Cankaya Cem, Tecellioglu Mehmet
Gozde Kisla Hospital, Eye Clinic, Malatya, Turkey.
Department of Neurology, Faculty of Medicine, University of Inonu, Malatya, Turkey.
Med Arch. 2016 Apr;70(2):123-6. doi: 10.5455/medarh.2016.70.123-126. Epub 2016 Apr 1.
To investigate the alterations in foveal retinal thickness (FT) values in patients with migraine and to reveal the correlations between FT and clinical characteristics of migraine disease.
This study included sixty-eight eyes of 34 migraine patients [twenty-eight eyes of 14 patients with aura (group 1), and forty eyes of 20 patients without aura (group 2)] and forty eyes of 20 healthy volunteer who served as the control group (group 3). FT values were measured by optical coherence tomography (OCT) in each group.
Mean age of patients in group 1, 2, and 3 was 34.0± 6.82, 35.2±10.12, and 35.1± 6.85 years, respectively (p=0.84). Mean FT was 211.07±7.36, 220.0±12.01, and 221.85±12.27 in groups 1, 2, and 3, respectively. There was statistically significance among the group 1-2 and 1-3 (p=0.002 and p< 0.001). There was no statistically significance between group 2-3 (p=0.88).
This study suggests that in particular migraine with aura may lead to a reduction in FT values. This finding can be explained by the blood flow decrease theory in migraine; however larger studies seem mandatory.
研究偏头痛患者黄斑区视网膜厚度(FT)值的变化,并揭示FT与偏头痛疾病临床特征之间的相关性。
本研究纳入了34例偏头痛患者的68只眼[14例有先兆的患者的28只眼(第1组),以及20例无先兆的患者的40只眼(第2组)]和20名健康志愿者的40只眼作为对照组(第3组)。每组均通过光学相干断层扫描(OCT)测量FT值。
第1组、第2组和第3组患者的平均年龄分别为34.0±6.82岁、35.2±10.12岁和35.1±6.85岁(p=0.84)。第1组、第2组和第3组的平均FT分别为211.07±7.36、220.0±12.01和221.85±12.27。第1组与第2组以及第1组与第3组之间存在统计学意义(p=0.002和p<0.001)。第2组与第3组之间无统计学意义(p=0.88)。
本研究表明,尤其是有先兆的偏头痛可能导致FT值降低。这一发现可以用偏头痛的血流减少理论来解释;然而,似乎需要进行更大规模的研究。