![]() Sometimes, just the aura occurs and no headache follows (silent migraine). The headache usually develops within 60 minutes of the end of the aura but it may develop a lot sooner than that - often straight afterwards. All doctors agree that waiting and hoping it will get better is not a prescription for success. The aura usually goes before the headache begins. ![]() The sooner he can check your eyes, the better. He has 22 of years of experience treating patients with ocular migraine and other related conditions. Reinders as quickly as possible to ensure that you are not having a retinal detachment. We recommend making an appointment to see Dr. With or without an aura, you also get typical migraine symptoms, which may last 4 to 72 hours. What Steps Should I Take If I Think I Am Having An Ocular Migraine? In other cases when migraine headaches (which can be debilitating) occur with the auras, a referral to your family physician is recommended as there are several migraine relieving medications that they can prescribe. Simple reassurance from your doctor can often lower anxiety levels and reduce or eliminate the ocular migraines. Often a patient’s first ocular migraine can be very alarming causing anxiety which can trigger further ocular migraines. Ocular migraines can be a nuisance but usually no treatment is required. ![]() An eye doctor must perform a full retinal examination with pupil dilation to ensure that there is no tear or detachment of the retina. The most important diagnosis to exclude is a retinal detachment which can be visually devastating. Ocular migraine is a “diagnosis of exclusion” meaning that we must exclude all other (dangerous) options and then conclude that the patient has only had an ocular migraine and nothing more vision threatening. There is no specific diagnostic test for ocular migraine. Patients may experience this migraine scenario only once in a lifetime or it may happen repeatedly. However for others, (possibly due to blood vessel over dilation) a classic migraine headache will develop. For most patients these auras resolve in a matter of minutes or hours without any headache. If this involves the visual cortex where vision is processed, it is referred to as an ocular migraine. Blood supply is then limited to these areas of the brain and their ability to function properly can be affected. Triggers can include stress, fatigue, bright lights, certain visual patterns, caffeine or certain foods. What Causes an Ocular Migraine?Ī classic migraine scenario involves a trigger in a patient’s environment which causes blood vessel constriction in certain parts of the brain. Migraine is a complex disorder characterized by recurrent episodes of headache, most often unilateral and in some cases associated with visual or sensory symptomscollectively known as an. These auras can be very disconcerting, often sending many patients to the emergency room. Other areas of the brain can also be affected by these blood vessel constrictions causing symptoms such as vertigo, hearing loss, nausea, difficulty speaking, or difficulty with concentration. Patients often describe their symptoms as heat waves, dark spots, flickering lights or loss of peripheral vision. Symptoms of an ocular migraine are called auras which can present as a variety of disturbances in your vision. A headache accompanied by temporary loss of vision in one eye characterizes an ocular migraine, typically lasting for less than an hour.
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