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Headache associated with refractive errors: Characteristics and risk factors

H Lajmi1, R Choura1, B Ben Achour1

  • 1Internal Security Forces Hospital, rue Mohamed Fadhel Ben Achour, 2078, Marsa Safsaf, Tunis, Tunisie.

Revue Neurologique
|January 23, 2021
PubMed

Insights

Headaches associated with refractive errors (HARE) significantly impact quality of life, often linked to prolonged screen time and specific vision issues. Prompt optical correction and managing risk factors fully resolve these headaches.

Area of Science:

  • Ophthalmology
  • Neurology
  • Public Health

Background:

  • Headaches associated with refractive errors (HARE) are a common but often overlooked condition.
  • Understanding the characteristics and risk factors of HARE is crucial for effective management.
  • The impact of HARE on patients' quality of life requires thorough investigation.

Purpose of the Study:

  • To characterize headaches associated with refractive errors (HARE).
  • To identify correlations between HARE characteristics and specific risk factors.
  • To evaluate the impact of HARE on patients' quality of life and the effectiveness of treatment.

Main Methods:

  • A cross-sectional, retrospective study involving 90 patients with HARE and a control group.
  • Analysis of HARE characteristics, including duration, frequency, type, and location.
  • Assessment of risk factors such as profession, triggers, ametropia type, and orthoptic abnormalities, alongside quality of life using the HIT-6 score.

Main Results:

  • HARE were predominantly chronic, progressive, daily, and occurred in the latter half of the day.
  • Prolonged screen work, combined ametropias, moderate hyperopia, and astigmatism were identified as significant risk factors.
  • A substantial impact on quality of life was observed in 68% of patients, influenced by high myopia. Treatment resulted in 100% improvement.

Conclusions:

  • HARE significantly affects quality of life and necessitates treatment focused on risk factor management.
  • Adequate refractive error correction and lifestyle adjustments are vital for managing HARE, particularly in children.
  • Treating oculomotor abnormalities contributes to improved long-term outcomes for HARE patients.
Abstract

Keywords:
AccommodationAsthenopiaHeadacheRefractive errors

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