What is a Visual or Ocular Migraine

When people think of migraine headaches, physical discomfort or pain is usually the part that comes to mind first. However, migraines can also come with visual disturbances, and it’s even possible to have a migraine where the only symptom is a change to your vision. In either of those cases, the person is dealing with a visual migraine.  

Also known as ocular migraines, visual migraines can cause significant vision issues, making it hard – if not impossible – to navigate their environment safely. If you’re curious about visual migraines, including the different types, the symptoms you may experience, and when it’s wise to seek treatment, here’s what you need to know.  

Types of Visual Migraines and Their Symptoms  

Generally speaking, there are two types of visual migraine. First, there is migraine with aura. Here, both eyes may experience vision changes. Usually, it begins with the formation of a flickering, jagged blind spot. As the migraine continues, the blind spot can grow, generally forming a C-shape.  

Along with blind spots, a person might experience bright flashes of light or stars. The blind spots can also develop into a wide range of shapes and patterns and are often accompanied by other symptoms, including tinnitus, numbness, tingling, facial weakness, and difficulty speaking. Usually, a migraine with aura symptoms lasts between five and 60 minutes.  

The other kind of visual migraine is a retinal migraine. Generally, retinal migraines only impact one eye at a time. There may be bright flashes followed by a vision decline, including losing the ability to see out of that eye entirely.  

Usually, the symptoms of a retinal migraine last for up to 20 minutes. Additionally, they are highly intrusive while occurring, substantially altering a person’s vision to the point of having trouble navigating environments or managing everyday tasks.  

It’s important to note that vision losses can remain after a retinal migraine ends. However, this is relatively rare.  

When to Seek Treatment for Visual Migraines  

Generally, it’s best to seek treatment for all kinds of visual migraines. While a migraine with aura usually ends within an hour, the symptoms a person experiences can align with other potentially serious medical conditions. As a result, it’s best to consult with a professional to confirm a migraine is responsible.  

With retinal migraines, seeing an eye care provider is also essential. By doing so, a treatment plan can be developed, reducing the odds of long-term vision changes after episodes. Additionally, some of the symptoms of a retinal migraine are also symptoms of some serious medical conditions, such as a retinal detachment or injury. By seeking medical attention right away, you increase your odds of getting prompt treatment if another condition is causing the symptoms.  

At ECVA, the safety and health of our patient’s eyes are our priority. If you have signs or symptoms of ocular migraines and want professional insights into what you’re experiencing or haven’t seen your eye care provider in the past year, the ECVA team is here to help. Schedule an appointment at your closest ECVA clinic today.