Miss Migraine: My eyes are fine! (Mostly)

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The Adventures of Miss Migraine is an ongoing column about my life with chronic migraine. A version of this post appeared first on August 1, 2012, on my blog of the same name.

Upon finding out I have chronic migraines, people almost always ask me, “Do you need glasses?”

My answer has always been a (probably somewhat snippy) “No, my eyes are fine.” But there’s always been that shred of doubt. Well, what IF I do need glasses? I’ve always had 20/20 vision, but what if years of hunching over books, reading in low light and staring at computer screens has caused my eyes to degenerate?

Today, I saw an optometrist. At the end of my appointment, while I attempted to blink away retinal burn from the blinding lights he’d been shining into the back of my eyes, he told me what I had known all along: My vision wasn’t causing my migraines. In fact, he said, the two (in my case) were unrelated. I should have asked him to write me a short note that I could laminate and pull out of my purse when asked the glasses question:

Kelly’s chronic migraines are not caused by her vision.

Signed,

Dr. H.

My right eye squeaked by with 20/20, and my left with 20/25. I was prepared to brag to my husband that actually, dear, my eyes are FINE, thank you very much (it was he who insisted I make this appointment–I would have lived with the doubt). Of course, there was a caveat. There’s always a caveat.

Dr. H. flipped lens after lens in front of my right and then left eye, asking each time if the change made the letters on the wall blurrier or clearer. When he removed the viewfinder from in front of me, he jotted a quick note on my chart.

“Well, you’ve got a bit of astigmatism,” he pronounced.

He asked if I knew what astigmatism was. I did: Basically, your cornea is shaped funny, more like an oval than a circle. My father has it. So along with my flat feet and asthma, I can now count astigmatism among the ailments he’s given me. I think I need to ask him again if he ever gets migraines.

As children, our brains have an easy time adapting to the misshapen cornea, but as we get older, focusing gets more difficult. So it’s likely that my vision will deteriorate as I age. Dr. H. suggested I get glasses to wear as-needed, like when I’m using the computer or driving at night, to reduce eye strain.

Wearing them a little bit or all the time apparently won’t make my eyes better or worse, but I will have to adapt to them. With astigmatism, you also see the world at a slight tilt, but your brain corrects for it. These glasses will also correct for it, so when I get them, it will seem like I’m looking through a fishbowl for a few days, and I can expect a headache.

But then again, I always expect a headache.

What annoying questions do people ask you about your migraines? Do vision problems contribute to your pain?

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2 Responses

  1. Emily says:

    Too funny! One of the first things I did when I started getting migraines was get my vision checked because that was everyone’s first reaction!

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