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Jeon, Lee, and Choi: Clinical Characteristics of Children Diagnosed with Migraine
Original Article
Journal of the Korean Ophthalmological Society

Journal of the Korean Ophthalmological Society 2012; 53(10): 1500-1504.

Published online: 17 October 2012

DOI: https://doi.org/10.3341/jkos.2012.53.10.1500

Clinical Characteristics of Children Diagnosed with Migraine

Hyun Sun Jeon, MD1, Kon Hee Lee, MD2, Dong Gyu Choi, MD1

1Department of Ophthalmology, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.

2Department of Pediatrics, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.

Address reprint requests to Dong Gyu Choi, MD. Department of Ophthalmology, Hallym University Kangnam Sacred Heart Hospital, #1 Singil-ro, Yeongdeungpo-gu, Seoul 150-950, Korea. Tel: 82-2-829-5193, Fax: 82-2-848-4638, eyechoi@dreamwiz.com

Received 23 December 2011       Accepted 3 September 2012

Copyright © 2012 The Korean Ophthalmological Society

Abstract

Purpose

To analyze the clinical characteristics of visual symptoms, aspects of headache, and ophthalmologic features in children diagnosed with migraine.

Methods

The medical records of 31 Korean children who had been diagnosed with migraine by pediatric neurologists were retrospectively reviewed and visual symptoms and ophthalmologic examinations were evaluated.

Results

The mean age of the 31 patients was 10.8 years (range, 5-17 years). The mean age of onset of headache was 9 years (range, 4-15 years). Nineteen patients (61.3%) had the associated visual aura. Visual symptoms of the 19 patients included blurred vision, unilateral vision loss, flickering lights, scotoma, and visual hallucination in descending order. However, there was no specific abnormality observed on thorough ophthalmologic examinations.

Conclusions

Most of the children diagnosed with migraine did not show any ophthalmologic problems. Careful ophthalmologic examination with an understanding of migraine should be performed and reassurance to patients may be beneficial.

Keywords: Children, Migraine, Ophthalmologic examination, Visual aura

Figures and Tables

Figure 1
Clinical characteristics of visual symptoms in migraine patients.
jkos-53-1500-g001
Table 1
Demographic data of patients (n = 31)
jkos-53-1500-i001

n = number of patients; SD = standard deviation.

Table 2
Results of ophthalmologic examinations
jkos-53-1500-i002

Values are presented as mean ± SD or n (%).

BCVA = best corrected visual acuity; SD = standard deviation; IOP = intraocular pressure; SE = spherical equivalent; n = number of patients; PD = prism diopter.

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