Eye pain
DDx
Don’t miss
- Acute glaucoma
 
DDX
- Viral or bacterial conjunctivitis
 - Foreign body or corneal abrasion
 - Keratitis (corneal ulcer or inflammation), eg, herpes simplex
 - Trauma
 - Acute glaucoma
 - Orbital or periorbital cellulitis
 - Ultraviolet (actinic) keratitis
 - Eyelid disorder, eg, hordeolum, chalazion, blepharitis
 - Inverted eyelash (eg, entropion)
 - Dacryocystitis (lacrimal sac infection)
 - Decreased tearing, eg, age-related, Sjögren’s syndrome, anticholinergics
 - Blocked tear duct
 - Sinusitis
 - Migraine or cluster headache
 - Temporal (giant cell) arteritis
 - Ophthalmic zoster (pain may precede rash)
 - Uveitis
 - Scleritis or episcleritis
 - Optic neuritis
 - Intracranial mass
 - Carotid artery dissection
 
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Last updated: March 5, 2015
Citation
Zeiger, Roni F.. "Eye Pain." Diagnosaurus, 4th ed., McGraw-Hill Education, 2015. Emergency Central, emergency.unboundmedicine.com/emergency/view/Diagnosaurus/114383/all/Eye_pain. 
Zeiger RFR. Eye pain. Diagnosaurus. McGraw-Hill Education; 2015. https://emergency.unboundmedicine.com/emergency/view/Diagnosaurus/114383/all/Eye_pain. Accessed November 4, 2025.
Zeiger, R. F. (2015). Eye pain. In Diagnosaurus (4th ed.). McGraw-Hill Education. https://emergency.unboundmedicine.com/emergency/view/Diagnosaurus/114383/all/Eye_pain
Zeiger RFR. Eye Pain [Internet]. In: Diagnosaurus. McGraw-Hill Education; 2015. [cited 2025 November 04]. Available from: https://emergency.unboundmedicine.com/emergency/view/Diagnosaurus/114383/all/Eye_pain.
* Article titles in AMA citation format should be in sentence-case
TY  -  ELEC
T1  -  Eye pain
ID  -  114383
A1  -  Zeiger,Roni F,
Y1  -  2015/03/05/
BT  -  Diagnosaurus
UR  -  https://emergency.unboundmedicine.com/emergency/view/Diagnosaurus/114383/all/Eye_pain
PB  -  McGraw-Hill Education
ET  -  4
DB  -  Emergency Central
DP  -  Unbound Medicine
ER  -  

Diagnosaurus

