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Abstract #8463 Published in IGR 5-1
Glaucoma in migraine and tension type headache
Mensiz E; Kutluhan S; Aytuluner E; Akhan G; Demirci S; Cengiz BNTurk Beyin Damar Hastaliklari Dergisi 2002; 8: 159-162
Various theories depending on vasospasm or hypoperfusion in migraine and glaucoma etiologies, and the remarkable coexistence of both diseases in some series, inspire a common pathway in the pathogenesis of both diseases. Higher prevalances of migraine compared to the normal population have been reported, either significantly or non-significantly, in glaucoma patients. In this study, in a reverse style, the authors aimed to investigate the frequency of glaucoma in patients with migraine and tension-type headache, and a control group. One hundred and twenty-five consecutive, otherwise healthy patients with migraine, 106 patients with tension headache, and 86 age- and sex-matched control subjects (mean ages: 36.38 ± 10.20, 37.27 ± 15.10 and 35.05 ± 11.35, respectively) without complaints of headache, constituted the study groups. All subjects underwent an ophthalmological examination. The authors detected a glaucoma prevalence of 5.6%, 2.83% and 2.33% in migraine, tension-type headache, and control groups, respectively. There was no statistically significant difference between group pairs or overall with respect to glaucoma prevalence. It should be pointed out that the drugs used to treat migraine produce vasoconstriction (e.g., ergotamines) and, in studies that show significant correlation between glaucoma and migraine, it should be reconsidered whether these drugs play a role in the high glaucoma prevalence. Wider and focused migraine and glaucoma series may provide more reliable results. Controlled studies with ergotamines and vasoconstrictive drugs are recommended in order to clarify their role particularly in low-tension glaucoma pathogenesis.LA: Turkish
Dr. E. Mensiz, Istiklal Mah. 1101. Sok. No: 27/8, Isparta, Turkey. emensiz@sdu.edu.tr
Classification:
9.2.2 Other risk factors for glaucoma (Part of: 9 Clinical forms of glaucomas > 9.2 Primary open angle glaucomas)
