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.