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Does Glaucoma Cause Headaches?

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A person sitting at a desk and holding thier forehead as they have a headache

You may connect headaches with stress or a long day, but sometimes the source of the discomfort is related to your eye health. It’s a common question whether a serious eye condition like glaucoma can cause a headache. The answer depends on the specific type of glaucoma you may have.

While most forms of glaucoma do not cause pain, a less common type known as acute angle-closure glaucoma (AACG) can trigger sudden and severe headaches. This type of headache is a sign of a rapid increase in your eye pressure that requires prompt attention, which is why early diagnosis and management of glaucoma is critical. 

The Connection Between Glaucoma and Headaches

The most common form of glaucoma, called open-angle glaucoma, usually develops slowly over time without any symptoms. However, acute angle-closure glaucoma happens differently. It occurs when the fluid drainage system in your eye suddenly becomes blocked, leading to a sudden spike in internal eye pressure.

What a Glaucoma Headache Feels Like

A headache from an acute glaucoma attack is different from a typical tension headache. The pain is often intense and arrives with other distinct signs that signal an issue with your eyes. If you have a glaucoma headache, you may experience:

  • Severe pain in 1 eye or on your forehead
  • Nausea or vomiting
  • Blurred vision
  • Seeing halos or rainbows around lights

Where You Feel Glaucoma Pain

The pain is usually centered around the affected eye and can feel like a deep, throbbing ache. It doesn’t typically spread across your entire head the way a migraine might. This focused pain is a key indicator that the issue may be eye-related.

First Signs of Glaucoma

Most types of glaucoma have no early warning signs, which is why vision loss can happen gradually without you noticing. This makes regular eye disease management so important for your long-term health. However, for acute angle-closure glaucoma, the symptoms listed above often appear suddenly and together.

Other Eye Issues That Cause Headaches

If your headache isn’t caused by glaucoma, it could be due to other vision-related problems. Many of our daily habits put extra work on our eyes, which can lead to headaches.

The Role of Digital Eye Strain

Spending long hours in front of screens forces your eyes to focus intensely for extended periods. This continuous effort can cause muscle fatigue in and around your eyes, leading to headaches from eye strain. You may also blink less, which can cause dryness and irritation that adds to the discomfort.

A person rubbing their eye to sooth a headache

How Poor Posture Affects Your Eyes and Head

When you slouch or lean your neck forward to see a screen, you create tension in your neck and shoulder muscles. This strain can irritate the muscles and nerves that connect to your head, potentially triggering persistent headaches over time.

Stress and Your Vision

Feeling stressed can make you tense up your muscles without even realizing it. This includes the small muscles in your face, jaw, and around your eyes. This constant tension can cause headaches that feel like a tight band around your head.

Symptoms of a Vision-Related Headache

How can you tell if your headache is coming from your eyes? The key is to look for discomfort that happens along with other visual symptoms or during specific activities. These headaches often have unique characteristics, including but not limited to:

  • A feeling of pressure behind the eyes
  • Pain that gets worse after reading or screen use
  • Blurred or double vision
  • Neck and shoulder discomfort
  • Sensitivity to light

How to Reduce Eye Strain and Prevent Headaches

You can take simple steps to protect your eyes and reduce the frequency of headaches. Small changes to your daily routine can improve your comfort by reducing the demand on your visual system.

Adjust Your Workspace

Make sure your room has balanced lighting to reduce glare on your screen. Position your computer monitor about an arm’s length away and slightly below eye level. This angle can help keep your eyes and neck relaxed.

Practice the 20-20-20 Rule

This is an easy and effective way to give your eyes a break. The 20-20-20 rule suggests that every 20 minutes, you look at something at least 20 feet away for a full 20 seconds. This simple exercise helps your eye muscles reset and reduces focusing fatigue.

Check Your Posture

Try to sit up straight with your feet flat on the floor, and your shoulders relaxed. Good posture can help your entire body, including your visual system, work more efficiently. It can also reduce the muscle tension that can lead to headaches.

When to See an Eye Doctor

If you experience frequent headaches, especially when accompanied by any of the other symptoms mentioned, it’s a good idea to schedule an eye exam. A thorough check-up can help to provide clarity and peace of mind.

A Comprehensive Eye Exam Is Key

During an eye exam, an eye doctor can check your eye pressure, assess your vision, and look for signs of strain or other conditions. This evaluation helps determine if your headache is linked to your eyes.

Discuss Your Symptoms and Lifestyle

When coming to an eye exam, be ready to talk about your headaches and your daily routine. Information about when they happen, what you’re doing when they start, and your average screen time is very helpful. This conversation helps your optometrist to understand your unique visual needs.

Find the Right Solution for You

Based on your exam, the treatment could be things like a new prescription for glasses or special lenses designed to reduce eye strain. Sometimes, simple tips to adjust your work routine are all that’s needed. Our goal is to find a personalized approach that works for you.

You Don’t Have to Live with Headaches

If persistent headaches are a part of your life, we want to help. The team at Heartland Eye Consultants is here to listen with compassion and provide a thorough evaluation in a comfortable setting. Contact us to schedule an appointment and move toward a life uninterrupted by headaches.

Written by Dr. Will Ferguson

Dr. Will Ferguson is originally from Hastings, Nebraska, and graduated from the University of Nebraska-Lincoln with a degree in biological sciences in 2005. He received his Doctor of Optometry degree from Southern College of Optometry in Memphis, Tennessee, in 2009. From there, he went on to earn a fellowship in the College of Optometrists in Vision Development in 2012.

He states, “there is a growing population of children suffering from learning-related visual disorders. It becomes difficult for these children to obtain information through their visual system, and it puts them at a significant disadvantage when compared to their peers. Children in these situations lose one of the most powerful tools needed to be successful in life…opportunity. Developmental vision care is rewarding to me because it offers people the ability to overcome their visual inadequacies and open the door to a future full of possibility.”

Dr. Will Ferguson is an active member of the Nebraska Optometric Association (NOA). Since graduating from the NOA’s Leadership Institute in 2014, he has served on the Board of Directors of both the NOA and the Nebraska Foundation for Children’s Vision. He is the proud recipient of the NOA’s Young OD of the Year award in 2019.

In his free time, Dr. Will enjoys spending time with his wife and 2 daughters, participating in outdoor activities, attending sporting events, and reading books.

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