Headache associated with refractive errors: Characteristics and risk factors

Lajmi, Houda; Choura, Racem; Achour, Besma Ben; Doukh, Meryem; Amin, Zanyar M.; Hmaied, W.

doi:10.1016/j.neurol.2020.10.008

Cited by 11 publications

(16 citation statements)

References 15 publications

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“…Rao et al also reported myopia to be the most common RE in their cohort [8]. However, our findings contrast with those of Lajmi et al, who reported an association of HARE with moderate hypermetropia and astigmatism [4], and Akinci et al, who reported astigmatism to be the most common RE in their cohort of children with headache [16].…”

Section: Discussioncontrasting

confidence: 93%

“…Lajmi et al described HARE as chronic, progressive, daily, and greater toward the end of the day while decreasing on vacation days. Further, they reported that HARE was usually localized to the frontal and orbital areas [4]. Our findings echo theirs.…”

Section: Discussionsupporting

confidence: 89%

“…Some hypothesize that this is merely a mistaken association due to the high prevalence of both REs and headache. However, numerous other authors have reported headache as the presenting symptoms of REs, ranging from 15% to 70% of such children [4]. Daiban et al found headache to be the presenting complaint in over half their patients with astigmatism, and almost 25% of those with myopia or hypermetropia [15].…”

Section: Discussionmentioning

confidence: 99%

“…Ophthalmologists regularly see children with complaints of headache [4]. These complaints may or may not be genuinely ophthalmologic in origin.…”

Section: Introductionmentioning

confidence: 99%

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Characteristics of Headache in Children Presenting to Ophthalmology Services in a Tertiary Care Center of South India

Christopher¹,

Priya²,

Bhat³

et al. 2022

Cureus

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Introduction: Headache is a common cause of disability worldwide and can disrupt the education and social life of children. Children regularly present to ophthalmologists with headache. So, we aimed to describe the characteristics of headache in children presenting to the ophthalmology outpatient department (OPD) in our center.Methodology: We conducted this cross-sectional, prospective study in Bangalore, India. We included all children aged 5-18 years, presenting with headache to the ophthalmology OPD, from September 2018 to September 2020, and excluded nonverbal children, those with prior head trauma, diagnosed psychiatric illnesses, or epilepsy. We provided each child with a headache questionnaire, following which they received a detailed ophthalmologic evaluation. We performed relevant descriptive and inferential analyses.Results: We included 311 children, with a mean age of 11.1 years. Sixty-eight percent were males. Fifty-one percent reported holocranial headache, and 28% reported frontal headache. Sixty-nine percent reported screen time of ≥2 hours/day. The most common refractive error (RE) was myopia, seen in 48%. The most common type of headache was headache associated with refractive errors (HARE), seen in 64%, followed by migraine, in 19%. Children with HARE were more likely to be males, have daily screen time of >2 hours/day, or have myopia. Their headache was more likely to be for >1 month, or have frontal localization. Children with headache due to other causes were more likely to be adolescents. Discussion: We found that almost two-thirds of children presenting to our ophthalmology OPD had HARE. Our findings support the association of REs with headache. Children with HARE had a longer history and predominantly frontal localization. Further, they reported longer screen time, a significant finding in today's world. Ophthalmologists must be aware of the various etiologies of headache and ensure that each child with headache receives a full ophthalmologic evaluation.

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Section: Discussioncontrasting

confidence: 93%

Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

“…Ophthalmologists regularly see children with complaints of headache [4]. These complaints may or may not be genuinely ophthalmologic in origin.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Characteristics of Headache in Children Presenting to Ophthalmology Services in a Tertiary Care Center of South India

Christopher¹,

Priya²,

Bhat³

et al. 2022

Cureus

View full text Add to dashboard Cite

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“…It has been proven that people with refractive errors were more likely to experience migraine episodes [ 93 ]. The work of Lajmi et al (2021) also confirms that abnormal ametropia may be a possible cause of headaches [ 94 ]. Research on TMDs versus headache shows that TMDs were associated with an increased incidence of primary headaches.…”

Section: Biochemical Connectionmentioning

confidence: 98%

The Organ of Vision and the Stomatognathic System—Review of Association Studies and Evidence-Based Discussion

et al. 2021

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The stomatognathic system is a functional complex of tissues and organs located within the oral and craniofacial cavities. The craniofacial anatomical factors and the biomechanics of the temporomandibular joints affect many systems throughout the body, including the organ of vision. However, few scientific reports have shown a relationship between the organ of vision and the stomatognathic system. The purpose of this review is to provide an overview of connections along neural, muscle-fascial, and biochemical pathways between the organ of vision and the stomatognathic system. Based on the literature presented in this review, the connections between the organ of vision and the stomatognathic system seem undeniable. Understanding the anatomical, physiological, and biochemical interrelationships may allow to explain the interactions between the mentioned systems. According to the current knowledge, it is not possible to indicate the main linking pathway; presumably, it may be a combination of several presented pathways. The awareness of this relationship among dentists, ophthalmologists, physiotherapists, and optometrists should increase for the better diagnosis and treatment of patients.

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