Headache Related to Eye Conditions in Children

Eye-related causes such as convergence insufficiency, accommodative issues, migraines, strabismus, refractive errors, and increased intracranial pressure can contribute to headaches. Identifying the root cause is crucial, especially in children aged 2 to 19, where migraines and eye-related headaches are relatively prevalent.

- Dr hareesh KV

 

A headache is often perceived as a common discomfort, but in children, it might be more than just a passing ache. While typically not dangerous, a headache in children can signal underlying eye related issues or, in rare cases, neurological concerns.

Who gets a headache? 

Children aged 2 to 19, with an average age of 10, commonly experience headaches. Migraine occurs in 2.7% of children by age 7 and in 10.9% by age 14.

Specific Conditions

Convergence insufficiency- Difficulty converging both eyes simultaneously for reading. School-aged children with chronic headaches, will face difficulty to read, and will have blurry vision. Child may hold reading material close to the face in an attempt to overcome the blurry vision. The problem may occur several times a week. The child may complain of double vision or may be seen closing or covering one eye, presumably to avoid double vision.

Accommodative insufficiency - Difficulty focusing one eye at a time for reading, often requiring reading glasses. Similar symptoms to convergence insufficiency, including blurry vision or headaches after reading. Sometimes diagnosed as accommodative spasm.

Migraine - Periodic attacks of a vascular headache.

Types of Migraine in Children