Penlight Exam

  • Simple method of inspecting soft tissues around eyes
  • Find a bright penlight and follow this basic routine (penlight exam)
  • Inflammation, irritation, venous congestion will cause discharge, hyperemia of conjunctiva, and swelling of conjunctiva and perhaps lids
  • Trauma, aging, coagulation disorder, hypertension may cause hemorrhage
  • Dryness will cause loss of corneal and conjunctival luster
  • Jaundice will cause yellow discoloration of episclera
  • Excess melanin (melanosis, melanoma) will cause brown/black pigment patches
  • Cancer, inflammation will cause lumps