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An Ophthalmologist's View of Headache

It is not uncommon that a patient presents with pain or headache of varying intensity; very often in or about the eye and orbit. Furthermore, complaints of impaired vision before, during, or often in between headaches are equally frequent. Thus, it is not surprising that the ophthalmologist sees headache patients on an almost daily basis and can be of assistance to both patient and colleague in the diagnosis and management of such cases. This paper will describe the ophthalmologist's role in this process, and we note that the complaint for which the patient presents (i.e., for routine eye examination, visual loss or headache) precipitates a somewhat different evaluation of the problem by the ophthalmologist than by his colleagues in medicine, neurology or neurosurgery.