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Category: Volume 07 Issue 12 December 2019
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Title: To study the clinical correlation of headache and refractive error subtypes

Authors: Dr Supriya B N, Dr Lokesh H M

 DOI: https://dx.doi.org/10.18535/jmscr/v7i12.120

Abstract

Purpose: The prevalence of refractive errors is 13 to 80%.The uncorrected refractive errors are associated with headache. Examination & correction of defect will reduce headache. Minor refractive errors cause more headache & symptoms than major refractive errors.

Material & Methods: 150 patients with headache due to refractive error were included. A descriptive cross-sectional study. Subjects were evaluated like visual acuity, refraction, slit-lamp examination, retinoscopy were done. The type and amount of refractive error were estimated.

Results: Females (72%) suffer more than males from headache. Refractive errors are more commonly associated with frontal headache (67%).  82.7% of patients had a visual acuity 6/18 and better. 43.6% of astigmatics, 33% of hypermetropes presented with headache.

Conclusion: Most of the cases of astigmatism & hypermetropia presents with headache than blurring of vision. Ciliary muscle contraction & accommodation results in higher rate of headache in hypermetropes and astigmatics.

Keywords: Headache, Astigmatism, Hypermetropia.

References

  1. Pan CW, Klein BE, Cotch MF, Shrager S, Klein R. Racial variations in the prevalence of refractive errors in the United States: the multi-ethnic study of atherosclerosis. Am J Ophthalmol. 2013; 155: 1129-1138.
  2. Kempen JH, Mitchell P, Lee KE, Tielsch JM, Broman AT. The prevalence of refractive errors among adults in the United States, Western Europe, and Australia. Arch Ophthalmol. 2004; 122: 495-505.
  3. Dandona R, Dandona L, Naduvilath TJ, Srinivas M, McCarty CA. Refractive errors in an urban population in southern India: the Andhra Pradesh Eye Disease Study. Invest Ophthalmol Vis Sci. 1999; 40: 2810-2818.
  4. Bellows JG. Headache and the eye.Headache.1968;7:165---170.
  5. Thomas E, Boardman HF, Ogden H, Millson DS, Croft PR.A dvice And care for headaches: who seeks it, who gives it?Cephalalgia.2004;24:740---752.
  6. The art of clinical refraction.London:Oxford University Press; 1958.
  7. Gordon DM. Some Headaches in an ophthalmologist’s office. Headache. 1966;6:141---146.
  8. Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain. Headache Classification Committee of the International Headache Society. Cephalalgia. 1988; 8: 1-96.
  9. Jain S, Chandravanshi SL, Dukariya L, Tirkey ER, Jain SC. Clinical study of headache with special reference to ophthalmic cause. Int J Med Sci Public Health 2015;4:292-7.
  10. Lanchner AJ. Headache in ophthalmic practice. Neurology 1952;2:471–6.
  11. Brown EVL, Kronfeld PC. The acuity of binocular depth perception in hemianopsia.Trans Am Ophthalmol Soc 1930; 28:231–49.
  12. Blehm C, Vishnu S, Khattak A, Mitra S, Yee RW. Computer vision syndrome: a review. Surv Ophthalmol 2005; 50: 253-62
  13. Marasini S, Khadka J, Sthapit PRK, Sharma R, Prasad B. Ocular morbidity on headache ruled out of systemic causes- a prevalence study carried out at a community based hospital in Nepal. Nepal J Optom 2012;5:68-74.
  14. Patwardhan SD, Sharma P, Saxena R, Khanduja SK. Preferred clinical practice in convergence insufficiency in India: a survey. Ind J Ophthalmol. 2008;56:303---306.
  15. Griffith A. The eyes as a cause of headache. Br Med J 1934;2:296–7.
  16. Cogan DG. Popular misconceptions pertaining to ophthalmology. New Engl J Med 1941;224:462–6.

Corresponding Author

Dr Supriya B N

Junior Resident, Department of Ophthalmology, SSMC, Tumkur