One of the most challenging parts is the anxiety ocular migraine can cause. While migraine aura and retinal migraine can be inconvenient (it’s hard to read when you’re seeing zigzag lines) and sometimes scary (pull over if you start experiencing symptoms while driving) they’re not usually serious on their own. What’s the treatment for ocular migraine? Whatever your ocular migraine symptoms, an eye doctor or other healthcare provider can do neurologic testing, imaging, and blood work to help pinpoint the root cause of your visual disturbances. Retinal migraine is rare, and it’s important to get an eye exam to confirm this diagnosis, since vision problems limited to just one eye-as well as complete vision loss, however fleeting-can also be a symptom of more serious conditions, like a mini-stroke. This condition, which can also involve partial or complete temporary blindness in one eye, also begins in the brain, possibly the result of blood flow to the retina suddenly being restricted due to narrowing of blood vessels, known as a retinal vasospasm. That said, if you’ve experienced some of these visual symptoms but they’ve only affected one of your eyes, retinal migraine is more likely at play. If you can still see your visual disturbances when you close your eyes, this is another sign that the cause originates in your brain, not your eyes. A few clues that your eye issues are tied to migraine aura: Your visual symptoms affect both of your eyes, they have a distinct start and finish, and they last between five minutes and an hour. Less commonly, aura can also involve other sensory symptoms like tingling, dizziness, and difficulty with speech. (FYI, a migraine without headache has its own name: acephalgic migraine). That said, it’s also possible to experience migraine aura on its own, without any head pain. Set off by a wave of brain activity-rather than caused by a problem within your eyes, as you might assume-aura typically involves visual disturbances that occur shortly before a throbbing migraine headache begins. The first is migraine aura, which affects about a third of people living with migraine, a chronic neurological condition that causes debilitating headaches along with many other symptoms. The term “ocular migraine” actually encompasses two separate clinical diagnoses. What is ocular migraine, exactly-and why does it spark such strange symptoms? These visual disturbances often start as a small shimmering spot that gradually expands outward and evolves within your field of vision. All refer to recurring attacks of short-lived visual symptoms, like scotoma (blind spots), scintillations (twinkling lights), and zigzag patterns. Ocular migraine is a general, catch-all term that’s often used interchangeably with ophthalmic migraine and visual migraine. However, if you frequently experience bouts of temporary vision problems-with or without other symptoms like a headache, dizziness, or nausea-ocular migraine could be the reason, especially if you have a family history of migraine. When spotty vision resolves fairly quickly, it’s easy to chalk it up to a bad week of sleep, your intense new hot-yoga regimen, or even just good old-fashioned aging. If you’ve ever seen shimmery spots or flashing lights, or worse, experienced blind spots, you know that random visual disturbances can be mega creepy as far as health symptoms go.
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