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- W2989744246 abstract "Objective: This study aimed to characterize the nature of visual field deficits in patients with visual symptoms presenting to the neuro-ophthalmology clinic eventually attributed to a headache disorder. Background: Primary and secondary headache disorders are often associated with visual symptoms and patients are frequently seen in ophthalmology. Design/Methods: We performed a single-center prospective evaluation of visual complaints in the setting of a headache disorder at the Kentucky Eye Clinic between June 2012 and May 2014. Subjective visual complaints included blurred vision, visual distortions, double vision, transient visual loss and visual field loss. All underwent a detailed neuro-ophthalmology exam including visual acuity, color vision, contrast sensitivity, Humphrey visual field 24-2 SITA fast, pupil exam, anterior segment and dilated posterior segment exam and intraocular pressure. Results: Our cohort included 56 individuals, 76.8% female with a median age of 46 (range: 11–76) Visual complaints prompting consultation included visual distortions (46.4%) blurred vision (17.9%), diplopia (16.1%), visual field loss (8.9%), transient visual loss (7.1%), eye pain (5.4%) and tunnel vision (1.8%). These were attributed to a headache disorder after a thorough neuro-ophthalmology exam that was normal. Per ICHD-II criteria, their pre-existing headache disorder included: Migraine with aura (n=20), migraine without aura (n=11), chronic migraines (n=13), retinal migraines (n=1), occipital neuralgia (n=1). 10 patients had no pre-existing headache disorder. Clinical diagnoses for presenting symptoms based on ICHD-II criteria included typical aura without headache (40%), migraine with aura (21%), chronic migraine (8.8%), migraine without aura (3.5%) and retinal migraine (1.8%). Visual fields were normal in 28 patients (49.1%), unreliable in 7 (12.2%), had clover leaf pattern in 3 (5.3%-bilaterally), and had nerve fiber bundle pattern defects in 19 (33.3%–8 were bilateral). Conclusions: In our study of patients with visual symptoms attributable to a headache disorder, visual field abnormalities were not uncommon, and most often monocular. Disclosure: Dr. Odago has nothing to disclose. Dr. Smith has nothing to disclose. Dr. Kedar has nothing to disclose. Dr. Sudhakar has nothing to disclose." @default.
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- W2989744246 date "2017-04-18" @default.
- W2989744246 modified "2023-09-26" @default.
- W2989744246 title "Visual Field Deficits in Patients with Headache Disorders: A 2-year Prospective Cohort Study (P1.192)" @default.
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