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July 1982

Ischemic Optic Neuropathy in Migraine

Author Affiliations

From the Department of Ophthalmology, Vanderbilt University School of Medicine, Nashville, Tenn. Dr Weinstein is now with the Milton S. Hershey Medical Center, Pennsylvania State University, Hershey.

Arch Ophthalmol. 1982;100(7):1097-1100. doi:10.1001/archopht.1982.01030040075013

• Two patients with histories of migraine had ischemic optic neuropathy develop during an episode of migraine. Clinical and radiologic studies excluded other causes of visual loss. Fluorescein angiography confirmed an ischemic process involving the optic disc. In both cases, visual loss was permanent. No further visual disturbance has occurred in either patient during a two-year period of follow-up while taking oral doses of propranolol hydrochloride.