EAS Publisher | Direct Ophthalmoscopic Findings in Headache Patients Presented in Headache Clinic of a Tertiary Care Hospital: A Cross-Sectional Study

Direct Ophthalmoscopic Findings in Headache Patients Presented in Headache Clinic of a Tertiary Care Hospital: A Cross-Sectional Study

DOI : https://doi.org/10.36349/easms.2025.v08i07.008

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Background: Ophthalmoscopic examination is one of the most critical but often neglected portions of clinical evaluation in case of headache as many secondary causes of headache show ophthalmoscopic change like papilloedema Optic atrophy, subhyaloid hemorrhage, cytoid body, choroid tubercle. So, a clinical examination is only complete with an ophthalmoscopic examination. With this view, this study is done on patients presenting with headaches in neurology outdoors for appropriate clinical evaluation. Aims & objectives: To evaluate ophthalmoscopic changes in patients presenting with headaches in the neurology outpatient department of a tertiary-level hospital. Method: This cross-sectional study included 300 patients presenting with headaches in the neurology outpatient department of DMCH. Result: Among the abnormal findings, papilloedema was the most common finding, present in (21.0%) of patients, followed by arteriovenous nipping & silver wiring detected in (18.0%) of patients; flame-shaped hemorrhages in 12.0% of cotton-wool spots in 9.0% patients and hard exudates in 8.0% patients. Conclusion: Ophthalmoscopic examination should be done routinely for headaches.

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