Differential Diagnosis for Headache Behind the Eye
Single Most Likely Diagnosis
- Tension Headache: This is the most common type of headache and can cause pain behind the eyes due to muscle tension in the face and neck.
- Sinusitis: Inflammation of the sinuses can cause pain behind the eyes, especially if the ethmoid or frontal sinuses are affected.
Other Likely Diagnoses
- Migraine: A migraine can cause severe, unilateral pain that may be felt behind the eye, often accompanied by sensitivity to light and sound.
- Cluster Headache: These are severe headaches that occur in clusters or cycles and are often felt on one side of the head, behind the eye.
- Dry Eye Syndrome: Irritation and inflammation of the eyes can cause pain behind the eyes, especially if the eyes are dry and irritated.
- Refractive Errors: Uncorrected vision problems, such as nearsightedness or farsightedness, can cause eye strain and pain behind the eyes.
Do Not Miss Diagnoses
- Giant Cell Arteritis: This is an inflammation of the blood vessels in the head that can cause severe headaches, including pain behind the eyes, and can lead to blindness if not treated promptly.
- Temporal Arteritis: Similar to giant cell arteritis, this condition can cause pain behind the eyes and can lead to serious complications if not treated.
- Brain Tumor: Although rare, a brain tumor can cause headaches, including pain behind the eyes, and is a critical diagnosis not to miss.
- Acute Angle-Closure Glaucoma: This is a medical emergency that can cause severe eye pain, including pain behind the eyes, and can lead to blindness if not treated promptly.
Rare Diagnoses
- Trigeminal Neuralgia: A chronic pain condition that affects the trigeminal nerve and can cause severe, shock-like pain behind the eyes.
- Idiopathic Intracranial Hypertension: A condition characterized by increased pressure in the brain that can cause headaches, including pain behind the eyes.
- Cavernous Sinus Thrombosis: A rare condition that can cause pain behind the eyes, as well as other symptoms such as double vision and drooping eyelids.
- Optic Neuritis: Inflammation of the optic nerve that can cause pain behind the eyes, especially with eye movement.