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Year : 2020  |  Volume : 68  |  Issue : 7  |  Page : 1371-1379

Differential diagnosis of acute ocular pain: Teleophthalmology during COVID-19 pandemic - A perspective

1 Department of Cornea, The Cornea Institute, L.V. Prasad Eye Institute, Kallam Anji Reddy Campus, Hyderabad, India
2 Department of Cornea and Anterior Segment, L V Prasad Eye Institute, Bhubaneswar, Odisha, India
3 Sarvodaya Eyecare Experts, Mumbai, Maharashtra, India
4 Department of Glaucoma, Advanced Eye Center, Postgraduate Institute of Medical Education and Research, Chandigarh, India
5 Department of Ophthalmic Plastic Surgery, L.V. Prasad Eye Institute, Kallam Anji Reddy Campus, Hyderabad, India
6 Department of Pediatric Ophthalmology, Strabismus and Neurophthalmology K.B. Haji Bachooali Eye Hospital and Agashe Hospital, Mumbai, Maharashtra, India
7 Crystal Clear Eye Institute and Apex, Mumbai, Maharashtra, India
8 iRetina, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Somasheila I Murthy
Department of Cornea, Kallam Anji Reddy Campus, The Cornea Institute, L V Prasad Eye Institute, LV Prasad Marg, Banjara Hills, Hyderabad, Telangana - 500 034
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_1267_20

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Ocular pain is a common complaint which forces the patient to seek immediate medical attention. It is the primeval first response of the body to any severe condition of the eye such as trauma, infections and inflammation. The pain can be due to conditions directly affecting the eye and ocular adnexa; or indirect which would manifest as referred pain from other organ structures such as the central nervous system. Paradoxically, there are several minor and non-sight threatening conditions, which also leads to ocular pain and does not merit urgent hospital visits. In this perspective, we intend to provide guidelines to the practising ophthalmologist for teleconsultation when a patient complains of pain with focus on how to differentiate the various diagnoses that can be managed over teleconsultation and those requiring emergency care in the clinic. These guidelines can decrease unnecessary hospital visits, which is the need of the hour in the pandemic era and also beyond. Patients who are under quarantine and those who are unable to travel would be benefitted, and at the same time, the burden of increased patient load in busy hospital systems can be reduced.

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