Light Sensitivity

Patient presents with photophobia, experiencing discomfort or pain in the eyes with exposure to light.  This light sensitivity may range from mild irritation to severe debilitating pain, impacting daily activities and quality of life.  The patient reports experiencing this ocular pain and discomfort with varying light intensities, including sunlight, fluorescent lights, and digital screens.  Onset of photophobia is described as [onset - gradual/sudden], and the patient notes [duration - intermittent/constant] symptoms.  Associated symptoms reported include headache, eye strain, excessive tearing (epiphora), blurred vision, and blepharospasm.  Medical history includes [relevant medical history, e.g., migraine, dry eye syndrome, cataracts, corneal abrasion, uveitis, meningitis, traumatic brain injury].  Medications include [list medications].  Ocular examination reveals [objective findings e.g., normal pupils, constricted pupils, dilated pupils, corneal abnormalities, signs of inflammation].  Differential diagnosis includes migraine, dry eye, keratitis, iritis, and post-traumatic stress disorder.  Assessment suggests photophobia likely secondary to [likely cause].  Plan includes [management plan e.g., further investigation, ophthalmology referral, environmental modifications such as tinted glasses or light-reducing lenses,  pharmacological interventions such as lubricating eye drops, pain management strategies].  Patient education provided regarding light sensitivity management and follow-up care.  Return to clinic scheduled in [ timeframe] for reassessment.  ICD-10 code H53.14 (Photophobia) is considered.