Phthisis bulbi is the end-stage ocular response to trauma and/or severe ocular disease. The presentation is that of a very soft, atrophic, blind, and shrunken eye with disorganization of the intraocular structures. These eyes usually do not have pain. However, if pain is present, it can range from very mild irritation to extreme, nearly 10/10, pain. Patients can be asymptomatic for years and then suddenly develop intense, unremitting pain leading to the need for medical and/or surgical intervention.