II. Causes

  1. See Eye Pain

III. Evaluation: Eye Pain without Redness

  1. Vision Loss or visual field deficit
    1. Urgent ophthalmology Consultation
    2. Increased Intraocular Pressure suggests Narrow Angle Glaucoma
    3. History of cancer may prompt imaging for intraocular tumor assessment
    4. History autoimmune disorder may prompt additional labs and imaging
      1. Uveitis
      2. Posterior Scleritis
      3. Optic Neuropathy, Optic Neuritis or retrobulbar neuritis
  2. Associated neurologic deficits
    1. Tolosa-Hunt Syndrome
    2. Cavernous Sinus Thrombosis
    3. Transient Ischemic Attack or Cerebrovascular Accident
    4. Cluster Headache
    5. Trigeminal Neuralgia
  3. Associated Headache
    1. Migraine Headache
    2. Temporal Arteritis
    3. Acute Sinusitis
    4. Cluster Headache
    5. Increased Intracranial Pressure
  4. Consider other diagnoses
    1. Corneal Abrasion

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