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Ocular Migraine Headaches

Ocular migraine is the common or popular name for ophthalmic migraines. The term migraine usually makes us think of a severe type of headache. However, visual disturbances with or without the headache pain are also a form of migraine with the same migraine processes related to changes in blood flow in the brain. There are many different triggers that can cause a migraine to start but in some cases, those changes that take place in blood flow actually happen to the area of the brain responsible for vision.

There are a group of different types of migraines including ocular migraines which are all eye migraines. Pain is only one possible migraine symptom. Other symptoms can include nausea, congestion and visual symptoms.

If you are getting strange visual disturbances, usually lasting less than an hour, but no headache, you may well have an ocular migraine. These ocualar migraines are quite rare. They can occur repeatedly though not usually in a regular pattern. You could go days or years between such ocular migraine attacks.

Ocular migraine symptoms:

o Sometimes there is a headache and sometimes not. A migraine headache can then follow after the other ocular migraine symptoms have finished.
o There will be a small enlarging blind spot in your central vision with bright, flickering lights or …
o A shimmering zig zag line inside the blind spot.
o The blind spot usually enlarges and may move across your field of vision.
o This partial or complete blindness usually takes place in one eye.
o The entire set of migraine symptoms takes anything from 5 minutes to up to an hour.
o This whole procedure is sometimes referred to as an “aura”

Some of those who suffer from ocular migraines describe their experiences as varying degrees of vision loss or obstruction. Some people report “blind spots or holes”, referring to missing sections in the normal visual field or they may experience a shade of black or gray over the visual field. Some compare the visual phenomena of ocular migraine to the patterns produced by an old television with faulty reception. Others say it is like looking through watery glass. However, the vision symptoms accompanying painless ocular migraines are not related directly to the eyes. Instead, these visual symptoms occur as a result of the migraine “activity” in the visual cortex of the brain located in the back of the skull.

The good news is that ocular migraine symptoms are temporary and do not harm the eye but they can interfere with daily activities such as reading and driving and can interrupt the work day. If sharp vision is essential to your safety, then you should stop what you are doing immediately if an ocular migraine starts. And don’t start again until the ocular migraine passes and your vision has cleared.

If you have been suffering from similar symptoms, it would be wise to see a doctor or ophthalmologist to confirm that it is ocular migraine and not some other condition such as retinal detachment which would need immediate attention.

The best treatment for ocular migraines is to identify what triggers the condition in your particular case and thereby prevent such occurrences. Minimizing stress, maintaining a consistent schedule in your lifestyle, eating regular meals, making sure you drink enough water and getting enough rest and sleep are all useful preventative measures.

If ocular migraines start occurring with increasing frequency, your doctor may recommend treatment in the form of migraine medicines.

Go to our Migraine and Headache Treatment page






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