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Updated: Jul 16, 2026
10:39
3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
Published on: June 2, 2014
Migraine and anisocoria
Molly E Gilbert1, Deborah Friedman
1Neuro-ophthalmology Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA.
Survey of Ophthalmology
|March 16, 2007
Summary
Headache and anisocoria in a woman were diagnosed as plateau iris syndrome using ultrasound biomicroscopy. Peripheral iridotomies resolved her symptoms, highlighting a key treatment for angle closure.
Area of Science:
- Ophthalmology
- Medical Diagnostics
Background:
- Headache and anisocoria can indicate serious underlying ocular conditions.
- Narrow angles are a risk factor for angle-closure glaucoma.
Observation:
- A 42-year-old woman presented with concurrent headache and anisocoria.
- Gonioscopy revealed narrow angles, prompting further investigation.
Findings:
- Ultrasound biomicroscopy confirmed plateau iris syndrome.
- Bilateral peripheral iridotomies were performed, leading to symptom resolution.
Implications:
- This case underscores the importance of prompt diagnosis for plateau iris syndrome.
- Peripheral iridotomies are an effective intervention for managing subacute angle closure.
- Understanding the differential diagnosis of headache and anisocoria is crucial for ophthalmologists.
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