For the vast majority of people with headaches, making changes to their glasses, using prisms, doing eye exercises and other types of “vision therapy” are generally not useful. Additionally, eyestrain headaches are not generally associated with nausea or vomiting. Headaches that are present on awakening or those that wake one from sleep also are not caused by eyestrain. Some are tension-type headaches that have little to do with vision. Most headaches are not due to eye strain. Recognizing headache that is NOT due to eye strain If the discomfort is caused by eyestrain, then it will be relieved with lenses or by correcting the alignment of the eyes. For these individuals, it is important to make sure that, if needed, they have the appropriate prescription of eyeglasses. Any number of tasks that require you to use your eyes for a long time may lead to a headache. The typical headache of eyestrain starts after using the eyes, especially for extended periods of time, such as long periods of time using the computer, reading, or even sewing. Children under school age rarely complain of headaches from eyestrain. Eye strain is caused by improper focusing (nearsighted, farsighted or astigmatism), or when the two eyes are not properly aligned. “Eye strain” can produce eye discomfort and headaches, although it is uncommon and overrated as a cause of headache, especially headache associated with any function limiting activity. ![]() There are a few eye conditions that are important to consider. “Referred” pain is pain that radiates from its originating location to another site. Pain in and around the eye usually reflects referred pain from headache. In fact, most eye pain does not result from an eye problem. Many people will begin their quest for trying to find the cause for their headaches by seeking medical care with the ophthalmologist or optometrist. This is to eliminate increased pressure in the head and/or eye as a cause. The eyes deserve an exam to evaluate the nerves in the eyes and the optic discs when headache or eye pain is present. ![]() Eye pain or headache with a normal external appearing eye nearly always has another answer than the eye itself when anyone seeks medical attention. A red eye typically warrants immediate eye examination-at least the first time.
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