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 Visit Monument Valley
Monument Valley, Northeast Arizona and Southeast Utah

November 21, 2005

Russ Quiring, O.D.



Vision-Related Headaches

It seems so many people are troubled by headaches these days. There are more than 20 causes for headaches; some of which can be stress, sinus congestion, and vascular spasms. Vision problems can also cause headaches, but truthfully, vision problems are a less frequent cause of headaches. But after saying that, please don’t rule out vision-related headaches.

Vision-related headaches are typically located in the frontal or temporal (in front or above the ears) area of the head. These headaches can also be located above, to the side or around one eye or both. Typically, the onset of vision-related headaches is in the afternoon or evening, but not in the morning. Morning headaches in this area of the head are usually sinus-related headaches. Also, vision headaches usually occur less often when vision strain is reduced, like on the weekends.

Straining your eyes through excessive reading or squinting at a computer screen, for example, will fatigue muscles controlling eye movement. You also may suffer vision-related headaches if you habitually work under flickering fluorescent lights.

Sitting in the same position for extended periods of time, while reading or typing on a computer, will certainly strain neck and shoulder muscles as well as the eyes. While one might think of these headaches as caused from vision, but are more likely tension headaches.

Narrow-angle glaucoma, a rare eye disease, can cause acute pain around the eye, forehead, or temple region. Its symptoms mimic those of migraine or cluster headache, so if you have either problem it's important to get your eyes checked, both for this condition and for general vision impairment.

The following are some of the vision-related problems can cause headaches:
Uncorrected astigmatism, myopia and/or hyperopia
Presbyopia; the difficulty focusing at near (usually above 40 years of age)
Accommodative Dysfunction; difficulty in focusing clearly at near in younger persons
Uncorrected refractive difference between the two eyes
Computer/Reading eye strain and/or squinting
Narrow angle glaucoma
An eye muscle imbalance problem
An eye movement problem, especially saccadic eye movements required for reading

Many times, vision-related headaches can be treated by being prescribed eyeglasses or contact lenses to correct the vision condition.

Headaches near or around the eyes that are present upon awakening are usually sinus pressure/headaches. Symptoms of sinus-related headaches are usually intensified when bending down picking things up from the floor; increasing the pressure in the sinuses.

The Complete Headache Chart from the National Headache Foundation

The Headache Diary

Click to go to Adobe.com

Visit this link to view or print a very helpful chart to help you clarify what type of headaches you might be suffering from. You need to have Adobe Reader installed on your computer to view the chart. It can be downloaded free of charge from Adobe. The Headache Diary is a form that you can print to use to help document your headaches to help your physician diagnose and treat your headaches.

This chart may help you in discovering your headache cause(s) and possible treatment and I give it to all my patients suffering from headaches. This chart is compiled and published by the National Headache Foundation but is not meant to replace the diagnosis of your headaches by your doctor. It may be a helpful tool in helping you differentiate your headache symptoms… which ultimately may assist your doctor in diagnosing the source and treatment of your headache problems.

The Bottom Line: If you suffer from chronic headaches, please consult with your physician about the cause and treatment of them but don’t rule out the possibility of your vision causing your headaches. If you are suffering from headaches and its been longer than a year since your last eye examination, call your eye doctor to make an appointment. Happy Thanksgiving to All!  ~RQ


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