Some eye diseases, such as acute glaucoma or optic neuritis, can evoke ocular pain or headache and some certain primary headaches are often accompanied by ocular or visual symptoms such as the complex visual phenomena characteristic of migraine aura Vice Vera. When the patients complaining headache visit the clinic, visual acuity, refractive error, pupil response, slit lamp examination, tonometer, visual field examination and lid position should be evaluated thoroughly. In this paper we will describe ophthalmic diseases associated with headache and suggest ophthalmologist's role in management of the headache patients. Korean Journal of Headache 4(2):81-88, 2003