Department of Ophthalmology and Visual Neurosciences, University of Minnesota, Minneapolis, MN.
Curr Opin Ophthalmol. 2020 Nov;31(6):483-488. doi: 10.1097/ICU.0000000000000702.
Eye pain is one of the most common presenting symptoms in ophthalmology. It can range from bothersome to debilitating for patients, and it can be vexing for clinicians, especially in the white and quiet eye. The purpose of this review is to provide updates of recent literature regarding eye pain and to communicate our current understanding regarding the evaluation and management of conditions that cause eye pain with a relatively normal examination.
This review concerns recent literature regarding eye pain in the white and quiet eye. It is arranged by cause of pain and discusses dry eye syndrome, recurrent corneal erosion, postrefractive surgical pain, eye strain, intermittent angle closure, benign essential blepharospasm, trochleodynia, trochleitis and trochlear headache, and posterior scleritis.
Eye pain in the white and quiet eye remains a difficult-to-navigate topic for practitioners. However, a careful history and focused physical examination can elucidate the diagnosis in many cases. Recent updates to the literature have advanced our knowledge of how to identify and treat the underlying causes of eye pain.
目的综述：眼部疼痛是眼科最常见的症状之一。它可以使患者感到不适甚至虚弱，也会使临床医生感到困惑，尤其是在白色和安静的眼睛中。本文的目的是提供有关眼部疼痛的最新文献综述，并就相对正常检查时引起眼部疼痛的疾病的评估和治疗，传达我们目前的理解。
最新发现：本文综述了有关白色和安静眼睛中眼部疼痛的最新文献。本文按疼痛原因进行安排，并讨论了干眼症综合征、复发性角膜糜烂、屈光手术后疼痛、眼疲劳、间歇性房角关闭、良性特发性眼睑痉挛、滑车神经痛、滑车炎和滑车性头痛以及后巩膜炎。
总结：在白色和安静的眼睛中，眼部疼痛仍然是从业者难以解决的问题。然而，仔细的病史和有针对性的体格检查可以在许多情况下阐明诊断。最近文献的更新推进了我们对如何识别和治疗眼部疼痛根本原因的认识。
