Clinical study of headache with special reference to ophthalmic cause

Shashi Jain, and Shivcharan Lal Chandravanshi1, and Laxmi Dukariya, and Eva Rani Tirkey, and Sheel Chandra Jain, (2015) Clinical study of headache with special reference to ophthalmic cause. International Journal of Public Health Research, 4 (2). pp. 292-297. ISSN 2232-0245


Official URL:


Background: Rapid modernization of the world requires more attention thereby aggravating eye strain in individuals, resulting into various types of headache disorders. Headache-related disorders are an important cause of disability worldwide, and ophthalmic causes for headache are well known. Objectives: The aims of this study were: (i) to estimate the prevalence of headache disorders in patients attending the eye OPD; (ii) to evaluate the various causes of headache with special reference to ophthalmic conditions; and (iii ) to study the correlation between location of headache and possible ocular causes. Materials and Methods: A prospective study was carried out on 1520 patients from November 2006 to October 2009 at a tertiary eye care center. Detailed clinical history was taken with particular emphasis on onset, duration, location, intensity, character, diurnal variation, and exaggerating and relieving factors. Ocular examination included vision, slit-lamp examination, cycloplegic refraction, orthoptic evaluation, intraocular pressure measurement, and fundoscopy. Besides ocular examination, medical, ENT, dental, and neurological checkup along with investigations such as hemoglobin, blood sugar, X-ray of skull and paranasal sinuses, and CT scan of sinuses and brain were carried out whenever needed and treatment was advised accordingly. The data was entered on a Microsoft Excel spreadsheet and analyzed using SPSS software, version 14.0 (SPSS, Inc., Chicago, IL). P value o0.05 was considered statistically significant. Results: Our study included 1520 subjects complaining of headache. Maximum patients (47%) were in the age group of 16–30 years with female preponderance (56%). Ocular headache was found in 36% followed by primary headache (27%), ENT problems (17%), medical causes (12%), and miscellaneous causes (3%). Out of ocular causes of headache, refractive error (65%) was the most common cause followed by abnormalities of anterior part of eye (21%), muscles imbalance (18%), and posterior segment disorders (5%). Among various refractive errors, astigmatism was found in 41% cases, hypermetropia in 22%, and myopia in 12% patients. In our study, 64% cases were relieved of headache Conclusion: Headache is multifactorial in origin. Possibility of ocular causes should be kept in mind during management of headache. An ophthalmologist may play a vital role in establishing the correct diagnosis of headache.

Item Type:Article
Keywords:Headache, squint, glaucoma, refractive errors, muscle imbalance, migraine
Journal:International Journal of Public Health Research
ID Code:8785
Deposited By: Mr. Muhammad Wafi -
Deposited On:18 Jun 2015 01:18
Last Modified:14 Dec 2016 06:48

Repository Staff Only: item control page