Letters Cluster headache

Don’t forget ophthalmic differential diagnoses of cluster headache

BMJ 2012; 344 doi: https://doi.org/10.1136/bmj.e3070 (Published 01 May 2012) Cite this as: BMJ 2012;344:e3070
  1. Andre S Litwin, oculoplastic fellow1,
  2. Raman Malhotra, consultant ophthalmologist and oculoplastic surgeon1
  1. 1Queen Victoria Hospital NHS Trust, East Grinstead, West Sussex RH19 3DZ, UK
  1. andre{at}doctors.org.uk

Several treatable ophthalmic conditions were missing from the differential diagnoses of cluster headache in the article by Nesbitt and Goadsby.1 For example, scleritis, uveitis, orbital inflammatory disease (including dacryoadenitis and sino-orbital disease), and intermittent angle closure glaucoma may present with recurrent pain, lacrimation, conjunctival injection, periorbital oedema, ptosis, …

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