English

Abstract

Chronic headache is one of the commonest medical problem worldwide. 10-15 % of people are suffering from headache. Ocular headache is also one of the main cause for headache. The aim of this study is to find out clinical changes in the retina and in the optic nerve by digital fundus photography and by slit lamp fundus examination. 500 cases of headache with 13 to 38 years of age who have no refractive error are studied. Nidek Afc 210 auto focus and auto tracking digital fundus camera was used for taking fundus photographs and Nidek slit lamp with 135D mainster wide field lens of Ocular instruments. Inc was used. Out of 500 cases, 45% are males and 55% are females. 30% persons are from 13 to 20 years of age and 45% of persons are between 20 to 30 years of age and 25% of persons are from 30 to 38 years of age. 60 % of persons are from rural area and 40% of persons are from urban area. 80% of headache patients are having engorged and tortuous veins on optic disc and on retina. Mild to moderate arteriolar narrowing is present in 60% of persons. 80% of persons are having capillary insufficient and thin areas in the mid peripheral and in the peripheral retina. 70% of all headache patients are having eye strain. Cup disc ratio is more than 0.5 in 12% of headache patients. So, every case of chronic headache patient should be examined by non mydriatic digital fundus photography to know the changes in the optic disc and in retina for proper diagnosis and treatment.