Visual Field Losses in Patients with Migraine without Aura and Tension-Type Headache

Yener, Arif Ülkü; Korucu, Osman

doi:10.1080/01658107.2016.1251466

Cited by 8 publications

(5 citation statements)

References 28 publications

(26 reference statements)

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“…Perimetric defects reported for migraine tend to be sporadically distributed (like the BP fields here which averaged to zero), meaning that the Pattern Standard Deviation is often a better indicator of abnormality than the overall Mean Defect [ 19 , 21 , 22 ]. A similar effect has been observed in perimetric studies of concussion [ 47 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, conventional pupillometry has so far failed to confirm these findings [ 17 ]. Localized visual field defects have been reported in migraine using various forms of perimetry [ 19 – 22 ], but this is not a consistent finding [ 23 ]. Localized visual field changes in terms of both sensitivity and response delay have been reported using mfPOP in diabetic retinopathy [ 15 ], macular degeneration [ 24 ], glaucoma [ 14 ], multiple sclerosis [ 25 ], and concussion [ 26 ].…”

Section: Introductionmentioning

confidence: 99%

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Assessing migraine patients with multifocal pupillographic objective perimetry

et al. 2021

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Background To establish the effects of stimulating intrinsically-photosensitive retinal ganglion cells (ipRGCs) on migraine severity, and to determine if migraine produces objectively-measured visual field defects. Methods A randomized, open labelled, crossover study tested migraineurs and normal controls using multifocal pupillographic objective perimetry (mfPOP) with 44 test-regions/eye. A slow blue protocol (BP) stimulated ipRGCs, and a fast yellow protocol (YP) stimulated luminance channels. Migraine diaries assessed migraine severity. Per-region responses were analyzed according to response amplitude and time-to-peak. Results Thirty-eight migraineurs (42.0 ± 16.5 years, 23 females) and 24 normal controls (39.2 ± 15.2 years, 14 females) were tested. The proportion of subjects developing a migraine did not differ after either protocol, either during the 1st day (odds ratio 1.0; 95% confidence interval 0.2–4.4, p = 0.48) or during the first 3 days after testing (odds ratio 0.8; 95% confidence interval 0.3–2.1, p = 0.68). Migraine days/week did not increase following testing with either protocol in comparison to the baseline week (1.4 ± 1.6 pre-testing (mean ± SD), 1.3 ± 1.4 post-BP, and 1.3 ± 1.2 post-YP; p = 0.96), neither did other measures of severity. Migraine occurring up to 2 weeks before testing significantly lowered amplitudes, − 0.64 ± 0.14 dB (mean ± SE), while triptan use increased amplitudes by 0.45 ± 0.10 dB, both at p < 0.001. Conclusions Stimulating ipRGCs did not affect migraine occurrence or severity. Pupillary response characteristics were influenced by the occurrence of a recent migraine attack and a history of triptan use.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Assessing migraine patients with multifocal pupillographic objective perimetry

et al. 2021

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Section: Discussionmentioning

confidence: 99%

“…Yener and Korucu ( 11 ) compared HFA findings during attacks both in patients with migraine without aura and in those with tension-type headache and found no difference in their mean and pattern deviation values. Furthermore, the patients reportedly exhibited different patterns of non-specific visual field defects ( 11 ). Using automated perimetry (Dremel DigiLab 750; BioRad Laboratories, Hercules, CA, USA), Ebner ( 17 ) reported visual field depression, except in the central 5°, in a patient with homonymous type distribution during a migraine attack.…”

Section: Discussionmentioning

confidence: 99%

Case report: Findings of automated perimetry during a migraine episode in a patient with glaucoma

Nakakura¹,

Oogi²,

Tanoue

et al. 2022

Front. Med.

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Comorbidities like glaucoma and migraine are often observed among middle-aged individuals, especially women. Herein, we report a rare case of a patient who underwent automated perimetry during a migraine attack. A 52-year-old woman with a 1-year history of blurred vision in the nasal field of her right eye visited Miyoshi Eye Clinic. The intraocular pressures of the right and left eyes were 22 and 24 mm Hg, respectively. Retinal imaging revealed a retinal nerve fiber defect in the temporal superior macula with corresponding thinning of the superior ganglion cell complex in the right eye. The left eye appeared normal. Primary open-angle glaucoma was suspected, and the patient underwent a visual field examination on the same day. Perimetry showed that the mean deviations in the right and left eyes were −5.00 and −7.68 dB, respectively. A visual field defect in the inferior nasal aspect of the right eye corresponded to the retinal nerve fiber defect. However, right-sided homonymous hemianopia–like visual field defects were observed in both eyes. After the examination, the patient stated that a migraine attack had started 5 min before the examination and continued till after its end (attack duration was ∼20 min). In the follow-up examinations without migraine, homonymous hemianopia-like visual field defects disappeared, and only a glaucomatous visual field defect in the right eye was observed. Hence, the initial visual field examination findings reflected the effects of a migraine attack alongside glaucoma. Detailed interviews with patients may be beneficial for understanding visual field findings and preventing their untimely examination.

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“…However, the relationship between headache frequency and cognitive test performance is mixed (see [32] for a review). Visual field deficits were not found to correlate with attack frequency [33,34].…”

Section: Discussionmentioning

confidence: 99%

Temporal Integration of Motion Streaks in Migraine

O’Hare

2018

Vision

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Migraine is associated with differences in visual perception, specifically, deficits in the perception of motion. Migraine groups commonly show poorer performance (higher thresholds) on global motion tasks compared to control groups. Successful performance on a global motion task depends on several factors, including integrating signals over time. A “motion streak” task was used to investigate specifically integration over time in migraine and control groups. The motion streak effect depends on the integration of a moving point over time to create the illusion of a line, or “streak”. There was evidence of a slower optimum speed for eliciting the motion streak effect in migraine compared to control groups, suggesting temporal integration is different in migraine. In addition, performance on the motion streak task showed a relationship with headache frequency.

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Visual Field Losses in Patients with Migraine without Aura and Tension-Type Headache

Cited by 8 publications

References 28 publications

Assessing migraine patients with multifocal pupillographic objective perimetry

Assessing migraine patients with multifocal pupillographic objective perimetry

Case report: Findings of automated perimetry during a migraine episode in a patient with glaucoma

Temporal Integration of Motion Streaks in Migraine

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