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Pain in and around the eye with or without an associated headache is a relatively common presenting complaint to the neurologist. Although the main causes for eye pain are easily diagnosed by simple examination techniques that are readily available to a neurologist, sometimes the etiology is not as obvious and may require a referral to an ophthalmologist. This article summarizes and updates our prior review in Neurologic Clinics 1 on this topic and includes (1) ocular and orbital disorders that produce