[Coexistence of migraine and glaucoma-like visual field defects].
OBJECTIVE
Functional and morphological evaluation of the optic nerve heads in patients suffering from migraine.


METHODS
21 patients--13 women and 8 men (mean age 40 +/- 10) with neurologically confirmed diagnosis of common and classic migraine were examined. The headache history was obtained by standard questions. The patients suffered from migraine from 2 to 30 years and the frequency of attacks was from < 10 to > 100/year. Ophthalmologic examination involved evaluation of visual acuity, anterior segment, irido-corneal angle, retina and optic disc. In all cases optic disc photography, diurnal tension curve and two central visual field examinations with Octopus 101 programm G2 were performed.


RESULTS
In all cases IOP was normal (< 21 mm Hg). In 4 eyes (2 patients) there was early glaucomatous-like damage of the optic disc, without visual field defect. In most of these patients the optic nerve head looked normal, in part of them slightly pale. In 28% patients glaucomatous-like visual field defects were found (MD-3.9 dB to 6.6 dB). There was statistically significant relationship between increase of MD and frequency of migraine attacks (Mann-Withney U test, a = 0.05).


CONCLUSIONS
Static perimetry of the central visual field has high diagnostic value in ocular vasospastic syndrome. Functional dysregulation of the optic nerve head circulation in patients with migraine might be involved in the pathogenesis of normal-tension glaucoma.
Nizankowska
M H
MH
Katedry i Kliniki Okulistyki AM we Wrocławiu.
Turno-Krecicka
A
A
Misiuk-Hojło
M
M
Ejma
M
M
Chełstowska
J
J
Szczesna-Borzemska
D
D
Sasiadek
M
M
D000293:Adolescent; D000328:Adult; D005260:Female; D005901:Glaucoma / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008297:Male; D008487:Medical History Taking; D008875:Middle Aged; D008881:Migraine Disorders / Q000150:complications* / Q000473:pathology / Q000503:physiopathology; D009898:Optic Disk / Q000098:blood supply / Q000473:pathology*; D014787:Vision Tests; D058609:Visual Field Tests; D014794:Visual Fields