Year : 1991 | Volume
: 39 | Issue : 4 | Page : 181--182
Cluster headache or narrow angle glaucoma?
Palimar Prasad1, R Subramanya2, NS Upadhyaya1
1 O.E.U. Institute of Ophthalmology, Kasturba Medical College, Manipal, India
2 Department of Neurosciences, Kasturba Medical College, Manipal, India
A 47 year old man with episodes of attacks of pain, redness and mild blurring of vision was investigated for narrow angle glaucoma in view of shallow anterior chambers and a cupped optic disc. The history was reviewed following a spontaneous attack in hospital, which had features other than acute glaucoma. A diagnosis of cluster headache was made on the basis of tests. Cluster headache has been defined as unilateral intense pain, involving the eye and head on one side, usually associated with flushing, nasal congestion and lacrimation; the attacks recurring one or more times daily and lasting 20 - 120 minutes. Such attacks commonly continue for weeks or months and are separated by an asymptomatic period of months to years. This episodic nature, together with unilaterality and tendency to occur at night, closely mimics narrow angle glaucoma. Further, if patients have shallow anterior chambers and disc cupping, the differentiation becomes more difficult yet critical. Resource to provocative tests is often the only answer as the following case report demonstrates.
O.E.U. Institute of Ophthalmology, Kasturba Medical College, Manipal-576 119
|How to cite this article:|
Prasad P, Subramanya R, Upadhyaya N S. Cluster headache or narrow angle glaucoma?.Indian J Ophthalmol 1991;39:181-182
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Prasad P, Subramanya R, Upadhyaya N S. Cluster headache or narrow angle glaucoma?. Indian J Ophthalmol [serial online] 1991 [cited 2022 Dec 1 ];39:181-182
Available from: https://www.ijo.in/article.asp?issn=0301-4738;year=1991;volume=39;issue=4;spage=181;epage=182;aulast=Prasad;type=0