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Comparison of Agreement and Accuracy using Binocular Wavefront Optometer with Autorefractor and Phoropter
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Published on: September 16, 2025

The correlation between headache and refractive errors.

Arsen Akinci1, Alev Güven, Aydan Degerliyurt

  • 1Diskapi Children's Hospital, Department of Pediatric Ophthalmology, Ankara, Turkey. arsenakinci@yahoo.com

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
|March 11, 2008
PubMed
Summary

Patients with headache showed a higher prevalence of refractive errors, particularly astigmatism and anisometropia. This study highlights a significant association between headache and vision problems, including miscorrected refractive errors.

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Area of Science:

  • Ophthalmology
  • Neurology
  • Pediatrics

Background:

  • Refractive errors are common vision impairments.
  • Headache is a prevalent neurological symptom with various underlying causes.
  • The relationship between refractive errors and headache requires further investigation.

Purpose of the Study:

  • To compare the prevalence of refractive errors in individuals experiencing headaches versus a control group.
  • To identify specific types of refractive errors associated with headache.

Main Methods:

  • Retrospective evaluation of 310 patients with headache and 843 controls.
  • Comprehensive ophthalmologic examinations and cycloplegic autorefraction.
  • Defined myopia, hyperopia, and astigmatism based on established criteria; analyzed anisometropia and prior miscorrection.

Main Results:

  • Higher overall prevalence of refractive errors in the headache group (p = 0.002).
  • Increased rates of astigmatism (p < 0.0001), compound astigmatism (p = 0.026), and mixed astigmatism (p < 0.001) in headache patients.
  • Significantly higher rates of anisometropia and previous refractive error miscorrection in the headache group (p < 0.0001 for both).

Conclusions:

  • Patients with headache exhibit a greater frequency of astigmatism, anisometropia, and miscorrected refractive errors.
  • Headache is associated with an increased risk of total refractive errors, anisometropia, and miscorrection.
  • These findings suggest a potential link between visual system anomalies and headache.