Skip to main content

Advertisement

Log in

Evaluation of the lamina cribrosa thickness and depth in patients with migraine

  • Original Paper
  • Published:
International Ophthalmology Aims and scope Submit manuscript

Abstract

Purpose

The aim of the study was to evaluate the lamina cribrosa (LC) thickness, LC depth, and retinal nerve fiber layer (RNFL) thickness, in migraine patients with and without aura, by using optical coherence tomography (OCT).

Methods

This single-center, case–control study included 27 migraine with aura (Group I), 35 migraine patients without aura (Group II), and 35 healthy controls (Group III). In only the right eyes of participants, RNFL thickness in all quadrants was analyzed via OCT, whereas LC thickness and depth were measured by enhanced depth imaging OCT.

Results

The mean age and sex distributions did not differ significantly across the groups (p = 0.460 and p = 0.941). The RNFL thickness was significantly lower in Group I (average and superotemporal, superonasal, and inferotemporal quadrants) and Group II (average and superotemporal and superonasal quadrants) when compared with Group III. Disease duration was significantly correlated with RNFL thickness on average and in all quadrants except in the superonasal quadrant in Groups I and II. Patients in Groups I and II had significantly thinner LC thicknesses and deeper LC depth than healthy participants in Group III.

Conclusions

The LC and RNFL thicknesses were thinner and the LC depth was deeper in migraine patients with or without aura than in healthy individuals, and disease duration correlated significantly with RNFL thickness. Both results suggest that migraine patients are at risk of developing glaucoma.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Murray CJ, Ezzati M, Flaxman AD, Lim S, Lozano R, Michaud C, Naghavi M, Salomon JA, Shibuya K, Vos T (2012) GBD 2010: a multi-investigator collaboration for global comparative descriptive epidemiology. Lancet 380(9859):2055–2058

    PubMed  Google Scholar 

  2. Rasmussen BK, Olesen J (1992) Migraine with aura and migraine without aura: an epidemiological study. Cephalalgia 12(4):221–228

    CAS  PubMed  Google Scholar 

  3. Jacobs B, Dussor G (2016) Neurovascular contributions to migraine: moving beyond vasodilation. Neuroscience 338:130–144

    CAS  PubMed  PubMed Central  Google Scholar 

  4. Greven CM, Slusher MM, Weaver RG (1995) Retinal arterial occlusions in young adults. Am J Ophthalmol 120(6):776–783

    CAS  PubMed  Google Scholar 

  5. Beversdorf D, Stommel E, Cn Allen, Stevens R, Lessell S (1997) Recurrent branch retinal infarcts in association with migraine. Headache J Head Face Pain 37(6):396–399

    CAS  Google Scholar 

  6. Phelps C, Corbett J (1985) Migraine and low-tension glaucoma. A case-control study. Investig Ophthalmol Vis Sci 26(8):1105–1108

    CAS  Google Scholar 

  7. Gipponi S, Scaroni N, Venturelli E, Forbice E, Rao R, Liberini P, Padovani A, Semeraro F (2013) Reduction in retinal nerve fiber layer thickness in migraine patients. Neurol Sci 34(6):841–845

    PubMed  Google Scholar 

  8. Dersu II, Thostenson J, Durcan FJ, Hamilton SM, Digre KB (2013) Optic disc and visual test findings in patients with migraine. J Clin Neurosci 20(1):72–74

    PubMed  Google Scholar 

  9. Drance S, Anderson DR, Schulzer M, Group CN-TGS (2001) Risk factors for progression of visual field abnormalities in normal-tension glaucoma. Am J Ophthalmol 131(6):699–708

    CAS  PubMed  Google Scholar 

  10. Bellezza AJ, Hart RT, Burgoyne CF (2000) The optic nerve head as a biomechanical structure: initial finite element modeling. Investig Ophthalmol Vis Sci 41(10):2991–3000

    CAS  Google Scholar 

  11. Burgoyne CF (2011) A biomechanical paradigm for axonal insult within the optic nerve head in aging and glaucoma. Exp Eye Res 93(2):120–132

    CAS  PubMed  Google Scholar 

  12. Causin P, Guidoboni G, Harris A, Prada D, Sacco R, Terragni S (2014) A poroelastic model for the perfusion of the lamina cribrosa in the optic nerve head. Math Biosci 257:33–41

    PubMed  Google Scholar 

  13. Burgoyne CF, Downs JC, Bellezza AJ, Suh J-KF, Hart RT (2005) The optic nerve head as a biomechanical structure: a new paradigm for understanding the role of IOP-related stress and strain in the pathophysiology of glaucomatous optic nerve head damage. Prog Retinal Eye Res 24(1):39–73

    Google Scholar 

  14. Park HYL, Jeon SH, Park CK (2012) Enhanced depth imaging detects lamina cribrosa thickness differences in normal tension glaucoma and primary open-angle glaucoma. Ophthalmology 119(1):10–20

    PubMed  Google Scholar 

  15. Inoue R, Hangai M, Kotera Y, Nakanishi H, Mori S, Morishita S, Yoshimura N (2009) Three-dimensional high-speed optical coherence tomography imaging of lamina cribrosa in glaucoma. Ophthalmology 116(2):214–222

    PubMed  Google Scholar 

  16. Hadjikhani N, Del Rio MS, Wu O, Schwartz D, Bakker D, Fischl B, Kwong KK, Cutrer FM, Rosen BR, Tootell RB (2001) Mechanisms of migraine aura revealed by functional MRI in human visual cortex. Proc Natl Acad Sci 98(8):4687–4692

    CAS  PubMed  Google Scholar 

  17. Hansen JM, Lipton RB, Dodick DW, Silberstein SD, Saper JR, Aurora SK, Goadsby PJ, Charles A (2012) Migraine headache is present in the aura phase: a prospective study. Neurology 79(20):2044–2049

    PubMed  PubMed Central  Google Scholar 

  18. Olesen J, Steiner T (2004) The International classification of headache disorders, 2nd edn (ICDH-II). BMJ Publishing Group Ltd, London

    Google Scholar 

  19. Stewart WF, Lipton RB, Dowson AJ, Sawyer J (2001) Development and testing of the Migraine Disability Assessment (MIDAS) Questionnaire to assess headache-related disability. Neurology 56(suppl 1):S20–S28

    CAS  PubMed  Google Scholar 

  20. Spaide RF, Koizumi H, Pozonni MC (2008) Enhanced depth imaging spectral-domain optical coherence tomography. Am J Ophthalmol 146(4):496–500

    Google Scholar 

  21. Margolis R, Spaide RF (2009) A pilot study of enhanced depth imaging optical coherence tomography of the choroid in normal eyes. Am J Ophthalmol 147(5):811–815

    PubMed  Google Scholar 

  22. Balasubramanian M, Bowd C, Vizzeri G, Weinreb RN, Zangwill LM (2009) Effect of image quality on tissue thickness measurements obtained with spectral-domain optical coherence tomography. Opt Express 17(5):4019

    CAS  PubMed  PubMed Central  Google Scholar 

  23. Yülek F, Dirik EB, Eren Y, Simavlı H, Uğurlu N, Çağıl N, Şimşek Ş (2015) Macula and retinal nerve fiber layer in migraine patients: analysis by spectral domain optic coherence tomography. In: Seminars in ophthalmology, vol 2. Taylor & Francis, pp 124–128

  24. Kirbas S, Tufekci A, Turkyilmaz K, Kirbas A, Oner V, Durmus M (2013) Evaluation of the retinal changes in patients with chronic migraine. Acta Neurol Belg 113(2):167–172

    PubMed  Google Scholar 

  25. Ekinci M, Ceylan E, Çağatay HH, Keleş S, Hüseyinoğlu N, Tanyıldız B, Çakıcı Ö, Kartal B (2014) Retinal nerve fibre layer, ganglion cell layer and choroid thinning in migraine with aura. BMC Ophthalmol 14(1):75

    PubMed  PubMed Central  Google Scholar 

  26. Tan F, Akarsu C, Güllü R (2005) Retinal nerve fiber layer thickness is unaffected in migraine patients. Acta Neurol Scand 112(1):19–23

    CAS  PubMed  Google Scholar 

  27. Martinez A, Proupim N, Sanchez M (2009) Scanning laser polarimetry with variable corneal compensation in migraine patients. Acta Ophthalmol 87(7):746–753

    PubMed  Google Scholar 

  28. Martinez A, Proupim N, Sanchez M (2008) Retinal nerve fibre layer thickness measurements using optical coherence tomography in migraine patients. Br J Ophthalmol 92(8):1069–1075

    CAS  PubMed  Google Scholar 

  29. Chang MY, Phasukkijwatana N, Garrity S, Pineles SL, Rahimi M, Sarraf D, Johnston M, Charles A, Arnold AC (2017) Foveal and peripapillary vascular decrement in migraine with aura demonstrated by optical coherence tomography angiography. Investig Ophthalmol Vis Sci 58(12):5477–5484

    CAS  Google Scholar 

  30. Demirci S, Gunes A, Demirci S, Kutluhan S, Tok L, Tok O (2016) The effect of cigarette smoking on retinal nerve fiber layer thickness in patients with migraine. Cutan Ocul Toxicol 35(1):21–25

    PubMed  Google Scholar 

  31. Hegyalijai T, Meienberg O, Dubler B, Gasser P, Gasser P (1997) Cold-induced acral vasospasm in migraine as assessed by nailfold video-microscopy: prevalence and response to migraine prophylaxis. Angiology 48(4):345–349

    CAS  PubMed  Google Scholar 

  32. Gasser P, Meienberg O (1991) Finger microcirculation in classical migraine. Eur Neurol 31(3):168–171

    CAS  PubMed  Google Scholar 

  33. Plange N, Remky A, Arend O (2003) Colour Doppler imaging and fluorescein filling defects of the optic disc in normal tension glaucoma. Br J Ophthalmol 87(6):731–736

    CAS  PubMed  PubMed Central  Google Scholar 

  34. Broadway DC, Drance SM (1998) Glaucoma and vasospasm. Br J Ophthalmol 82(8):862–870

    CAS  PubMed  PubMed Central  Google Scholar 

  35. Gasser P, Flammer J, Guthauser U, Mahler F (1990) Do vasospasms provoke ocular diseases? Angiology 41(3):213–220

    CAS  PubMed  Google Scholar 

  36. Flammer J, Konieczka K, Flammer AJ (2013) The primary vascular dysregulation syndrome: implications for eye diseases. EPMA J 4(1):14

    PubMed  PubMed Central  Google Scholar 

  37. Cursiefen C, Wisse M, Cursiefen S, Jünemann A, Martus P, Korth M (2000) Migraine and tension headache in high-pressure and normal-pressure glaucoma. Am J Ophthalmol 129(1):102–104

    CAS  PubMed  Google Scholar 

  38. Corbett J, Phelps C, Eslinger P, Montague P (1985) The neurologic evaluation of patients with low-tension glaucoma. Investig Ophthalmol Vis Sci 26(8):1101–1104

    CAS  Google Scholar 

  39. Sacco S, Kurth T (2014) Migraine and the risk for stroke and cardiovascular disease. Curr Cardiol Rep 16(9):524

    PubMed  Google Scholar 

  40. Kruit MC, van Buchem MA, Hofman PA, Bakkers JT, Terwindt GM, Ferrari MD, Launer LJ (2004) Migraine as a risk factor for subclinical brain lesions. JAMA 291(4):427–434

    CAS  PubMed  Google Scholar 

  41. Arnold AC, Costa RM, Dumitrascu OM (2013) The spectrum of optic disc ischemia in patients younger than 50 years (an American Ophthalmological Society thesis). Trans Am Ophthalmol Soc 111:93

    PubMed  PubMed Central  Google Scholar 

  42. Katz B (1985) Bilateral sequential migrainous ischemic optic neuropathy. Am J Ophthalmol 99(4):489

    CAS  PubMed  Google Scholar 

  43. Lee AG, Brazis PW, Miller NR (1996) Posterior ischemic optic neuropathy associated with migraine. Headache J Head Face Pain 36(8):506–510

    CAS  Google Scholar 

  44. Rose K, Wong T, Carson A, Couper D, Klein R, Sharrett A (2007) Migraine and retinal microvascular abnormalities: the Atherosclerosis Risk in Communities Study. Neurology 68(20):1694–1700

    CAS  PubMed  Google Scholar 

  45. Ferrari MD, Goadsby P, Roon K, Lipton RB (2002) Triptans (serotonin, 5-HT1B/1D agonists) in migraine: detailed results and methods of a meta-analysis of 53 trials. Cephalalgia 22(8):633–658

    CAS  PubMed  Google Scholar 

Download references

Funding

No author has a financial or proprietary interest in any material or method mentioned.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ender Sirakaya.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were inaccordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sirakaya, E., Kucuk, B., Agadayi, A. et al. Evaluation of the lamina cribrosa thickness and depth in patients with migraine. Int Ophthalmol 40, 89–98 (2020). https://doi.org/10.1007/s10792-019-01160-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10792-019-01160-2

Keywords

Navigation