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Differential Diagnosis for Headache and Eye Pain

Single Most Likely Diagnosis

  • Tension Headache: This is the most common type of headache and can cause pain in the eyes due to muscle tension in the face and neck.
  • Dry Eye Syndrome: Prolonged use of digital devices, environmental factors, or certain medications can lead to dry eyes, causing eye pain and associated headaches.

Other Likely Diagnoses

  • Migraine: A neurological condition that can cause severe headaches, often accompanied by eye pain, sensitivity to light, and nausea.
  • Sinusitis: Inflammation of the sinuses can cause pain in the face, including the eyes, and lead to headaches.
  • Cluster Headache: A rare but severe type of headache that occurs in cycles or clusters, often causing pain around one eye.

Do Not Miss Diagnoses

  • Giant Cell Arteritis: An inflammatory condition that can cause headaches, eye pain, and vision loss if not promptly treated.
  • Acute Angle-Closure Glaucoma: A medical emergency that causes sudden, severe eye pain and headaches due to increased pressure in the eye.
  • Meningitis: Inflammation of the protective membranes covering the brain and spinal cord, which can cause severe headaches, eye pain, and other symptoms.

Rare Diagnoses

  • Trigeminal Neuralgia: A chronic pain condition that affects the trigeminal nerve, causing intense pain in the face, including the eyes.
  • Optic Neuritis: Inflammation of the optic nerve, which can cause eye pain, vision loss, and headaches.
  • Temporal Arteritis: Inflammation of the blood vessels in the temples, which can cause headaches, eye pain, and other symptoms.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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