CTCAE Criteria for Eye Pain:
Grade 1: Mild pain
Grade 2: Moderate pain, limiting instrumental ADLs
Grade 3: Severe pain; limiting self-care ADLs
Characterize the symptom (onset, pace)
Ask the patient:
Have you had any eye issues in the past? Is this a new or worsening symptom? When did it start or get worse? Has it developed gradually or suddenly?
Grade the symptom
Ask the patient:
How painful is your eye? Is it affecting your ability to do the things you want to do or take care of yourself?
Ask the patient:
Do you have any vision changes and/or a headache?
Consider the following in individualizing the intervention: Is the patient a good or poor historian? Any language barriers or cognitive deficits? Is the patient reliable (able to carry out treatment recommendations)? Does this patient have alcohol/substance abuse issues? Does the patient have transportation? Is there sufficient caregiver support?
If the patient has any eye symptoms, they should be seen by both the oncology care provider and an ophthalmologist. For any of the red-flag symptoms, the patient should be seen immediately by the ophthalmologist.
What do you suspect is the cause of the eye pain?