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Ocular migraine: Symptoms, Causes and Treatments

Ophthalmic migraine, also known as migraine with aura, is a type of migraine characterized by specific visual symptoms, often followed or preceded by headaches. This condition can be debilitating for sufferers, affecting their quality of life and ability to function normally. An eye exam may be recommended to evaluate these symptoms.

Symptoms

Symptoms of ophthalmic migraine can vary from person to person but generally include visual abnormalities that precede or accompany the headaches. These visual symptoms, often called aura, can consist of:

  • Sparkling Scotomas: Bright spots or visual flashes that may move across the field of vision.
  • Visual disturbances: temporary changes in vision, such as wavy or distorted lines, blind spots or halos around objects.
  • Sensitivity to light: heightened sensitivity to light, called photophobia, may persist during and after the migraine attack.

Causes

Although the exact mechanisms behind ophthalmic migraine are not fully understood, several factors may contribute to its onset, including: 

  • Genetic factors: Studies suggest that there is a genetic component to ophthalmic migraine, with some people having a familial predisposition to the condition.
  • Abnormal brain activity: Research indicates that ophthalmic migraines may be caused by abnormal electrical activity in the brain, affecting the visual pathways and causing visual symptoms.
  • Triggers: Some common migraine triggers, such as stress, hormonal changes, dietary changes, fluctuations in air pressure and sleep deprivation, can also trigger episodes of ophthalmic migraine in susceptible individuals. 

Treatments

Ophthalmic migraine treatment aims to relieve acute symptoms and prevent future attacks. Treatment options may include: 

  • Abortive medications: Medications such as triptans can be effective in relieving the symptoms of an ophthalmic migraine attack when taken at the earliest signs.
  • Preventive medications: For people with frequent or severe ophthalmic migraines, preventive medications such as beta-blockers, tricyclic antidepressants or antiepileptics can be prescribed to reduce the frequency and intensity of attacks.
  • Trigger management: Identifying and avoiding potential triggers for ophthalmic migraines, such as stress, specific foods or environmental changes, can help reduce the frequency of attacks. 

Ophthalmic migraine is a neurological condition that can have a significant impact on the daily lives of those who suffer from it. By understanding the symptoms, potential causes, and available treatment options, people with ophthalmic migraines can better manage their condition and improve their quality of life.

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