Brief Answer: These problems indicate migraine. Detailed Answer: Hello Madam Welcome to Health Care Magic It seems from the history that you are having recurrent episodes of tingling and burning of face with head pain, eye sensitivity and deterioration of vision over the day. You have undergone MRI and it has come normal. These symptoms indicate primary headache like migraine. tingling and burning, headache , eye sensitivity and vision problems are the prodromal symptoms of migraine headache and it classically occurs in recurrent episodes and it will not show any structural abnormality of the brain as confirmed by MRI scan in your case. Topiramate is an anticonvulsant drug and it is used for treatment of chronic migraine and zopichlone is a sedative hypnotic drug used for treatment of insomnia. So to conclude I can say that your problems are because of migraine and you need to take treatment for migraine. These problems does not seem to be like related to dry eye. Since topiramate is not seem to working for prevention of migriane headache, your doctor need to consider alternate drugs like flunarizine or beta blockers like propranolol for prophylaxis to prevent recurrent attacks of migraine. Hence I advice you to consult your doctor for treatment of migraine. Hope I have answered your question and the information is helpful to you. Thank you

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