Zusammenfassung der Ressource
Diagnosis of
Headaches
- ONSET;
Gradual/Chronic/
Recurrent
- Tension HA
- 80% population get them. Has no ocular impact.
- SX: tight band HA daily
which is worse at end
of day. bilateral.
increases with
work/stress mild -
moderate intensity.
can last 30 mins - 7/7
days recurrent. has no
nausea/vomiting or
photophobia.
- Routine Referral to GP / Exercising Helps /
If no RX correction needed then refer to
GP
- Asthenopia HA
- SX: HA linked to use of
both eyes. frontal pain
linked to RX or
decompensated phobia.
can be due to fatigue,
HA occurs after close
work usually dull but can
last hours. visual rest
helps. gets worse as day
goes on.
- Signs: 1. Uncorrected RX - hyperboles and presbyopia due to excess
ciliary muscle used. myopia and astigmatism due to excess squinting.
2. Decompensated phobia due to poor CT recovery, low AoA or
accommodation weakness.
- Linked to RX or decompensated
phoria. Solve uncorrected RX or
prisms to help
- Migraine
- Do all tests and match up SX to
migraines then Routinely Refer
PX to GP
- 2-15% of population
- Hypertension HA
- SX: onset after exercise.
Bilateral over whole
head or on top.
moderate - severe HA.
throbing/pounding
with spontaneous
recovery.
- Check retinal blood vessels and
other tests, then refer to GP for
HBP check.
- Sinusitus HA
- Due to recent respiratory tract infection
- Has no ocular sx's
- SX of: Sharp pain
at sinus, pain
worse on bending,
cough and
sneezing. worse
on palpitations.
- Check Sx's and refer via GP
- ONSET: Acute/Rapid
- Cluster HA
- Do Tests and check SX's, risk factor =
Males. Refer Routinely too GP. Vision is
Unaffected.