Title: Study of Ophthalmic Causes of Headache in Tertiary Health Care Centre in Central India

Author: Khalid Khan

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i4.176

Abstract

Introduction: headache is a common complain of patients in eye OPD. Headache may be caused by various ophthalmic and non ophthalmic causes. Detail history taking and comprehensive clinical examination is required to make proper diagnosis of headache.

Objective: The aim of the study is to clinically evaluate the ophthalmic cause of headache in patients attending eye OPD with chief complain of headache.

Material and Method: A prospective study of 568 cases of headache attending eye OPD was done. Ophthalmological examination including refraction under appropriate

cycloplegia, strabismus evaluation, anterior segment examination on Slit lamp, direct and indirect ophthalmoscopy, intraocular pressure measurement and examination of adnexa  was done. cases in which no ophthalmological cause of headache was found were refer to other departments as suggested by history and associated complain.

Results: Out of 568 cases, in 177 cases ophthalmic causes of headache were found. Headache incidence were more in females( 59.3%) cases than males(40.7%).headache was found to be more prevalent in 10-30 years age group (54%).refractive erros (59.8%) was most common cause of ophthalmic headache followed by presbyopia (11.8%),muscular imbalance (7.9%),computer vision syndrome(6.25%),glaucoma(3.3%)lid inflammation (2.8%), uveitis (2.8%) and keratitis (1.6%).Astigmatism(44.3%) and Hypermetropia (33.0%) were most common refrective errors causing headache.

Conclusion: Most common causes of ophthalmic headache are refractive errors, presbyopia, muscle imbalance, coputer vision syndrome and anterior segment pathology.

Keywords: Headache, refractive error, presbyopia, computer vision syndrome, glaucaoma, uveitis.

References

  1. Martin TJ, Soyka D. Ocular causes of headache. In: The Headaches, Olesen J, Tfelt-Hansen P, Welch KMA (Eds). New York: Raven Press, 1993. p. 748.
  2. Dhir BK. Convergence insufficiency. Indian J Ophthalmol 1961;9:33–5.
  3. Lanchner AJ. Headache in ophthalmic practice. Neurology,1952;2:471–6.
  4. Marasini S, Khadka J, Sthapit PRK, Sharma R, Prasad B. Ocularmorbidity on headache ruled out of systemic causes—aprevalence study carried out at a community based hospital inNepal. Nepal J Optom 2012;5:68–74.
  5. Ahmed SH, Zuberi H. Depression anxiety and headache. J Pak Med Assoc 1981;31:276–9.
  6. J kumar et al Headache: An Out Patients Clinic Approach (Ophthalmological View. OSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 16, Issue 11
  7. Cogan DG. Popular misconceptions pertaining to ophthalmology. New Engl J Med 1941;224:462–6.
  8. Gupta A, Kailwoo SK, Vijayawali. Convergence insufficiency inpatients visiting eye OPD with headache. JK Science 2008;10:135–6.
  9. Daum K.M., Good G.,Tijerina L. Symptoms in video display terminal operaters and the presence of small refractive errors.J Am Optom Assoc.1988;59:691-697.

Corresponding Author

Dr Khalid Khan

110, Royal apartment, Kohe Fiza, Bhopal, MP India

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