J Korean Ophthalmol Soc.  1975 Dec;16(4):363-366.

The Observation for Headache Which is Related to Vertical Deviation and Refractive Errors

• Jee SD
• Rhee JW

Abstract

Authors observed many cases of vertical deviation in the patients complaining of marked asthenopia. Of 1275 cases who had refraction, there were 183 cases of vertical deviation (13.54%) in our clinic, during the last 2 years from July 1, 1973 to August 31, 1975. In the series of our observation, the females were much more frequent than the males in numbers, especially after 30 years of age group. The right hyperphoria was more frequent than the left. In the most of the vertical deviation, the degrees of deviation were less than one prism diopter and associated with low grade of refractive errors (less than +/- 0.5 diopter). If the marked refractive error was corrected without correction of vertical deviation, the headache appeared to be increased in the cases of marked refractive error associated with vertical deviation. In the majority of the cases who had vertical deviation, the headache (marked asthenopia) was complained of and in the many cases of them the head was tilted slightly to one shoulder. 1) In the many cases, the headache was occipital in character. 2) The headache seemed to be marked in looking the moving picture or on walking the streets (by the looking of moving objects). 3) The headache started easily by looking out of door in the railway journey or driving. 4) The headache occured usually by the exercise or home work and increased in the afternoon while they were comfortable early in the morning.

MeSH Terms

Asthenopia
Female
Head
Headache*
Humans
Male
Refractive Errors*
Shoulder
Walking