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The eye and headache.

Deborah I Friedman¹

¹Departments of Ophthalmology and Neurology, University of Rochester School of Medicine and Dentistry, 601 Elmwood Avenue, Box 659, Rochester, NY 14642, USA. Deborah_Friedman@urmc.rochester.edu

Ophthalmology Clinics of North America

|September 1, 2004

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Ophthalmologists frequently see patients with headaches and eye pain. This review focuses on ophthalmic symptoms of primary headache disorders like migraine and trigeminal autonomic cephalgias, many of which have neurologic origins.

Area of Science:

Neurology
Ophthalmology

Background:

Ophthalmologists are often the initial point of contact for patients presenting with headaches, eye pain, and visual disturbances.
While some ophthalmic causes are identified, the majority of eye pain and visual disturbances stem from neurologic conditions.

Purpose of the Study:

To review primary headache disorders.
To focus on the ophthalmic manifestations of these neurologic conditions.

Main Methods:

Literature review of primary headache disorders.
Analysis of ophthalmic symptoms and signs associated with headaches.

Main Results:

Headache disorders present with both afferent and efferent symptoms and signs.
Migraine and trigeminal autonomic cephalgias are major categories of primary headache disorders with significant ophthalmic involvement.

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Conclusions:

Many cases of eye pain and visual disturbances evaluated by ophthalmologists are related to underlying neurologic headache disorders.
Understanding the ophthalmic features of primary headaches is crucial for accurate diagnosis and management.