Harle Deacon E, Evans Bruce J W
The Neville Chappell Research Clinic, The Institute of Optometry, 56-62 Newington Causeway, London SE1 6DS, UK.
Ophthalmic Physiol Opt. 2006 Nov;26(6):587-96. doi: 10.1111/j.1475-1313.2006.00410.x.
A literature review reveals old references to an association between migraine headache and binocular vision anomalies, but a lack of scientific evidence evaluating these claims. In a masked case control study, we investigated binocular vision using standard clinical tests in people with migraine and in controls. Some test results suggest that heterophoria and fixation disparity are more common in the migraine group. The migraine group also had slightly reduced stereopsis. We found significant correlations between some migraine variables and some binocular vision variables (e.g., duration of worst headache and impaired stereopsis) but our analyses do not suggest that a causal relationship is likely. In conclusion, people with migraine have on average a slightly higher prevalence of heterophoria and aligning prism, and reduced stereopsis compared with controls. However, the differences are subtle and our data do not support the use of binocular vision interventions prescribed solely on the basis of the presence of migraine.
文献综述显示，过去曾有关于偏头痛与双眼视觉异常之间关联的参考文献，但缺乏评估这些说法的科学证据。在一项盲法病例对照研究中，我们使用标准临床测试对偏头痛患者和对照组进行了双眼视觉调查。一些测试结果表明，隐斜视和注视差异在偏头痛组中更为常见。偏头痛组的立体视也略有下降。我们发现一些偏头痛变量与一些双眼视觉变量之间存在显著相关性（例如，最严重头痛的持续时间和立体视受损），但我们的分析并不表明可能存在因果关系。总之，与对照组相比，偏头痛患者平均隐斜视和调整棱镜的患病率略高，立体视降低。然而，差异很细微，我们的数据不支持仅基于偏头痛的存在就进行双眼视觉干预。
