Obligatory medical device diagnostics Ophthalmoscopy (ocular funduscopy). Slit lamp examination (slit lamp microscope; viewing of the eyeball under suitable illumination and high magnification) – to evaluate the cornea. Optional medical device diagnostics – depending on the results of the history, physical examination and mandatory laboratory parameters – for differential diagnostic clarification. Gonioscopy (examination of the … Eye Pain: Diagnostic Tests
Eye pain can manifest itself as follows: Pungent Burning Tearing Dull In addition to eye pain, the following changes may also occur: Cephalgia (headache) Itchy, watery eyes Puffy eyes Increased glare Eyelid edema (swelling of the eyelids) Visual disturbances such as diplopia (double vision, double images), visual field restriction.
The medical history (history of the patient) represents an important component in the diagnosis of ocular pain. Family history Are there any eye diseases in your family that are common? Social history What is your profession? Current medical history/systemic history (somatic and psychological complaints). How long has the pain been present? Have they changed in … Eye Pain: Medical History
Respiratory System (J00-J99) Chronic ethmoidal sinusitis (ethmoidal cell inflammation) – clinical presentation: difficulty breathing through the nose; eyelid swelling and eye pain; fever. Eyes (H00-H59) Accommodation spasm – prolonged contraction of the ciliary muscle. Ametropia (defective vision) – hyperopia (farsightedness, hyperopia); myopia (nearsightedness); astigmatism (astigmatism). Blepharitis (inflammation of the eyelids). Dacryocystitis (lacrimal sac inflammation) Ectropium … Eye Pain: Or something else? Differential Diagnosis
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, … Eye Pain: Examination
1st order laboratory parameters – obligatory laboratory tests. Small blood count Differential blood count Inflammatory parameter – CRP (C-reactive protein) Laboratory parameters 2nd order – depending on the results of the history, physical examination and obligatory laboratory parameters – for differential diagnostic clarification. Serological examination or bacteriology if infectious genesis is suspected. Arterial biopsy – … Eye Pain: Lab Test
Therapy target Pain relief Diagnosis finding Therapy recommendations Symptomatic therapy (analgesics/pain relievers) until definitive therapy when diagnosis is confirmed.
