Differential Diagnosis for Left Eye Irritation in a 23-year-old Female
Single Most Likely Diagnosis
- Dry Eye Syndrome: This is a common condition, especially in young adults, and can be caused by prolonged screen time, dry environments, or makeup use. It presents with irritation, redness, and sometimes a gritty sensation without necessarily affecting vision.
Other Likely Diagnoses
- Allergic Conjunctivitis: Given the age and presentation, allergic reactions to pollen, dust, or other environmental allergens are common and can cause eye irritation, redness, and itching.
- Blepharitis: Inflammation of the eyelids can cause irritation, redness, and sometimes a burning sensation. It's often associated with poor eyelid hygiene or conditions like rosacea.
- Conjunctivitis (Viral or Bacterial): Although the question specifies no trauma, viral or bacterial conjunctivitis (pink eye) can occur without a clear source of infection and presents with redness, discharge, and irritation.
Do Not Miss Diagnoses
- Acute Angle-Closure Glaucoma: Although less common and typically presents with severe vision changes and pain, it's crucial to rule out due to its potential for permanent vision loss if not promptly treated.
- Uveitis: Inflammation of the uvea can present with eye pain, redness, and light sensitivity. It has various causes, including autoimmune diseases, and requires prompt treatment to prevent complications.
- Corneal Ulcer: An infection of the cornea that can result from contact lens use or other minor trauma not recalled by the patient. It presents with pain, redness, and decreased vision.
Rare Diagnoses
- Sjögren's Syndrome: An autoimmune disorder that can cause dry eyes among other symptoms. It's less common but should be considered in patients with persistent dry eye symptoms without another clear cause.
- Thygeson's Superficial Punctate Keratitis: A condition characterized by recurrent episodes of superficial punctate keratitis, often associated with viral infections or autoimmune conditions.
- Erythema Multiforme: A skin condition that can also affect the eyes, presenting with target lesions and sometimes eye irritation. It's often triggered by infections or medications.