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 Volume 65, Number 5, September 13, 2005
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NEUROLOGY 2005;65:757-758
© 2005 American Academy of Neurology
Brief Communications

Intermittent headaches as the presenting sign of subacute angle-closure glaucoma

Kenneth S. Shindler, MD, PhD, Prithvi S. Sankar, MD, Nicholas J. Volpe, MD and Jody R. Piltz-Seymour, MD

From the Scheie Eye Institute (Drs. Shindler, Sankar, and Volpe), Department of Ophthalmology, University of Pennsylvania, and Glaucoma Care Center (Dr. Piltz-Seymour), Keystone Eye Associates Subspecialty Center, Philadelphia, PA.

Address correspondence and reprint requests to Dr Shindler, Scheie Eye Institute, Department of Ophthalmology, University of Pennsylvania, 51 N. 39 St., Philadelphia, PA 19104; e-mail: Kenneth.Shindler{at}uphs.upenn.edu

Subacute angle closure causes intermittent episodes of transiently elevated intraocular pressure. Headache is often the chief complaint, which may lead to misdiagnosis. The authors examined headache characteristics and consequences of delayed diagnosis. Patients presenting with headaches have a substantial delay in diagnosis, contributing to permanent ocular damage and glaucoma. Patients with subacute angle closure misdiagnosed with migraine are older and have shorter-duration headaches than patients with typical migraine.

Supported by a Heed Fellowship from the Heed Ophthalmic Foundation (K.S.S.).

The authors report no conflicts of interest.

Received November 29, 2004. Accepted in final form May 16, 2005.


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