Reduced Visual Quality of Life Associated with Migraine is Most Closely Correlated with Symptoms of Dry Eye
| Autor: | Yue Zhang, Bradley J. Katz, Susan Baggaley, Kathleen B. Digre, Anastasia Neufeld, Seniha N. Ozudogru, Karly Pippitt |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty genetic structures Photophobia Aura Migraine Disorders Severity of Illness Index 03 medical and health sciences 0302 clinical medicine Chronic Migraine Quality of life Rating scale Surveys and Questionnaires medicine Eye Pain Humans Optic neuritis Ocular Surface Disease Index 030212 general & internal medicine Vision Ocular business.industry Middle Aged medicine.disease eye diseases Cross-Sectional Studies Neurology Migraine Physical therapy Quality of Life Dry Eye Syndromes Female Neurology (clinical) medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | HeadacheReferences. 59(10) |
| ISSN: | 1526-4610 |
| Popis: | BACKGROUND AND OBJECTIVE Patients with migraine frequently report ocular or visual symptoms including aura, photophobia, and eye pain. Using validated instruments, our group previously reported that due to these symptoms, patients have marked reductions in visual quality of life. In chronic migraine, these reductions can be as substantial as those reported for other neuro-ophthalmic diseases such as multiple sclerosis with optic neuritis and idiopathic intracranial hypertension. Because the instruments take several different dimensions into account, we were unable to determine which ocular symptom(s) contributed to reduced visual quality of life. The purpose of this investigation was to attempt to determine which ocular symptom(s) were driving the observed reduction in visual quality of life. METHODS We designed a cross-sectional survey-based study to assess visual quality of life, headache impact, aura, dry eye, and photophobia in migraine patients. Subjects were recruited from the Headache Clinic and General Neurology Clinic at a tertiary teaching hospital. Subjects completed validated questionnaires including: The visual functioning questionnaire-25 (VFQ-25), the headache impact test (HIT-6), the visual aura rating scale (VARS), the ocular surface disease index (OSDI), and the Utah photophobia score (UPSIS-17). Associations between VFQ-25 and OSDI, VFQ-25 and VARS, VFQ-25 and UPSIS-17, HIT-6 and OSDI, HIT-6 and VARS, and HIT-6 and UPSIS-17 were calculated. RESULTS Of the 62 patients who completed all questionnaires, 17 had episodic migraine and 45 had chronic migraine. Twenty-three patients experienced aura and 39 did not report aura. The most striking correlations were observed between the VFQ-25 and the OSDI (-0.678; P |
| Databáze: | OpenAIRE |
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