Diagnosing a patient with unexplained ocular pain can be time-consuming and difficult, but taking an anatomic approach and excluding causes along the way can aid in the diagnosis. This book provides the reader with a systematic evaluation plan for these cases, written and edited by leaders in the field. A Case-Based Guide to Eye Pain is written for both ophthalmologists and neuro-ophthalmologists since there are not enough neuro-ophthalmologists to treat the number of patients with unexplained ocular pain and general ophthalmologists are having to take on the diagnosis and treatment of these patients. Organized in an easy-to-use manner, each case covers the following key elements: the chief complaint, history of the present illness, the examination, assessment and plan, follow-up, alternate perspective, summary points, and key references. Tables are also available to help the reader rapidly sort through cases that may apply to a sign, symptom, historical feature, diagnostic test or treatment option. This allows the practitioner who has a patient with a particular concern to use the tables to identify a case discussion. Additionally, A Case-based Guide to Eye Pain includes an appendices with the general approach to eye pain and anatomy of the trigeminal pathway and its relation to eye pain.
Table of Contents I. Ophthalmic disorders A. Grossly normal eye exam 1. Dry eye syndrome 2. Corneal erosions 3. Post LASIK pain 4. "Eye strain" 5. Intermittent pressure elevation 6. Blepharospasm 7. Superior limbic keratoconjunctivitis 8. Trochleitis 9. Lacrimal gland disorders 10. Posterior scleritis B. Grossly abnormal eye exam 1. Idiopathic orbital inflammatory syndrome 2. Uveitis 3. Conjunctivitis 4. Thyroid eye disease 5. Orbital mass 6. Ocular ischemic syndrome 7. Horner syndrome 8. Microvascular cranial nerve palsy II. Neurologic disorders A. Relatively normal exam 1. Migraine 2. Photophobia 3. Trigeminal neuralgia 4. Cervicogenic headache 5. Ice pick headache 6. Sinus disease 7. Chronic daily headache 8. Supraorbital neuralgia 9. Trigeminal autonomic disorders: Cluster headache 10. The trigeminal autonomic disorders: SUNCT syndrome 10. Trigeminal autonomic disorders: Hemicranias 11. Valsalva headache ^; 12. Pituitary tumors < 13. Aneurysm 14. Meningitis 15. Intracranial hypotension 16. Cluster headache 17. Giant cell arteritis 18. Thunderclap headache 19. Post-traumatic headache B. Abnormal neurological exam 1. Optic neuritis 2. Idiopathic intracranial hypertension 3. Carotid cavernous fistula 4. Herpes zoster ophthalmicus 5. Periocular skin cancer