The patient may complain of eye pain or a sensation of the presence of a foreign body after direct ocular trauma. The patient may have abraded the cornea while inserting or removing a contact lens. Removal of a corneal foreign body produces some corneal abrasion, but corneal abrasion can occur without any identifiable trauma. There is often excessive tearing, blurred vision, and photophobia. Often the patient cannot open their eye for the examination because of pain and blepharospasm. Abrasions are occasionally visible during side lighting of the cornea. Conjunctival inflammation can range from minimal to severe conjunctivitis with accompanying iritis.