INSPECTION OF THE EYE ; and some.

This is following on from the post about the Eye Exam - just some depth into what you're looking for on examination:

General - Looking for

Patient's general health and facial appearance
Eyebrows: hair loss in myxoedema
Eye sizes: can be different (bupthalmos)
Protrusion: eg thyrotoxicosis
Swelling: eg renal disease, allergy
Lax lids : ectropion (lid out), entropion (where lid turned in)
Bruising: Trauma (generally assault)

Eyelid
Eyelash position -pointing in can damage the cornea
Ptosis -autonomic damage or congenital
Lid retraction -thyroid eye disease
Fasciculation or tremor? thyrotoxicosis
Redness and swelling? infection
Lacrimal punctum

Conjuctiva
Colour -anaemia, infection etc
Blood vessels
Pterygium and pinguecula - benign growths of the conjuctiva
Lymph follicles - allergy

Cornea
Corneal arcus w/wo deposits
Cloudiness/opacities
Ulcer

Pupil
Size, shape, irregularity
Iris colour and shape

PALPATION
Check for tenderness over and around the closed eye,
Check for gross abnormality of intra-ocular pressue

Percussion not applicable
Auscultation = check for bruits if applicable eg over any unexplained swelling or proptosis