Differential Diagnosis for Pain with Eye Movements
Single Most Likely Diagnosis
- Dry Eye Syndrome: This condition is characterized by inflammation of the ocular surface and can cause pain, especially when moving the eyes. It's a common issue that can be exacerbated by environmental factors, contact lens use, or certain medications.
Other Likely Diagnoses
- Conjunctivitis: Inflammation or infection of the conjunctiva can cause discomfort and pain, particularly with eye movements. This can be due to viral, bacterial, or allergic causes.
- Blepharitis: Inflammation of the eyelids can lead to pain and discomfort, especially when blinking or moving the eyes. It's often associated with meibomian gland dysfunction or rosacea.
- Orbital Myositis: Inflammation of the extraocular muscles can cause pain with eye movements, typically worsening with specific directions of gaze.
Do Not Miss Diagnoses
- Giant Cell Arteritis: Although less common, this condition can cause severe pain with eye movements due to inflammation of the arteries supplying the eyes. It's crucial to diagnose promptly to prevent vision loss.
- Optic Neuritis: Inflammation of the optic nerve can cause pain with eye movements, often accompanied by vision loss or changes in color perception. Early diagnosis is essential for effective treatment.
- Cavernous Sinus Thrombosis: A rare but potentially life-threatening condition that can cause pain with eye movements due to thrombosis of the cavernous sinus. It requires immediate medical attention.
Rare Diagnoses
- Tolosa-Hunt Syndrome: A rare condition characterized by inflammation of the cavernous sinus or superior orbital fissure, causing pain with eye movements, among other symptoms.
- Ocular Myasthenia Gravis: A rare autoimmune disorder that can cause weakness and pain in the extraocular muscles, leading to discomfort with eye movements.
- Idiopathic Orbital Inflammatory Disease: A group of rare conditions that cause inflammation of the orbit without a known cause, potentially leading to pain with eye movements.