Unilateral corneal arcus and conjunctival vessel alterations in cranial autonomic dysregulation: A case report.

Autor: Dysli M; Department of Ophthalmology, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland., Abegg M; Department of Ophthalmology, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland., Kerkeni H; Department of Neurology, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland., Kalla R; Department of Neurology, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland., Tappeiner C; Department of Ophthalmology, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland.; Department of Ophthalmology, Pallas Kliniken, Olten, Switzerland.; Department of Ophthalmology, University Hospital Essen, University Duisburg-Essen, Essen, Germany.; Department of Ophthalmology, San Raffaele Scientific Institute, University Vita-Salute, Milan, Italy.
Jazyk: angličtina
Zdroj: European journal of ophthalmology [Eur J Ophthalmol] 2023 Sep; Vol. 33 (5), pp. NP91-NP94. Date of Electronic Publication: 2022 Nov 03.
DOI: 10.1177/11206721221136426
Abstrakt: Background: Cranial autonomic dysregulation is a common symptom of patients suffering from cluster headache or migraine. The peripheral vascular dysfunction may increase the risk for ischemic or hemorrhagic strokes, myocardial infarction, retinal vasculopathy, cardiovascular mortality, and peripheral artery diseases. Furthermore, it may also manifest with ocular symptoms, e.g., increased lacrimation, conjunctival injection, and facial swelling.
Case Presentation: We here report a case of a patient with migraine and ocular signs of a vascular dysregulation that have led to persisting changes of conjunctival vessels and to a corneal arcus.
Conclusions: Autonomic vascular dysregulation may not only cause headaches but also persisting changes of ocular tissues, e.g., conjunctival vessel alterations and a corneal arcus.
Databáze: MEDLINE