What Are Ocular Migraines and How Are They Different from Regular Migraines?

What Are Ocular Migraines and How Are They Different from Regular Migraines? If you're a migraine sufferer, you know there are stark differences between headaches and migraines. But did you know that there are multiple types of migraines that can vary greatly based on symptoms, severity, and frequency? Migraines are generally divided into two categories: with aura and without. Aura refers to a cluster of visual symptoms: seeing waves, stars, zig-zags, flashes of light, or even missing spots in your vision. On average, these symptoms can last anywhere from 5 to 60 minutes, explains Dr. Ming Wang. Within the two major types of migraines, there are diagnosable subtypes—including ocular migraines. Generally speaking, an ocular migraine is a headache that's accompanied by visual disturbances (zig-zags, flashes of light, etc.). Dr. Ajeet Sodhi Both Dr. Sodhi and Dr. Wang confirm that the real indicator of an ocular migraine is its effect on just one eye. While they're relatively uncommon, ocular migraines can affect anyone. It might seem counterintuitive, but not all forms of migraines include head pain as a symptom. It sounds vague, but migraines with aura and ocular migraines can both happen with or without a headache, explains Dr. Wang. Migraines are unique to each individual, and no two migraine- sufferers' symptoms are exactly alike. If you suspect you have a migraine of any kind, ocular or otherwise, you should start by visiting your primary care doctor. They can evaluate your symptoms and potentially refer you to a specialist, such as a neurologist or ophthalmologist. Ocular migraines, specifically, are usually diagnosed after imaging and evaluation by a neurologist, explains Dr. Sodhi. Treatment for migraines, in general, may include medication, injections, lifestyle changes, and biofeedback. As for ocular migraines, both Dr. Sodhi and Dr. Wang say treatment depends on an individual person's symptoms. Sometimes treatment isn't even necessary, as ocular migraine symptoms tend to resolve on their own. "Closing and resting your eyes can help, as well as avoiding harsh, bright light and tech screens," says Dr. Sodhi. Dr. Wang also recommends remaining in a dark room to prevent triggers from light. Anti-nausea or anti-inflammatory drugs, like ibuprofen, can target certain symptoms and provide relief. If you experience a sudden loss of vision in one or both eyes, or troubling symptoms you haven't had before, see a doctor ASAP. They can rule out a more serious condition like a stroke or a seizure, which both require immediate medical attention.