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The aura phase of migraine can occur with or without a headache. Ocular or retinal migraines happen in the eye, so only affect the vision in that eye, while visual migraines occur in the brain, so affect the vision in both eyes together. Visual migraines result from cortical spreading depression and are also commonly termed scintillating scotoma.
Photopsia is the presence of perceived flashes of light in the field of vision. It is most commonly associated with: [4] posterior vitreous detachment; migraine aura (ocular migraine / retinal migraine) migraine aura without headache; scintillating scotoma; retinal break or detachment; occipital lobe infarction (similar to occipital stroke)
Retinal migraines also affect your vision before or during a migraine headache, but they only cause symptoms in one of your eyes. Retinal migraine symptoms tend to be more severe than regular aura ...
Ocular migraines affect your vision in one or both eyes. Here, experts share ocular migraine symptoms, causes, and treatments.
Scintillating scotomas are most commonly caused by cortical spreading depression, a pattern of changes in the behavior of nerves in the brain during a migraine. Migraines, in turn, may be caused by genetic influences and hormones. People with migraines often self-report triggers for migraines involving stress or foods, [9] or bright lights. [10]
A migraine headache can throw your whole day off track. But if you can learn to pick up on your subtle migraine warning signs, you might able to avoid the pain entirely , experts say.
Retinal migraines are a kind of optical migraine. Those affected will experience a scotoma—a patch of vision loss in one eye surrounded by normal vision—for less than one hour before vision returns to normal. Retinal migraines may be accompanied by a throbbing unilateral headache, nausea, or photophobia.
However, the migraine aura can manifest itself in isolation, that is, without being followed by headache. The aura can stay for the duration of the migraine; depending on the type of aura, it can leave the person disoriented and confused. It is common for people with migraines to experience more than one type of aura during the migraine.
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