Ocular and orbital pain for the headache specialist

Alexander L. Ringeisen, Andrew R. Harrison, Michael S. Lee

Research output: Contribution to journalReview articlepeer-review

11 Scopus citations


Ocular pain is most commonly associated with redness and inflammation; however, eye pain can also occur in the absence of grossly visible pathology. Pain in the quiet eye can be the first sign of a number of threatening conditions. Many of these conditions such as intermittent angle closure glaucoma, carotid artery dissection, idiopathic intracranial hypertension, and giant cell arteritis can lead to permanent vision loss or blindness. In this review, ocular history and examination techniques are summarized. The article also reviews pertinent ocular, orbital, referred, and other causes of eye pain in the quiet eye. The neurologist and headache specialist should recognize when consultation with an ophthalmologist is necessary.

Original languageEnglish (US)
Pages (from-to)156-163
Number of pages8
JournalCurrent neurology and neuroscience reports
Issue number2
StatePublished - Apr 2011


  • Asthenopia
  • Carotid artery dissection
  • Cervicogenic eye pain
  • Cluster headache
  • Eye pain
  • Eyestrain
  • Giant cell arteritis
  • Headache
  • Hemicrania continua
  • Idiopathic intracranial hypertension
  • Intermittent angle closure glaucoma
  • Migraine
  • Ocular pain
  • Ocular surface disease
  • Orbit
  • Orbital pain
  • Paroxysmal hemicrania
  • Posterior scleritis
  • Primary trochlear headache
  • Quiet eye
  • Sunct syndrome
  • Supraorbital neuralgia
  • Trigeminal autonomic cephalgia
  • Trigeminal neuralgia
  • Trochleitis


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