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What are eye migraines?

Eye migraines



They're commonly called eye migraines, but they're actually a group of different types of migraine, including ocular migraines (or occular), ophthalmic migraines, a type of silent or acephalgic migraine, and even ophthalmoplegic migraines. Confused? Don't worry, you'll see it all clearly in a moment (oops, sorry!)...

First, you need to remember that pain is only one possible symptom of migraine (see the article on symptoms). Other symptoms include nausea, congestion, and visual symptoms. Silent migraine or acephalgic migraine is migraine without the headache.

Eye migraines – silent migraine:

If this is you, you may be getting strange visual disturbances, usually lasting less than an hour, but no headache. You likely have a type of migraine, which needs to be treated in basically the same way as any other type of migraine. However, you do need to make sure you see a good doctor so that she can rule out other problems that can do permanent damage.

Read more about silent migraine.


Eye migraines – Occular migraines:

Ocular or retinal migraines are quite rare. You get partial (retinal) or complete (ocular) blindness, in one eye or two. This disturbance lasts less than an hour. Sometimes it comes with a headache, sometimes it doesn't. The headache (often a dull ache behind the affected eye) usually happens afterwards, but can happen before or even during (our bodies are so unpredictable!). This type of migraine varies with which artery is being hit.

Occular (ocular) migraine occurs repeatedly, though not usually in a regular pattern. You could go days or years between attacks.

Read this article for more details on ocular migraine cause and treatment.

Once again, it's a good idea to see a doctor or ophthalmologist to make sure there isn't something else going on. It's especially important to see a doctor if your symptoms are accompanied by headache.

Eye migraines - Ophthalmic migraine:

Ophthalmic migraine ( also called opthalmic migraine) has the same symptoms as the occular migraines mentioned above, but occur at the height of the migraine, and most often occur in young men. Sometimes as time progresses the migraine sufferer will lose the headache and end up with a ophthalmic migraine which is a silent migraine (are you getting the hang of this now?). These are much more common eye migraines.

The International Headache Society doesn't use this classification. That's why you may read a variety of descriptions with the same name. But many of these are now outdated.

Read more about eye migraines called opthalmic migraine.

Eye migraines – ophthalmoplegic migraine:

These have been called a rare type of migraine, though researchers now believe it's not technically a migraine at all. The headache is usually severe, and is accompanied by weakness in one or more of the eye muscles. Because of the decreased eye movement, you may experience temporary (less than 2 hours) double vision, drooping eyelid, or dilated pupil. Most often this problem is diagnosed in children.

It is very important to have a thorough examination if you suspect you may have ophthalmoplegic migraine. Dr. Seymour Diamond writes in Conquering Your Migraine,"Double vision and muscle weakness may be caused by an aneurysm or it may have another organic origin...the individual should undergo a thorough examination and appropriate testing to rule out conditions other than ophthalmoplegic migraine."

Eye migraines - Basilar migraines

Basilar migraines are not strictly just “eye migraines”, but the eye symptoms are often quite obvious and severe. These symptoms include a visual aura but also eye twitching, a graying out visually or even temporary partial blindness, vertigo, dizziness and more. This type of migraine is rare, but has some concerns of its own, so we have another article with all the details. Read here about basilar migraines and the unique problems that come with them.

If you suffer eye migraines, your doctor may recommend to you some of the common migraine treatments mentioned on this site, so take a look around, and all the best with your fight against migraine and headache!

Sore eyes??

If you're dealing with sore eyes, or pain around your eyes when you have a headache, consider getting an eye pillow.  Eye pillows are also useful to block out the light.  Read an overview of the flax seed eye pillow and IMAK eye pillow...

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