International Journal of Health and Clinical Research
Yazarlar: Srinivas Phani Nakkella, Supriya BN
Konular:-
Anahtar Kelimeler:Ocular headache,Refractive errors,Astigmatism,Hypermetropia,Presbyopia
Özet: Background And Objectives:Headache is the most common symptom with multiple etiological factors which play a role in the pathogenesis. It is difficult to find out the exact cause of it. Headache due to ocular cause is a well-known fact.The objectives of this study were:1.To determine the various ocular causes of headache.2.To estimate the proportion of patients, attending to ophthalmology outpatient department with headache.Methods:All the patients attending outpatient department of ophthalmology at our institute with headache from November 2017 to October 2019 were examined after taking informed consent. Such enrolled subjects, were evaluated clinically for the ocular causes of headache. 180 patients with ocular causes of headache were further evaluated by doing investigative procedures like visual acuity, refraction, slit-lamp examination, fundoscopy, retinoscopy. If required tonometry and gonioscopy were performed. Patients with non-ocular causes of headache were referred to department of oto-rhino-laryngology, general medicine and psychiatry. The data collected was analyzed using SPSS software.Results: In our study, most common age group affected was 16-30years 46.7(%). Females were more commonly affected (69.4%) than males. Proportion of ocular causes of headache was found to be 35%. Refractive error (68.9%) was the most common cause of ocular headache followed by presbyopia in 18.8%, muscle imbalance in 12.2% and others like glaucoma, papilloedema, uveitis, coloboma. Among the refractive errors, astigmatism (35.8%) was most common followed by hypermetropia (28.8%).Conclusion:Headache due to ocular problems is very frequent. So during the management of a case of headache ocular causes should be kept in mind. Patients with headache are to be investigated to rule out eye related disorders especially for the refractive errors and binocular vision anomalies. So, it is very important to give emphasis on thorough examination and referring to an appropriate specialist in a patient with headache.