Eric L Singman1, Noelle S Matta2, David I Silbert2. 1. From Wilmer Eye Institute, Johns Hopkins University, Baltimore, Maryland and. 2. Family Eye Group, Lancaster, Pennsylvania.
Abstract
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.
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.
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