## Overview Orbital tightening is partial sustained squinting that makes the eye appear smaller, with increased blink rate and wrinkles above and below the eye. It is one of the most reliable indicators of pain and is scored on the Horse Grimace Scale. It reflects discomfort rather than a primary eye disease. ## What It Indicates Pain, which may be ocular, musculoskeletal, or visceral. ## Diagnosis Observation as part of a pain assessment. Examine the eye itself to rule out primary ocular disease. ## Treatment Address the underlying source of pain. ## Recovery and Prognosis Resolves when pain is controlled. ## Prevention Prompt pain management.
partially closed or squinting eye; increased blink rate; eye appears smaller; wrinkles above and below the eye
## Overview Orbital tightening is partial sustained squinting that makes the eye appear smaller, with increased blink rate and wrinkles above and below the eye. It is one of the most reliable indicators of pain and is scored on the Horse Grimace Scale. It reflects discomfort rather than a primary eye disease. ## What It Indicates Pain, which may be ocular, musculoskeletal, or visceral. ## Diagnosis Observation as part of a pain assessment. Examine the eye itself to rule out primary ocular disease. ## Treatment Address the underlying source of pain. ## Recovery and Prognosis Resolves when pain is controlled. ## Prevention Prompt pain management.
partially closed or squinting eye; increased blink rate; eye appears smaller; wrinkles above and below the eye