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Headaches attributed to visual disturbances

Neurological Sciences volume 36, pages 85–88 (2015)Cite this article

Abstract

Ocular pain due to ophthalmological diseases is most commonly associated with redness and inflammation of the ocular surface and surrounding tissues. Pain in a quiet eye can be referred as headache and can be the first sign of a number of ocular or orbital conditions. Painful symptoms may be considered non-specific if signs of targeted diseases are not identified. Collection of appropriate history of pain around the eye and associated symptoms or signs should be considered to recognize when ophthalmological examination is needed. Some painful diseases such as intermittent angle closure glaucoma, uveitis or optic neuritis, can lead to severe and permanent visual loss and require a prompt diagnosis and treatment.

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References

  1. Schoenen J, Sándor PS (2004) Headache with focal neurological signs or symptoms: a complicated differential diagnosis. Lancet Neurol 3:237–245

    PubMed  Google Scholar 

  2. Lee AG, Al Zubidi N, Beaver HA, Brazil PW (2014) An update on eye pain for the neurologist. Neurol Clin 32:489–5050

    PubMed  Google Scholar 

  3. Ringeisen AL, Harrison AR, Lee MS (2011) Ocular and orbital pain for the headache specialist. Curr Neurol Neurosci Rep 11:156–163

    PubMed  Google Scholar 

  4. Harooni H, Golnik KC, Geddie B, Eggenberger ER, Andrew GL (2005) Diagnostic yield for neuroimaging in patients with unilateral eye or facial pain. Can J Ophthalmol 40:759–763

    PubMed  Google Scholar 

  5. Abelson MB, Ousler GW III, Maffei C (2009) Dry eye in 2008. Curr Opin Ophthalmol 20:282–286

    PubMed  Google Scholar 

  6. Galor A, Thorne JE (2007) Scleritis and peripheral ulcerative keratitis. Rheum Dis Clin North Am 33:835–854

    PubMed Central  PubMed  Google Scholar 

  7. Lewis J, Fourman S (1998) subacute angle-closure glaucoma as a cause of headache in the presence of a white eye. Headache 38:684–686

    CAS  PubMed  Google Scholar 

  8. Smith JH, Garrity JA, Boes CJ (2014) Clinical features and long-term prognosis of trochlear headaches. Eur J Neurol 21:577–585

    CAS  PubMed  Google Scholar 

  9. Pego-Reigosa R, Vázquez-López ME, Iglesias-Gómez S, Martínez-Vázquez FM (2006) Association between chronic paroxysmal hemicrania and primary trochlear headache: pathophysiology and treatment. Cephalalgia 26:1252–1254

    Article  CAS  PubMed  Google Scholar 

  10. Lee MS, Lessel S (2002) Orbital myositis posing as cluster headache. Arch Neurol 50:635–636

    Google Scholar 

  11. Guaschino E, Zandrini C, Minonzio G, Mancioli A, Broggini M, Bono G (2005) Relapsing-remitting painful ophthalmoplegia due to orbital myositis. J Headache Pain 6:471–472

    PubMed Central  CAS  PubMed  Google Scholar 

  12. Politi LS, Godi C, Cammarata G, Ambrosi A, Iadanza A, Lanzi R, Falini A, Bianchi Marzoli S (2014) Magnetic resonance imaging with diffusion weighted imaging in the evaluation of thyroid-associated orbitopathy: getting below the tip of the iceberg. Eur Radiol 24(5):1118–1126

    PubMed  Google Scholar 

  13. Politi LS, Forghani R, Godi C, Resti AG, Ponzoni M, Bianchi S, Iadanza A, Ambrosi A, Falini A, Ferreri AJ, Curtin HD, Scotti G (2010) Ocular adnexal lymphomas: diffusion-weighted imaging for differential diagnosis and therapeutic monitoring. Radiology 256(2):565–574

    Article  PubMed  Google Scholar 

  14. Ling JD, Chao D, AlZubidi N, Lee AG (2013) Big red flags in neuro-ophthalmology. Can J Ophthalmol 48:3–7

    PubMed  Google Scholar 

  15. Agostoni E, Frigerio R, Santoro P (2005) Atypical facial pain: clinical consideration and differential diagnosis. Neurol Sci 26:S71–S74

    PubMed  Google Scholar 

  16. Optic Neuritis Study Group (1991) The clinical profile of optic neuritis. Experience of the Optic Neuritis Treatment Trial. Arch Ophthalmol 109:1673–1678

    Google Scholar 

  17. Pau D, Al Zubidi N, Yalamanchili S, Plant GT, Lee AG (2011) Optic neuritis. Eye 25:833–842

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  18. Agostoni E, Frigerio R, Protti A (2005) Controversies in optic neuritis pain diagnosis. Neurol Sci 26:S75–S78

    PubMed  Google Scholar 

  19. Choi S, Lee YJ, Kim DW, Yang JY (2014) A case of neuromyelitis optica misdiagnosed as cervicogenic headache. Korean J Pain 27(1):77–80

    PubMed Central  PubMed  Google Scholar 

  20. Hoorbakht H, Bagherkashi F (2012) Optic neuritis, its differential diagnosis and management. Open Ophthalmol J 6:65–72

    PubMed Central  PubMed  Google Scholar 

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The authors certify that there is no actual or potential conflict of interest in relation to this article.

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Affiliations

  1. Department of Ophthalmology, Neuro-Ophthalmology Service, Istituto Auxologico Italiano, Via Mercalli, 28, 20122, Milan, Italy

    S. Bianchi Marzoli & A. Criscuoli

Authors
  1. S. Bianchi Marzoli
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  2. A. Criscuoli
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Correspondence to S. Bianchi Marzoli.

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Marzoli, S.B., Criscuoli, A. Headaches attributed to visual disturbances. Neurol Sci 36, 85–88 (2015). https://doi.org/10.1007/s10072-015-2167-4

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  • DOI: https://doi.org/10.1007/s10072-015-2167-4

Keywords

  • Eye pain
  • Dry eye
  • Glaucoma
  • Uveitis
  • Refractive error
  • Optic neuritis