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Headache and refractive errors in children.

Zachary Roth, Katie R Pandolfo, John Simon

    Journal of Pediatric Ophthalmology and Strabismus
    |May 9, 2014
    PubMed
    Summary
    This summary is machine-generated.

    Headaches in children are rarely caused by refractive errors. Most children with headaches experience improvement regardless of whether their vision correction is updated.

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    Area of Science:

    • Ophthalmology
    • Pediatric Neurology

    Background:

    • Headaches are a common complaint in children.
    • The role of refractive errors in pediatric headaches is not fully understood.

    Purpose of the Study:

    • To examine the link between uncorrected or miscorrected refractive errors and headaches in children.
    • To assess if correcting refractive errors aids in headache resolution.

    Main Methods:

    • Ophthalmic examinations, including refractive error assessment, were performed at the initial visit for headache.
    • Caregivers were contacted via telephone for follow-up data on headache resolution if not documented.

    Main Results:

    • 75.3% of 158 patients had normal eye exams. Follow-up was available for 110 patients.
    • 32 patients received updated spectacle correction; 78 did not. Headaches improved in 76.4% of all patients.
    • Improvement rates were similar whether refractive correction changed (71.9%) or not (78.2%), with no statistical significance (P = .38).

    Conclusions:

    • Pediatric headaches are typically not attributed to ophthalmic conditions, including refractive errors.
    • Prognosis for headache improvement in children is generally favorable, irrespective of refractive correction needs.