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image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Headache The Journal...arrow_drop_down
image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
Headache The Journal of Head and Face Pain
Article . 2019 . Peer-reviewed
License: Wiley Online Library User Agreement
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Relating Photophobia, Visual Aura, and Visual Triggers of Headache and Migraine

Authors: Daniel P, Hayne; Paul R, Martin;

Relating Photophobia, Visual Aura, and Visual Triggers of Headache and Migraine

Abstract

Objective This study investigated a potential association between visual factors and symptoms related to migraine. It was predicted that photophobia and visual aura would be positively associated with interictal light sensitivity and visual headache triggers (flicker, glare, and eyestrain), and that these 2 visual symptoms would also be associated. Background Previous studies have found independent neurophysiological associations between several visual factors and symptoms related to headache disorders. Many of these connections appear to be associated with increased cortical hypersensitivity, a phenomenon that might be in part due to repeated avoidance and reduced tolerance to triggers. If true, and if associations between visual factors and symptoms can be established, this may have implications for an exposure‐based treatment for migraine symptoms. Methods Four hundred and ninety‐one participants (411 female, 80 male) were recruited through Griffith University (AUS), Headache Australia, Pain Australia, and through social media. Participants were grouped based on the presence of headache disorder symptoms and the presence or absence of photophobia and/or visual aura. A cross‐sectional online survey design was utilized to gather information pertaining to interictal light sensitivity, visual triggers, and visual symptoms. Results With respect to interictal light sensitivity and photophobia, a significant difference ( P < .001, eta squared [ η 2 ] = 0.084) was found between the 3 groups, where headache disorder participants with photophobia (group A1; mean [ M ] = 2.5, standard deviation [ SD ] = 0.97) reported significantly greater light sensitivity than participants with headache disorder and no photophobia (A2; M = 1.68, SD = 0.62) and control group participants (A3; M =  1.82, SD = 0.85). This pattern was repeated for participants reporting flicker as a headache trigger ( P < .001, η 2 = 0.061), with group A1 ( M = 2.45, SD = 1.24) significantly higher than groups A2 ( M = 1.68, SD = 0.83) and A3 ( M = 1.68, SD = 0.89), and was also seen for glare as a headache trigger ( P < .001, η 2 = 0.092), with group A1 ( M =  2.92, SD = 0.96) significantly higher than A2 ( M = 2.31, SD = 0.89) and A3 ( M = 2.09, SD = 0.93). This pattern of results was not replicated for headache disorder participants with and without visual aura. A significant association ( P < .001) was found between photophobia and visual aura in headache disorder participants based on a chi‐square test of independence, with 86/136 participants reporting either both or neither visual symptom. Conclusions This study supports a link between certain visual phenomena in headache disorder populations, and supports future research into exposure‐based treatments for migraine symptoms.

Keywords

Adult, Male, Cross-Sectional Studies, Headache Disorders, Photophobia, Migraine with Aura, Headache, Humans, Female, Photic Stimulation

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
25
Top 10%
Top 10%
Top 10%
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