97th DOG Annual Meeting 1999

P383

MIGRAINE AND TENSION HEADACHE IN HIGH-PRESSURE GLAUCOMA AND NORMAL-PRESSURE GLAUCOMA

M. Wisse, C. Cursiefen, E. Freund, A. G. M. Jünemann


Purpose: To analyze the association of normal-pressure glaucoma and migraine.

Methods: In a prospective study, 154 patients with glaucoma (56 normal-pressure [NPG] and 98 high-pressure glaucoma [HPG]), 55 patients with ocular hypertension and 75 control subjects were analyzed using a standardized questionnaire based on International Headache Society-criteria (154 males and 130 females, mean age 50±14 years).

Results: Overall, 38 % of all subjects suffered from headache (> twice a year): 17 % were classified as suffering from migraine and 7 % from tension headache (episodic and chronic). The prevalence of headache, migraine and tension headache did not vary significantly between controls, patients with ocular hypertension and patients with glaucoma. But migraine was significantly more common in patients with NPG (28 %) compared to controls (12 %) and compared to patients with HPG (10 %).

Conclusions: These results are compatible with the putative association of normal-pressure glaucoma and migraine and with a potential common vascular etiology.

Dept. of Ophthalmology, University of Erlangen-Nürnberg, Schwabachanlage 6, D-91054 Erlangen, Germany

Supported by Deutsche Forschungsgemeinschaft (SFB 539)


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