necessary. Neurological examination [differential diagnoses: Migraine, other forms of cephalgia (headache), optic neuritis (optic neuritis), retrobulbar neuritis (optic neuritis in the area between the eye and the optic nerve junction in the brain), trigeminal neuralgia (pain attacks, occurring in the area of the facial nerves), viral meningitis (meningitis), zoster ophthalmicus (in this form of shingles, the face and eyes are affected (ophthalmic nerve from the trigeminal nerve)]

Square brackets [ ] indicate possible pathological (pathological) physical findings.