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Orofacial pain and headaches associated with exfoliation glaucoma
Journal of the American Dental Association (1939)
|May 15, 2017
Summary
Exfoliation glaucoma, a common cause of open-angle glaucoma, can present with orofacial pain. Prompt diagnosis and surgical intervention resolved symptoms in a recent case.
Area of Science:
- Ophthalmology
- Neurology
- Dentistry
Background:
- Exfoliation syndrome is a leading cause of open-angle glaucoma.
- Orofacial pain can be a presenting symptom of ocular conditions.
Observation:
- A 77-year-old woman with a history of cataracts and glaucoma presented with chronic facial pain and headaches.
- Initial investigations for neurological causes were negative.
- Ophthalmological examination revealed severe left-sided ocular hypertension (67 mm Hg).
Findings:
- The patient was diagnosed with exfoliation glaucoma.
- Surgical treatment for glaucoma and cataracts was performed.
- Post-surgery, the patient experienced complete symptom resolution and normalized intraocular pressure (15 mm Hg).
Implications:
- Dentists should consider systemic and ocular conditions in differential diagnoses for orofacial pain.
- Early ophthalmological referral is crucial for patients with persistent orofacial pain and suspected glaucoma.
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