"A Scientific Article by Lecturer Gaith Ali Mahmood Titled “Distinguishing Ocular Headache from Neurogenic Headache

  Share :          
  39

Ocular Headache: Arises from problems in the eye or its surrounding structures, such as refractive errors (myopia, hyperopia), glaucoma, optic neuritis, or visual strain. Nature of pain: A feeling of heaviness or pressure around the eye, sometimes radiating to the forehead. Associated symptoms: Blurred or hazy vision. Photophobia (sensitivity to light). Tearing or redness of the eye. Pain often improves with resting the eyes. Triggering factors: Prolonged reading, computer use, or exposure to bright light. Diagnosis: Based on eye examination, intraocular pressure measurement, and fundus (retinal) examination. Treatment: Correction of refractive errors with glasses or contact lenses. Management of glaucoma. Use of eye drops and anti-inflammatory treatment when indicated. Neurogenic Headache Results from neurological dysfunction in pain pathways or cerebrovascular mechanisms, such as in migraine or cluster headache. Nature of pain: Migraine: Usually a throbbing, often unilateral pain. Cluster headache: Severe pain located behind the eye or at the temple. Associated symptoms: Nausea and vomiting. Visual aura preceding the headache. Photophobia (light sensitivity) and phonophobia (sound sensitivity). Recurrent attacks occurring periodically. Triggering factors: Emotional stress, lack of sleep, hormonal changes, and certain foods such as chocolate, alcohol, and caffeine. Diagnosis: Primarily clinical, supported by MRI imaging if neurological warning signs are present. Treatment: Acute management: Use of triptans or strong analgesics. Preventive therapy: Beta-blockers, antidepressants, and lifestyle regulation.