Pain In the Quiet (Not Red) Eye

摘要: Although eye pain is often accompanied by redness or injection, can also occur with a quiet eye. Pain in quiet be the first sign of vision-threatening condition, more benign ophthalmologic nonophthalmologic condition. Acute narrow-angle glaucoma is an emergent condition that requires immediate treatment and referral to an ophthalmologist. most conditions cause do not need treatment, giant cell (temporal) arteritis urgent corticosteroids. Other vascular conditions, such as carotid artery disease, thrombosis cavernous sinus, transient ischemic attack stroke, rarely but must considered. Pain may referred from sinuses neurologic trigeminal neuralgia, migraine cluster headaches, increased intracranial pressure. The differential diagnosis of eye extensive, necessitating systematic thorough approach. (Am Fam Physician. 2010;82(1):69-73. Copyright © 2010 American Academy Family Physicians.)