Evidence map›Paper›PMID 28028626›Full record

ArticleJournal of neurology2017

Migraine causes retinal and choroidal structural changes: evaluation with ocular coherence tomography.

Ester Reggio, Clara G Chisari, Giulia Ferrigno, Francesco Patti, Giulia Donzuso, Giorgia Sciacca, Teresio Avitabile, Salvatore Faro, Mario Zappia

Abstract read
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In one paragraph

Article in Journal of neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Retinal nerve fiber layer changes in migraine: a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
    Pooled it
  2. Optical coherence tomography is a useful tool for monitoring treatment response in migraine: a prospective longitudinal study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  3. Article
  4. Review
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  11. Evaluation of retinal vessel density and choriocapillaris flow in migraine patients with and without aura.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2020
    Article
  12. Article
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  15. Retinal correlates of neurological disorders.Therapeutic advances in chronic disease · 2019
    Review
  16. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ester ReggioDepartment "G.F. Ingrassia" Section of Neuroscience, Policlinico G. Rodolico, University of Catania, via Santa Sofia 78, 95123, Catania, Italy.
Clara G ChisariDepartment "G.F. Ingrassia" Section of Neuroscience, Policlinico G. Rodolico, University of Catania, via Santa Sofia 78, 95123, Catania, Italy.
Giulia FerrignoDepartment "G.F. Ingrassia" Section of Neuroscience, Policlinico G. Rodolico, University of Catania, via Santa Sofia 78, 95123, Catania, Italy.
Francesco PattiDepartment "G.F. Ingrassia" Section of Neuroscience, Policlinico G. Rodolico, University of Catania, via Santa Sofia 78, 95123, Catania, Italy.
Giulia DonzusoDepartment "G.F. Ingrassia" Section of Neuroscience, Policlinico G. Rodolico, University of Catania, via Santa Sofia 78, 95123, Catania, Italy.
Giorgia SciaccaDepartment "G.F. Ingrassia" Section of Neuroscience, Policlinico G. Rodolico, University of Catania, via Santa Sofia 78, 95123, Catania, Italy.
Teresio AvitabileDepartment of Ophthalmology, Policlinico G. Rodolico, University of Catania, via Santa Sofia 78, 95123, Catania, Italy.
Salvatore FaroDepartment of Ophthalmology, Policlinico G. Rodolico, University of Catania, via Santa Sofia 78, 95123, Catania, Italy.
Mario ZappiaDepartment "G.F. Ingrassia" Section of Neuroscience, Policlinico G. Rodolico, University of Catania, via Santa Sofia 78, 95123, Catania, Italy. m.zappia@unict.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Few studies have evaluated whether the retina is involved in migraine through the evaluation of retinal nerve fiber layer (RNFL) examined with ocular coherence tomography (OCT) with conflicting results. Aim of this case-control study is to evaluate the retina and the choroid in migraine. Patients having migraine with aura (MwA) or without aura (MoA) and chronic migraine (CM) were evaluated. Age- and sex-matched normal subjects were selected as healthy controls (HC). Patients and HC were examined with OCT. RNFL, ganglion cell layer (GCL), foveal thickness (FT), choroidal thickness (CT) and total macular volume (TMV) were calculated for right eyes (RE) and left eyes (LE). Seventy-seven patients (62 women; 80.5%), 21 MoA, 12 MwA, 44 CM and 42 HC were enrolled in the study. Patients compared to HC had a significant reduction of RNFL (RE: 91.2 ± 9.2 vs 99.3 ± 7.5 μm; p < 0.001. LE: 93.3 ± 8.7 vs 100.2 ± 6.5 μm; p < 0.001). GCL (RE: 80.6 ± 6.4 vs 86.9 ± 2.1 μm; p < 0.0001. LE: 81.5 ± 5.7 vs 87.1 ± 2.6 μm; p < 0.0001) and CT (RE: 286.4 ± 31.4 vs 333.2 ± 3.1 μm; p < 0.0001. LE: 287.2 ± 31.6 vs 334.5 ± 4.1 μm; p < 0.0001) were thinner in patients compared to HC. Moreover, CM showed reduction of RNFL and of GCL compared to the other migraineurs. Finally, we found a significant inverse correlation between RNFL thickness and total number of headache attacks per months. Our data suggest the involvement of retina and choroid in migraineurs, especially in the CM group. Although migraine is an episodic and recurrent disease, its chronic nature might cause permanent structural abnormalities involving not only the brain, but also the retina.

Indexed as

AdultAge of OnsetBody Mass IndexCase-Control StudiesChoroid DiseasesCross-Sectional StudiesFemaleHumansMaleMigraine DisordersMultivariate AnalysisOrgan SizeRetinaRetinal DiseasesSeverity of Illness IndexTomography, Optical CoherenceChoroidMigraineOcular coherence tomographyRetina

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.