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Case report
Headache: tip of the iceberg
  1. Usha Bhanu Kommineni1,2 and
  2. Rashmi Krishnamurthy1,2,3
  1. 1LV Prasad Eye Institute, Venkata Lakshmi Eye Centre, Karamchedu, India
  2. 2Gullapalli Pratibha Rao International Centre for Advancement of Rural Eye Care, LV Prasad Eye Institute, Hyderabad, India
  3. 3VST Glaucoma Centre, LV Prasad Eye Institute, Hyderabad, India
  1. Correspondence to Dr Rashmi Krishnamurthy; rashmikrishnamurthy{at}


We report the case of a 64-year-old pseudophakic patient in a rural area who chronically suffered from headache with eye pain and was on analgesics for pain relief but never turned up to an ophthalmologist. There was lack of awareness to visit an ophthalmologist for headache as he thought that after undergoing cataract surgery, the role of ophthalmologist was limited. His approach to our centre was only after intense headache with sudden loss of vision. He had actually developed secondary glaucoma due to pupillary block angle closure as a late complication following yttrium aluminium garnet capsulotomy. After medical and surgical management, he regained his complete vision with total relief from headache.

  • glaucoma
  • global health
  • headache (including migraines)

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  • Contributors UBK has played key role in diagnosis and treatment of the patient and drafting the work. RK has played role in diagnosis and treatment of the patient and also revised the manuscript critically for important intellectual content.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.