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Abstract #8618 Published in IGR 5-1
Glaucomatous visual field defects in patients with migraine
Comoglu S; Yarangümeli A; Gürbüz Köz Ö; Elhan AH; Kural GJournal of Neurology 2003; 250: 201-206
PURPOSE: To investigate the visual fields in patients with migraine in terms of glaucomatous visual field defects. METHODS: Patients who attended the authors' neurology outpatient clinic complaining of headache and were diagnosed as migraine were enrolled in the study. Each patient was questioned for the frequency, side, localization and severeness of the pain, as well as the onset and the duration of the symptoms, the existence of aura, the description of the aura - if present - additional systemic problems, and family history of migraine and glaucoma. Detailed ophthalmological examinations and computerized visual field (VF) analysis were then performed on each patient in the ophthalmology clinic. The findings of 77 patients (61 female, 16 male) were evaluated and statistical comparisons were carried out between the group of patients with glaucomatous-like VF defects and the group without significant defects. RESULTS: VF tests revealed glaucomatous-like defects in 48 (62.3 %) patients. Intraocular pressure (IOP) levels were within normal limits in all cases. There were no statistically significant differences between the groups with and without VF defects in terms of sex, the localization and severeness of pain, the existence and the description of aura, and family history of glaucoma, as well as the duration of migraine, IOP and cup/disc ratio. The glaucomatous group was significantly older, with a significantly higher age of onset for migraine. Risk of having glaucomatous-like defects was higher in patients who had migraine attacks once a month or less frequently. A tendency of pain and VF defects to develop ipsilaterally was noticed. DISCUSSION: A possible relationship between the pathophysiology of migraine, visual field defects and glaucomatous optic neuropathy is emphasized and VF screening for normal tension glaucoma is recommended in patients with migraine.
Dr. S. Comoglu, Ankara Numune Training and Research Hospital, Neurology Clinic, Ankara, Turkey
Classification:
6.6.2 Automated (Part of: 6 Clinical examination methods > 6.6 Visual field examination and other visual function tests)
9.4.15 Glaucoma in relation to systemic disease (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)
10 Differential diagnosis e.g. anterior and posterior ischemic optic neuropathy
