Skip Navigation LinksHome > November 2009 - Volume 20 - Issue 6 > Headache and the eye
Current Opinion in Ophthalmology:
doi: 10.1097/ICU.0b013e328331270d
Ocular manifestations of systemic disease: Edited by Russell W. Read

Headache and the eye

Dafer, Rima Ma; Jay, Walter Mb

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Abstract

Purpose of review: Visual disturbances and ocular symptoms are common manifestations of two primary headache disorders, migraine and trigeminal autonomic cephalalgias, and many secondary headache disorders.

Recent findings: Structural lesions have been described with trigeminal autonomic cephalalgias. A systematic diagnostic evaluation including neuroimaging with assessment of intracranial and cervical vasculature, and the sellar and paranasal regions is recommended in every patient presenting with symptoms indicative of trigeminal autonomic cephalalgias for the first time.

Summary: Ophthalmologists are often the first physicians to evaluate patients presenting with headaches and ocular pain or visual symptoms. Knowledge of primary and secondary headache disorders, a detailed history, and a thorough clinical examination are prerequisites for accurate diagnosis and appropriate management.

© 2009 Lippincott Williams & Wilkins, Inc.

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