Consider damaged, abnormal nerves when managing ocular pain

ORLANDO — Ocular pain can have many causes and should not always be diagnosed as dry eye disease, according to a speaker here at Cornea Subspecialty Day at the American Academy of Ophthalmology meeting.
According to Anat Galor, MD, MSPH, pain starts with nociceptive signals and is dependent on peripheral nerves, central nerves and autonomic nerves.
“When we think about pain output ... we cannot forget that there is more than the ocular surface, including the brain,” she said.
Ophthalmologists must look at common nociceptive sources of ocular surface pain, including the periocular skin, eyelashes