Profile of Ophthalmic Causes of Headache – A Prospective Study

Inchara N; Kanthamani K; Shiviji Apurva Navale

doi:10.58739/jcbs/v13i4.23.41

Article

VIEWS 1115
PDF 270

Journal of Clinical and Biomedical Sciences

DOI: 10.58739/jcbs/v13i4.23.41

Year: 2023, Volume: 13, Issue: 4, Pages: 122-125

Original Article

Profile of Ophthalmic Causes of Headache – A Prospective Study

Inchara N^1*, Kanthamani K², Shiviji Apurva Navale³

¹Associate Professor, Department of Ophthalmology, Sri Devraj Urs Medical College, Tamaka, Kolar, Karnataka
²Professor & Head of Department Ophthalmology,Sri Devraj Urs Medical College, Tamaka, Kolar, Karnataka
³Post graduate, Department of Ophthalmology, Sri Devraj Urs Medical College, Tamaka, Kolar, Karnataka

*Corresponding Author
Email: [email protected]

Received Date:04 September 2023, Accepted Date:07 December 2023, Published Date:29 December 2023

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Headache is the most common cause encountered in ophthalmological practice. It is mistaken that all headaches are associated with refractive errors and other ocular diseases. However, it can be an alarming sign in many cerebral disorders and be a key indication for intervention. The study emphasizes determining the causes of headaches and quantifying the ocular causes. Purposive sampling of the subjects above five years presenting with a headache was included in the study. Data was collected with the help of proforma. Cross references from other specialties like ENT, medicine, dentistry, and neurology were taken. Out of 500 subjects in our study, 391 patients (78.2%) directly attended the ophthalmology OPD with headache. In contrast, 109 (21.8%) were referred from other (ENT, Medicine, Dental, Neurology, Surgery) specialties to ophthalmology OPD because of evaluation of headache. A wide range of differential diagnoses must be considered when evaluating patients with headaches with ocular pain or visual disturbances. Hence, the ophthalmologist is the first physician to triage these patients.

Keywords: Headache, Ophthalmic, Benign, Refractive errors, Causes

References

Jain S, Chandravanshi SL, Dukariya L, Tirkey ER, Jain S. Clinical study of headache with special reference to ophthalmic cause. International Journal of Medical Science and Public Health. 2015;4(2):292. Available from: https://doi.org/10.5455/ijmsph.2015.1910201454
Vasumathi R. Approach to headache in ophthalmic practice. TNOA Journal of Ophthalmic Science and Research. 2018;56(2):91. Available from: http://doi.org/10.4103/tjosr.tjosr_54_18
Fasih U, Shaikh A, Shaikh N. Aetiology of headache in clinical ophthalmic practice at a tertiary care hospital of Karachi. J Pak Med Assoc. 2017;67(2):5. Available from: https://pubmed.ncbi.nlm.nih.gov/28138165/
Bhattacharya AK. Evaluation of Headache. JIACM. 2005;6(1):17–22.
Schwartz DP, Robbins MS. Primary headache disorders and neuro-ophthalmologic manifestations. Eye and Brain. 2012;p. 49. Available from: https://doi.org/10.2147/EB.S21841
Dhir BK. Convergence insufficiency. Indian J Ophthalmol. 1961;9:33–38. Available from: https://www.ijo.in/article.asp?issn=0301-4738;year=1961;volume=9;issue=2;spage=33;epage=35;aulast=Dhir
Ahmed SH, Zuberi H. Depression anxiety and headache. J Pak Med Assoc. 1981;31:276–285. Available from: https://pubmed.ncbi.nlm.nih.gov/6806495/
Marasini S, Khadka J, Sthapit PRK, Sharma R, Nepal BP. Ocular morbidity on headache ruled out of systemic causes—A prevalence study carried out at a community based hospital in Nepal. Journal of Optometry. 2012;5(2):68–74. Available from: https://doi.org/10.1016/j.optom.2012.02.007
Queiroz LP, Barea LM, Blank N. An Epidemiological Study of Headache in Florianopolis, Brazil. Cephalalgia. 2006;26(2):122–127. Available from: https://doi.org/10.1111/j.1468-2982.2005.00998.x
Kiambo DK, Misotten L. Headaches in ophthalmology. J Fr Ophtalmol. 2003;26:143–150. Available from: https://pubmed.ncbi.nlm.nih.gov/12660587/
Hainer BL, Matheson EM. Approach to acute headache in adults. Am Fam Physician. 2013;87:682–689. Available from: https://pubmed.ncbi.nlm.nih.gov/23939446/

Copyright

This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Published By Sri Devaraj Urs Academy of Higher Education, Kolar, Karnataka