Convergence Insufficiency Associated with Migraine: A Case Series
| Autor: | David I. Silbert, Eric L. Singman, Noelle S. Matta |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male 0301 basic medicine Pediatrics medicine.medical_specialty Convergence insufficiency Migraine Disorders Vision Disorders New onset 03 medical and health sciences Ocular Motility Disorders 0302 clinical medicine medicine Humans In patient Prospective cohort study business.industry General Medicine Convergence Ocular Middle Aged medicine.disease Ophthalmology 030104 developmental biology Migraine Female Physical exam Asthenopia business Orthoptic 030217 neurology & neurosurgery |
| Zdroj: | American Orthoptic Journal. 64:112-116 |
| ISSN: | 1553-4448 0065-955X |
| DOI: | 10.3368/aoj.64.1.112 |
| Popis: | Background and purpose The appearance of convergence insufficiency in migraineurs suggests a possible link between migraine and convergence insufficiency. Patients and method Relevant patients reporting to our neuro-ophthalmology clinic complained of symptoms consistent with convergence insufficiency and had a history of migraine. Patients underwent thorough neuro-ophthalmic evaluations including history, physical exam, and cranial imaging. Four illustrative cases are presented in this report. Results Convergence insufficiency may develop after migraine. In some cases, it may be a persistent cause of reduced visual functioning. In patients with persistent asthenopia, orthoptic therapy has proven successful. Conclusions A history of migraine should be sought in patients complaining of reading difficulties secondary to new onset convergence insufficiency. Furthermore, migraineurs should be asked about whether they suffer asthenopia. Finally, a larger scale, prospective study should be considered to further explore a possible link between migraine and convergence insufficiency. |
| Databáze: | OpenAIRE |
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