Convergence insufficiency associated with migraine: A case series

Eric L. Singman, Noelle S. Matta, David I. Silbert

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


Background and Purpose: The appearance of convergence insufficiency in migraineurs suggests a possible link between migraine and convergence insufficiency. Patients and Method: Relevant patients reporting to our neuro-ophthalmology clinic complained of symptoms consistent with convergence insufficiency and had a history of migraine. Patients underwent thorough neuro-ophthalmic evaluations including history, physical exam, and cranial imaging. Four illustrative cases are presented in this report. Results: Convergence insufficiency may develop after migraine. In some cases, it may be a persistent cause of reduced visual functioning. In patients with persistent asthenopia, orthoptic therapy has proven successful. Conclusions: A history of migraine should be sought in patients complaining of reading difficulties secondary to new onset convergence insufficiency. Furthermore, migraineurs should be asked about whether they suffer asthenopia. Finally, a larger scale, prospective study should be considered to further explore a possible link between migraine and convergence insufficiency.

Original languageEnglish (US)
Pages (from-to)112-116
Number of pages5
JournalAmerican Orthoptic Journal
Issue number1
StatePublished - 2014


  • Asthenopia
  • Convergence insufficiency
  • Migraine

ASJC Scopus subject areas

  • Ophthalmology


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