Franko Zeitz P
Praxis Zeitz Franko Zeitz, Blumenstr. 11-13, 40212, Düsseldorf, Deutschland.
Ophthalmologe. 2011 Dec;108(12):1107-10. doi: 10.1007/s00347-011-2392-z.
Clinical ophthalmologists are often confronted with ocular pain, a symptom that can cause severe difficulties in the diagnostic assessment. The most common etiology is constituted by neurological disorders. Besides possible ophthalmologic causes for such disorders, otorhinolaryngological and oral and maxillofacial origins have to be considered. The ophthalmologist plays an important role as the first examiner, who has to rule out acute life-threatening conditions and also direct further steps in the differential diagnosis. This article clarifies such a diagnostic approach and discusses how a rudimentary knowledge of the characteristics of primary headaches is crucial as even though they do not induce ophthalmologic changes they constitute the main reason for the occurrence of ocular pain.
临床眼科医生经常会遇到眼痛问题，这一症状会给诊断评估带来严重困难。最常见的病因是神经系统疾病。除了此类疾病可能的眼科病因外，还必须考虑耳鼻喉科以及口腔颌面方面的病因。眼科医生作为首诊医生起着重要作用，必须排除急性危及生命的情况，并指导鉴别诊断的后续步骤。本文阐明了这种诊断方法，并讨论了对原发性头痛特征的基本了解为何至关重要，因为即使原发性头痛不会引起眼科变化，但它们却是眼痛发生的主要原因。
