Understanding Retinal Migraine

A Comprehensive Guide to Causes, Symptoms, and Treatment Options

Neurology

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Last updated: Mar 24, 2025

What is a Retinal Migraine?

A retinal migraine is a rare condition characterized by repeated episodes of visual disturbances in one eye, typically followed by headache. These episodes are temporary but can be concerning when they occur.

Key Characteristics

  • Affects only one eye at a time
  • Usually temporary, lasting 5-60 minutes
  • May precede or accompany a headache
  • Can occur with or without aura

Common Symptoms

Visual Symptoms

  • Temporary blindness in one eye
  • Scintillating lights
  • Dark areas in vision
  • Complete vision loss in the affected eye

Associated Symptoms

  • Headache (typically follows visual symptoms)
  • Nausea
  • Light sensitivity
  • Sound sensitivity

Risk Factors

  • Family history of migraines
  • Age (more common in people under 40)
  • Gender (more common in women)
  • Certain medical conditions
  • Hormonal changes

Diagnosis

Key Diagnostic Criteria

  1. Fully reversible visual symptoms in one eye
  2. Headache following within 60 minutes
  3. No other underlying cause identified

Treatment Options

Acute Treatment

  • Pain relievers
  • Anti-nausea medications
  • Migraine-specific medications (triptans)

Preventive Measures

  • Identifying and avoiding triggers
  • Regular sleep schedule
  • Stress management
  • Preventive medications when necessary

When to Seek Medical Care

  • First occurrence of symptoms
  • Changes in pattern or severity
  • Vision problems lasting longer than an hour
  • New or unusual symptoms

Prevention Tips

  1. Keep a migraine diary
  2. Maintain regular meals
  3. Stay hydrated
  4. Manage stress levels
  5. Get adequate sleep

Long-term Management

Work with your healthcare provider to develop a comprehensive management plan that may include:

  • Regular check-ups
  • Medication adjustments
  • Lifestyle modifications
  • Trigger avoidance strategies

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