Migraine Center

Migraine Center

Migraine Center

Migraine Center


MIGRAINES ARE MISERY

  • Migraines are one of the leading causes of disability worldwide

  • There is no cure for migraines, but there are methods to manage symptoms

MIGRAINE PREVALENCE

  • Migraines affects over 1 Billion people worldwide (14.7%)

  • Migraines affects over 47 million people in the United States

  • Migraines affect 1 in 5 people during their peak employment years (ages 18-55)

  • Migraines affect 1 in 3 women

MIGRAINE SYMPTOMS

  • Light Sensitivity (#1 most bothersome symptom)

  • Debilitating Headaches

  • Nausea and Vomiting

  • Sound and Smell Sensitivity

  • Brain Fog and Dizziness

IMPACT OF LIVING WITH MIGRAINES

  • 24% of people living with migraine disease report headaches so severe that they have sought emergency room care.

  • 51% of people living with migraine disease report a 50% or more reduction in work and/or school productivity

  • 66% of people living with migraine report a 50% or more reduction in household work productivity.

THE NEED FOR A LIGHT SENSITIVITY SOLUTION

  • 90% of people with migraine experience photophobia during a migraine attack.

  • 40% of people with migraine experience photophobia between attacks.

  • 30-60% of migraine attacks are triggered by light or glare.


INTRODUCING: THE AVULUX LENS

  • The Avulux lens is a brand-new (2022) clinically proven technology that helps 90% of people with migraines by effectively filtering light

  • White, blue, amber, and red light increased headache pain intensity; Avulux filters up to 97% of harmful blue, amber and red light.

  • Low intensity Green light decreased headache pain intensity; Avulux allows in soothing green light

  • The Avulux lens is multi-band precision optical filter that may, as part of a healthy lifestyle, help people living with migraine.

AVULUX BENEFITS:

  • No side effects

  • No recurring costs: one pair of Avulux glasses is enough to get you through your day

  • Multi-Use Lenses: Avulux glasses can be worn either indoors and outdoors without causing chronic dark adaptation

  • Complementary: Avulux glasses are a safe complement to any migraine medication or medical device

  • Does Not Distort Color Perception: Avulux lenses do not distort color perception, so you can find relief comfortably without affecting your quality of life

AVULUX USER GUIDE

  • Avulux lenses can be fit into an eyeglass frame of your choice and are available in your prescription or non-prescription lenses

  • Avulux plano lenses can be worn over contact lenses

  • Avulux lenses are also available as fit-overs or clip-ons

  • Wear Avulux glasses continuously if:

    • You suffer from chronic migraines, defined as 15 or more headache days per month with at least 8 days of migraine symptoms per month

    • You experience continuous light sensitivity, during and between migraine attacks

  • Wear Avulux glasses part-time for specific activities, such as:

    • Screen time

    • During any trigger activities

    • Under harsh lighting

    • When experiencing light sensitivity

    • At the onset of a migraine attack or aura

NEXT STEPS:

  • As of April 2023, Avulux lenses are only available in 12 offices within the US. Helmus Optometry is proud to lead the way in optical innovation!

  • Come meet with one of Helmus Optometry’s Board-Certified Optician to be fit into Avulux lenses

SCIENCE BEHIND THE LENS

  • Not surprisingly, sensitivity to light involves photoreceptors at the back of the eye.

  • These photoreceptors include rods and cones which are more associated with light translating images but more importantly they include ipRGC cells that mediate all other aspects of light.

  • One of these ipRGC cells which secretes a photopigment called melanopsin was found to play a roll in light sensitivity and migraine.

  • These melanopsin secreting ipRGC cells mediate pain in people with migraine and they were found to have peak stimulation of pain at the 480nm of light. (upper blue light range)

  • It was also discovered that there is an excitement of the melanopsin secreting ipRGC cells at the 590nm amber wavelength of light

  • Research in 2010 linked melanopsin secreting intrinsically photosensitive retinal ganglion cells (ipRGCs) to pain in people with migraine.

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EXISTING MIGRAINE TREATMENT OPTIONS

  • Over-the counter mediations

  • Hydration

  • Prescription medication at migraine onset

  • Stress management techniques

  • Sleeping a certain number of hours per night

  • Control of environment (light, noise, smell)

  • Physical exercise

  • Nutritional monitoring/avoidance of certain foods

  • Massage therapy

  • Prescription medication to prevent/lessen frequency

  • Chiropractics

  • Headache tracking/journal

  • Physiotherapy

  • Acupuncture

  • Neuromodulation Devices: Cefaly, Nerivio, Gammacore


CONS OF PRESCRIPTION MIGRAINE MEDICATIONS:

  • High cost

  • Documentation of prior failed treatments often required to receive insurance coverage

  • Patients can build a tolerance

  • Limit to number of pills you can take each month


Avulux can be used as a safe complement to migraine medication; patients can be on migraine medication and still benefit from Avulux
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PATIENT OUTCOMES

The goal of wearing Avulux is to help people living with migraine by managing light to reduce its impact on one’s daily life.


PATIENT SCREENING:

1. Have you been diagnosed with, or commonly experience, light sensitivity, migraine, or headaches?

2. Do you find that light can cause you eye pain, strain, or head pain?

3. Do you find yourself avoiding bright light situations?

4. How many days per month do you experience migraine attacks?

5. Do your migraine attacks impact your activities of daily living? (need for a dark room, missed activities or work, your screen time is limited)

6. Would you consider light sensitivity to be your most bothersome migraine-related symptom?

7. Do you experience light sensitivity between migraine attacks?

8. What do you currently do to help mitigate the impact of light sensitivity?



RESOURCES

*https://headachejournal.onlinelibrary.wiley.com/doi/10.1111/head.13407

Novartis & PMG Intelligence Study

National Headache Foundation

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2818758/

https://academic.oup.com/brain/article/139/7/1971/2464334

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