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Migraine and ocular pain in "glaucoma suspect"
M De Marinis1, J P Giraldi, A de Feo
1Department of Neurological Sciences, La Sapienza University, Rome, Italy. m.de.marinis@mclink.it
Cephalalgia : an International Journal of Headache
|June 22, 1999
Summary
Migraine is more common in glaucoma suspects, especially women. Ocular pain frequently occurs in these patients, potentially linked to intraocular pressure changes.
Area of Science:
- Ophthalmology
- Neurology
Background:
- A potential link between glaucoma and migraine remains debated.
- Glaucoma suspects present with ocular hypertension but no optic disc or visual field abnormalities.
Purpose of the Study:
- To investigate the prevalence and characteristics of migraine and ocular pain in glaucoma suspect patients compared to controls.
- To explore the relationship between migraine, ocular pain, and glaucoma suspect status.
Main Methods:
- A comparative study involving 460 glaucoma suspect patients and 460 controls.
- Data collection included assessing migraine history, ocular pain features, and current treatment status.
Main Results:
- Migraine prevalence was higher in glaucoma suspects (13%) than controls (7%), particularly in women (17%).
- Ocular pain occurred in 51% of glaucoma suspects with migraine, often linked to glaucoma history and untreated ocular hypertension.
- Migraine remained active in 68% of glaucoma suspect patients at the time of the study.
Conclusions:
- Migraine is more prevalent in individuals with glaucoma suspect status.
- Ocular pain is common in glaucoma suspects experiencing migraine and may be associated with intraocular pressure fluctuations.
- Further research is warranted to elucidate the interaction between glaucoma, migraine, and ocular pain.