What is the cause of acute left ocular pain?

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Last updated: February 24, 2025View editorial policy

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Differential Diagnosis for Acute Left Eye Pain

  • Single most likely diagnosis
    • Acute angle-closure glaucoma: This condition is characterized by sudden, severe eye pain, often accompanied by blurred vision, headache, and nausea. It is a medical emergency that requires prompt treatment to prevent permanent vision loss.
  • Other Likely diagnoses
    • Dry eye syndrome: This condition can cause eye pain, especially if the dryness is severe. It is often accompanied by itching, burning, and blurred vision.
    • Conjunctivitis: Also known as pink eye, this condition can cause eye pain, redness, and discharge. It can be viral or bacterial in nature.
    • Corneal abrasion: A scratch on the cornea can cause severe eye pain, especially when blinking. It may be accompanied by redness, tearing, and sensitivity to light.
    • Uveitis: Inflammation of the uvea, the middle layer of the eye, can cause eye pain, sensitivity to light, and blurred vision.
  • Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
    • Endophthalmitis: A severe infection within the eye that can cause eye pain, redness, and vision loss. It is a medical emergency that requires prompt treatment.
    • Orbital cellulitis: An infection of the tissues surrounding the eye that can cause eye pain, swelling, and vision loss. It can lead to serious complications if left untreated.
    • Retinal detachment: A condition where the retina separates from the back of the eye, causing eye pain, flashes of light, and vision loss. It is a medical emergency that requires prompt treatment.
  • Rare diagnoses
    • Scleritis: Inflammation of the sclera, the white part of the eye, can cause severe eye pain, redness, and tenderness. It is often associated with autoimmune disorders.
    • Optic neuritis: Inflammation of the optic nerve can cause eye pain, vision loss, and sensitivity to light. It is often associated with multiple sclerosis.
    • Cluster headaches: A rare type of headache that can cause severe eye pain, often accompanied by redness, tearing, and sweating.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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