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Case report: Findings of automated perimetry during a migraine episode in a patient with glaucoma

Comorbidities like glaucoma and migraine are often observed among middle-aged individuals, especially women. Herein, we report a rare case of a patient who underwent automated perimetry during a migraine attack. A 52-year-old woman with a 1-year history of blurred vision in the nasal field of her ri...

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Autores principales: Nakakura, Shunsuke, Oogi, Satomi, Tanoue, Asaya, Miyoshi, Teruyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9649920/
https://www.ncbi.nlm.nih.gov/pubmed/36388929
http://dx.doi.org/10.3389/fmed.2022.950148
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author Nakakura, Shunsuke
Oogi, Satomi
Tanoue, Asaya
Miyoshi, Teruyuki
author_facet Nakakura, Shunsuke
Oogi, Satomi
Tanoue, Asaya
Miyoshi, Teruyuki
author_sort Nakakura, Shunsuke
collection PubMed
description Comorbidities like glaucoma and migraine are often observed among middle-aged individuals, especially women. Herein, we report a rare case of a patient who underwent automated perimetry during a migraine attack. A 52-year-old woman with a 1-year history of blurred vision in the nasal field of her right eye visited Miyoshi Eye Clinic. The intraocular pressures of the right and left eyes were 22 and 24 mm Hg, respectively. Retinal imaging revealed a retinal nerve fiber defect in the temporal superior macula with corresponding thinning of the superior ganglion cell complex in the right eye. The left eye appeared normal. Primary open-angle glaucoma was suspected, and the patient underwent a visual field examination on the same day. Perimetry showed that the mean deviations in the right and left eyes were −5.00 and −7.68 dB, respectively. A visual field defect in the inferior nasal aspect of the right eye corresponded to the retinal nerve fiber defect. However, right-sided homonymous hemianopia–like visual field defects were observed in both eyes. After the examination, the patient stated that a migraine attack had started 5 min before the examination and continued till after its end (attack duration was ∼20 min). In the follow-up examinations without migraine, homonymous hemianopia-like visual field defects disappeared, and only a glaucomatous visual field defect in the right eye was observed. Hence, the initial visual field examination findings reflected the effects of a migraine attack alongside glaucoma. Detailed interviews with patients may be beneficial for understanding visual field findings and preventing their untimely examination.
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spelling pubmed-96499202022-11-15 Case report: Findings of automated perimetry during a migraine episode in a patient with glaucoma Nakakura, Shunsuke Oogi, Satomi Tanoue, Asaya Miyoshi, Teruyuki Front Med (Lausanne) Medicine Comorbidities like glaucoma and migraine are often observed among middle-aged individuals, especially women. Herein, we report a rare case of a patient who underwent automated perimetry during a migraine attack. A 52-year-old woman with a 1-year history of blurred vision in the nasal field of her right eye visited Miyoshi Eye Clinic. The intraocular pressures of the right and left eyes were 22 and 24 mm Hg, respectively. Retinal imaging revealed a retinal nerve fiber defect in the temporal superior macula with corresponding thinning of the superior ganglion cell complex in the right eye. The left eye appeared normal. Primary open-angle glaucoma was suspected, and the patient underwent a visual field examination on the same day. Perimetry showed that the mean deviations in the right and left eyes were −5.00 and −7.68 dB, respectively. A visual field defect in the inferior nasal aspect of the right eye corresponded to the retinal nerve fiber defect. However, right-sided homonymous hemianopia–like visual field defects were observed in both eyes. After the examination, the patient stated that a migraine attack had started 5 min before the examination and continued till after its end (attack duration was ∼20 min). In the follow-up examinations without migraine, homonymous hemianopia-like visual field defects disappeared, and only a glaucomatous visual field defect in the right eye was observed. Hence, the initial visual field examination findings reflected the effects of a migraine attack alongside glaucoma. Detailed interviews with patients may be beneficial for understanding visual field findings and preventing their untimely examination. Frontiers Media S.A. 2022-10-28 /pmc/articles/PMC9649920/ /pubmed/36388929 http://dx.doi.org/10.3389/fmed.2022.950148 Text en Copyright © 2022 Nakakura, Oogi, Tanoue and Miyoshi. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Medicine
Nakakura, Shunsuke
Oogi, Satomi
Tanoue, Asaya
Miyoshi, Teruyuki
Case report: Findings of automated perimetry during a migraine episode in a patient with glaucoma
title Case report: Findings of automated perimetry during a migraine episode in a patient with glaucoma
title_full Case report: Findings of automated perimetry during a migraine episode in a patient with glaucoma
title_fullStr Case report: Findings of automated perimetry during a migraine episode in a patient with glaucoma
title_full_unstemmed Case report: Findings of automated perimetry during a migraine episode in a patient with glaucoma
title_short Case report: Findings of automated perimetry during a migraine episode in a patient with glaucoma
title_sort case report: findings of automated perimetry during a migraine episode in a patient with glaucoma
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9649920/
https://www.ncbi.nlm.nih.gov/pubmed/36388929
http://dx.doi.org/10.3389/fmed.2022.950148
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