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NEUROLOGY 1986;36:267
© 1986 American Academy of Neurology

Vascular retinopathy in migraine

James R. Coppeto, MD, Simmons Lessell, MD, Richard Sciarra, MS and Leslie Bear, MD

Ophthalmology Department University of Connecticut Medical Center, Farmington, and the Ophthalmology Service, St. Mary's Hospital, Waterbury, CT (Dr. Coppeto); and the Department of Ophthalmology, Harvard Medical School, and the Massachusetts Eye and Ear Infirmary (Dr. Lessell), Boston, MA.

After years of episodic monocular visual loss, two migraineurs suffered sudden, persisting loss of vision from retinal vascular occlusion. One was a 34-year-old woman with systemic lupus erythematosus who showed abnormalities of the cilioretinal arterial and retinal venous circulations. The other was a 62-year-old man with hypertension and arteriosclerosis who had a central retinal vein occlusion. Persisting monocular visual loss is a rare consequence of migraine. Our cases suggest a role for venous lesions. Occlusion of retinal vessels in some migraineurs may result from the synergistic effect of another vascular disorder with the migraine.

Address correspondence and reprint requests to Dr. Coppeto, 1906 North Main Street, Waterbury, CT 06704.

Accepted for publication June 14, 1985.




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