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Unilateral corneal arcus and conjunctival vessel alterations in cranial autonomic dysregulation: A case report

ORCID
0000-0002-8718-6738
Affiliation
Department of Ophthalmology, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland
Dysli, Muriel;
Affiliation
Department of Ophthalmology, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland
Abegg, Mathias;
Affiliation
Department of Neurology, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland
Kerkeni, Hassen;
Affiliation
Department of Neurology, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland
Kalla, Roger;
GND
1210562308
ORCID
0000-0001-6907-1112
Affiliation
Department of Ophthalmology, Inselspital, Bern University Hospital and University of Bern, Switzerland; Department of Ophthalmology, University Hospital Essen, University Duisburg-Essen, Essen, Germany
Tappeiner, Christoph

Background: Cranial autonomic dysregulation is a common symptom of patients suffering from cluster headache or migraine. The peripheral vascular dysfunction may increase the risk for ischemic or hemorrhagic strokes, myocardial infarction, retinal vasculopathy, cardiovascular mortality, and peripheral artery diseases. Furthermore, it may also manifest with ocular symptoms, e.g., increased lacrimation, conjunctival injection, and facial swelling.

Case presentation: We here report a case of a patient with migraine and ocular signs of a vascular dysregulation that have led to persisting changes of conjunctival vessels and to a corneal arcus.

Conclusions: Autonomic vascular dysregulation may not only cause headaches but also persisting changes of ocular tissues, e.g., conjunctival vessel alterations and a corneal arcus.

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Date Issued:
03.11.2022
URN:
urn:nbn:de:hbz:465-20240604-153039-3
DOI:
10.1177/11206721221136426
Language:
English
Type of Resource:
Text
Keywords:
Conjunctival hyperemia; conjunctival vessels; corneal arcus; cranial autonomic dysregulation; migraine
Collection:
E-Publications
Subject categories of the Deutsche Nationalbibliografie:
610 Medical sciences Medicine
Hosting institution:
Faculty of Medicine, Essen University Hospital, Klinik für Augenheilkunde
funding:
Dieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG-geförderten) Allianz- bzw. Nationallizenz frei zugänglich.
This publication is with permission of the rights owner freely accessible due to an Alliance licence and a national licence (funded by the DFG, German Research Foundation) respectively.
Info on primary publication:

Dysli M, Abegg M, Kerkeni H, Kalla R, Tappeiner C. Unilateral corneal arcus and conjunctival vessel alterations in cranial autonomic dysregulation: A case report. European Journal of Ophthalmology. 2023;33(5):NP91-NP94. doi:10.1177/11206721221136426

First published online November 3, 2022

version identification:
Version of Record / Verlagsversion

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© The Author(s) 2022

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