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Andrew Lee, MD
Houston, Tex

Arch Ophthalmol. 1995;113(10):1229.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

I read with interest the report by Stroman et al¹ describing magnetic resonance imaging in patients with low-tension glaucoma published in the February issue of the ARCHIVES. The finding of diffuse cerebral small-vessel ischemic changes in patients with low-tension glaucoma adds to the evidence that suggests that ischemia may play a role in this disorder. It would be interesting to know, however, if any of the patients in this study had migraine headaches. Phelps and Corbett² reported a higher incidence of headache in elderly patients with low-tension glaucoma than in normal elderly controls and believed that there was an association between migraine and low-tension glaucoma. In addition, focal deep white matter abnormalities on magnetic resonance imaging studies have been described in patients with migraine, and may be related to small-vessel ischemia due to vasospasm.³ The relative role of migraine-related ischemia in the pathogenesis of these magnetic resonance . . . [Full Text PDF of this Article]

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