Headache as presenting complaint in choroidal osteoma, a rare association

Ophthalmologists play an important role in the evaluation of headache as there is inseparable association between eye and headache. The headache may include facial pain, migraine or neurological pain. Headache may present as a medical emergency or as a routine case in outpatient department. Ophthalmologist play as front line physicians in diagnosing and managing such cases with proper referral if required. Few cases of headache as the presenting symptom in choroidal osteoma have been reported. Cause of headache may be due to blurred vision, sinus involvement, mechanical pressure effect, ischemic damage or an incidental association. The diagnosis of choroidal osteoma is mainly clinical. Majority of the cases remain asymptomatic and choroidal osteoma may be an incidental finding in a patient presenting with other complaints. This case report throws light on complete ophthalmic evaluation of every case of headache to ensure no important findings are missed.