Migrena siatkówkowa
Leczenie

Migrena siatkówkowa to rzadki typ migreny charakteryzujący się nawracającymi, przejściowymi zaburzeniami widzenia w jednym oku, takimi jak zaciemnienie, mroczki czy ślepota, trwającymi zwykle kilkadziesiąt minut i często towarzyszącym bólem głowy. W odróżnieniu od migreny z aurą, objawy dotyczą tylko jednego oka. Diagnostyka wymaga wykluczenia innych poważnych przyczyn utraty widzenia, takich jak odwarstwienie siatkówki czy udar. W trakcie ataku zaleca się odpoczynek w zaciemnionym pomieszczeniu, stosowanie leków przeciwbólowych (paracetamol, ibuprofen) oraz unikanie czynności wymagających pełnej sprawności wzrokowej. Tryptany są przeciwwskazane ze względu na ryzyko przedłużenia utraty widzenia.

Migrena siatkówkowa – leczenie

Migrena siatkówkowa (ang. retinal migraine) to rzadki typ migreny charakteryzujący się nawracającymi epizodami przejściowych zaburzeń widzenia dotyczących tylko jednego oka, którym może towarzyszyć ból głowy. Zaburzenia widzenia mogą obejmować zaciemnienie, mroczki, ślepotę lub utratę wzroku w jednym oku, a objawy zwykle ustępują samoistnie w ciągu kilkudziesięciu minut. W przeciwieństwie do migreny z aurą, która dotyka obu oczu, migrena siatkówkowa dotyczy tylko jednego oka.123

Kiedy wymagane jest leczenie

Leczenie migreny siatkówkowej zwykle nie jest konieczne, jeśli epizody występują rzadko (np. raz w miesiącu lub rzadziej). Większość ataków migreny siatkówkowej jest krótkotrwała i ustępuje samoistnie bez interwencji medycznej.456

Należy jednak pamiętać, że utrata widzenia w jednym oku może być objawem poważniejszych schorzeń i wymaga pilnej konsultacji medycznej. Każdy epizod utraty widzenia powinien zostać zbadany przez lekarza, niezależnie od wieku pacjenta.789

Postępowanie w trakcie ataku

Gdy zaburzenia widzenia się rozpoczną, muszą przebiec swój naturalny kurs. Nie ma jasno określonych wytycznych dotyczących postępowania z pacjentami z migreną siatkówkową w trakcie ataku.10 Zalecane jest:

  • Odpoczynek i przebywanie w cichym, zaciemnionym pomieszczeniu do czasu ustąpienia objawów1112
  • Stosowanie leków przeciwbólowych dostępnych bez recepty (paracetamol, ibuprofen) w przypadku bólu głowy1314
  • Unikanie prowadzenia pojazdów i innych czynności wymagających pełnej sprawności wzrokowej15

Należy zaznaczyć, że niektóre leki stosowane w leczeniu typowych migren, takie jak tryptany, mogą przedłużać utratę widzenia u pacjentów z migreną siatkówkową i nie są zalecane.16171819

Leczenie profilaktyczne

Jeśli epizody migreny siatkówkowej występują często (więcej niż raz w miesiącu) lub są szczególnie uciążliwe, lekarz może zalecić leczenie profilaktyczne mające na celu zmniejszenie częstotliwości i nasilenia ataków.2021

Modyfikacja stylu życia

Pierwszym krokiem w leczeniu profilaktycznym jest identyfikacja i unikanie potencjalnych czynników wyzwalających ataki:2223

  • Unikanie spożywania alkoholu i kofeiny2425
  • Kontrolowanie czynników stresogennych26
  • Regulacja ciśnienia tętniczego2728
  • Zaprzestanie palenia tytoniu2930
  • Odpowiednie nawodnienie organizmu3132
  • Regularne, niewielkie posiłki zapobiegające hipoglikemii33
  • Zapewnienie odpowiedniej ilości snu34

Farmakoterapia profilaktyczna

Jeśli zmiany stylu życia nie przynoszą poprawy, lekarz może zalecić farmakoterapię profilaktyczną. Leki stosowane w profilaktyce migreny siatkówkowej to:3536

  • Blokery kanału wapniowego (np. nifedypina, werapamil) – są podstawą leczenia migreny siatkówkowej. Działają poprzez zmniejszenie skurczu naczyń krwionośnych i poprawę przepływu krwi do siatkówki.37383940
  • Kwas acetylosalicylowy (aspiryna) w małych dawkach – może być pomocny w profilaktyce migreny siatkówkowej. Codzienne stosowanie małych dawek aspiryny może zmniejszyć częstotliwość ataków.414243
  • Leki przeciwpadaczkowe (np. topiramat, kwas walproinowy) – mogą być skuteczne w zmniejszaniu nasilenia ataków migreny siatkówkowej.44454647
  • Trójcykliczne leki przeciwdepresyjne (np. amitryptylina) – mogą być skuteczne w profilaktyce migreny siatkówkowej poprzez zmianę chemii mózgu.48495051

Należy podkreślić, że w przypadku migreny siatkówkowej zaleca się unikanie ergotaminy i beta-blokerów ze względu na zwiększone ryzyko nieodwracalnej utraty wzroku.5253 Jednak w niektórych źródłach wymienia się również beta-blokery jako potencjalną opcję terapeutyczną, co wskazuje na potrzebę indywidualnego podejścia do każdego pacjenta.5455

Nowsze metody leczenia

W kontekście migreny siatkówkowej warto wspomnieć o nowszych metodach leczenia, choć ich skuteczność w tym konkretnym rodzaju migreny nie została jeszcze w pełni potwierdzona:56

  • Antagoniści peptydów związanych z genem kalcytoniny (CGRP) – białko CGRP występuje w siatkówce, ale nie wiadomo, czy leki celujące w CGRP są przydatne w leczeniu tego typu migreny.575859
  • Urządzenia do neuromodulacji – takie jak Cefaly (stymulacja nerwu nadoczodołowego), sTMS mini (przezczaszkowa stymulacja magnetyczna) czy gammaCore (stymulacja nerwu błędnego) – mogą być rozważane u pacjentów z częstymi atakami migreny.606162
  • Toksyna botulinowa (Botox) – stosowana w leczeniu przewlekłej migreny, może być również rozważana u pacjentów z migreną siatkówkową, choć specyficzne badania w tej populacji są ograniczone.636465

Terapie alternatywne

Oprócz konwencjonalnych metod leczenia, niektórzy pacjenci mogą odnieść korzyści z terapii alternatywnych:6667

  • Suplementacjawitamina B2 (ryboflawina), koenzym Q10, magnez6869
  • Akupunktura – może pomóc w zmniejszeniu bólu i częstotliwości ataków707172
  • Terapia behawioralno-poznawcza (CBT) i terapia rozmową73
  • Masaż – może zmniejszyć częstotliwość migren7475
  • Ziołowe preparaty – takie jak złocień maruna (feverfew) i lepiężnik (butterbur)76

Przed rozpoczęciem jakiejkolwiek terapii alternatywnej należy skonsultować się z lekarzem, ponieważ niektóre metody mogą wchodzić w interakcje z konwencjonalnymi lekami lub mogą być przeciwwskazane w pewnych stanach zdrowia.77

Monitorowanie i opieka długoterminowa

Pacjenci z migreną siatkówkową powinni pozostawać pod stałą opieką medyczną ze względu na potencjalne powikłania, takie jak zamknięcie tętnicy środkowej siatkówki, zawał siatkówki, krwotok do ciała szklistego czy niedokrwienie nerwu wzrokowego.78

Zaleca się regularne wizyty kontrolne u okulisty i neurologa. Pacjenci powinni być edukowani o sygnałach ostrzegawczych związanych z utratą wzroku i konieczności natychmiastowej konsultacji medycznej w przypadku ich wystąpienia.7980

Prowadzenie dziennika objawów może pomóc lekarzowi w ocenie skuteczności stosowanej terapii i wprowadzeniu ewentualnych modyfikacji.8182

Znaczenie właściwej diagnostyki

Właściwa diagnoza migreny siatkówkowej jest kluczowa dla wdrożenia odpowiedniego leczenia. Najważniejszym pierwszym krokiem w ocenie pacjenta z podejrzeniem migreny siatkówkowej jest ustalenie, czy objawy wzrokowe są jednooczne czy obuoczne.83

Zaleca się konsultację zarówno u neurologa, jak i okulisty w celu wykluczenia innych przyczyn zaburzeń widzenia, takich jak odwarstwienie siatkówki, choroby zakrzepowo-zatorowe czy udar.8485

Podsumowanie leczenia

Nie istnieje jeden uniwersalny schemat leczenia migreny siatkówkowej – terapia musi być dostosowana indywidualnie do każdego pacjenta.8687

Leczenie migreny siatkówkowej obejmuje:

  • Odpoczynek i unikanie czynników wyzwalających podczas ataku88
  • Leki przeciwbólowe w przypadku towarzyszącego bólu głowy89
  • Profilaktyczną modyfikację stylu życia90
  • Farmakoterapię profilaktyczną, głównie blokery kanału wapniowego, jeśli ataki są częste91
  • Regularne monitorowanie stanu zdrowia i dostosowywanie leczenia w razie potrzeby92

Badania wykazały, że niesteroidowe leki przeciwzapalne, propranolol i flunaryzyna mogą znacząco zmniejszyć ryzyko okluzji naczyń siatkówki u pacjentów z migreną.93

Ze względu na rzadkość występowania migreny siatkówkowej, nadal istnieje potrzeba dalszych badań w celu opracowania bardziej skutecznych i bezpiecznych metod leczenia.9495

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  1. 10.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Retinal Migraine: Symptoms, Causes and Treatment | AMF
    https://americanmigrainefoundation.org/resource-library/retinal-migraine/
    Retinal migraine is a rare type of migraine that can cause visual symptoms in one eye. Most attacks are short-lived. Learn more about the symptoms, causes and treatment options for this disease. […] There are no clear guidelines for the management of patients with retinal migraine. Once the visual disturbance starts, it needs to run its course. Some treatments, such as triptans, can prolong the visual loss. Preventive therapies used for other migraine types can be effective. These can include medications from the following families: calcium channel blockers (reduces blood pressure), anti-seizure or antidepressant medications. Daily low-dose aspirin can also be helpful. Calcitonin gene-related peptide (CGRP—a protein that is released around the brain) is found in the retina but we don’t know if medications targeting CGRP are useful for this type of migraine.
  • #2 Ocular migraine: When to seek help
    https://www.mayoclinic.org/diseases-conditions/migraine-headache/expert-answers/ocular-migraine/faq-20058113
    The term „ocular migraine” can be confusing. […] Sometimes people use the term „ocular migraine” to refer to a retinal migraine. This type of migraine is very rare and causes visual changes in one eye. When visual changes are only in one eye, they could signal something serious and may need treatment right away. […] A retinal migraine is a rare condition that usually affects people who also have other symptoms of migraine. Retinal migraine involves repeated bouts of short-lasting partial vision loss, such as blind spots. These bouts may happen before or during the headache. […] A retinal migraine unlike a migraine with aura affects only one eye, not both. But usually vision changes that affect only one eye aren’t related to a retinal migraine. Vision changes in one eye can be caused by more-serious conditions that need treatment.
  • #3 Retinal Migraine Headache – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK507725/
    Ocular or retinal migraines are generally defined as a transient monocular scotoma or loss of vision that is accompanied or followed by a headache within 60 minutes of visual symptoms onset. […] This activity reviews the evaluation and management of retinal migraines and highlights the role of the interprofessional team in caring for affected patients. […] Review the treatment and management options available for retinal migraines. […] When attacks are more frequent, first-line therapy starts with lifestyle changes that include avoiding dietary triggers such as alcohol and caffeine, controlling stressors like high blood pressure, and ceasing to smoke. […] If that does not help, then the patient must start a diary to help evaluate the success of the therapy and initiate prophylaxis therapy.
  • #4 Retinal migraine
    https://www.nhs.uk/conditions/retinal-migraine/
    Treatment for retinal migraines is not usually needed if you do not have them very often. […] If you have them frequently, a GP may suggest: […] painkillers like paracetamol or ibuprofen […] medicines to help prevent migraines, such as topiramate or amitriptyline […] If these treatments do not help control your migraines, you may be referred to a specialist called a neurologist for more tests and treatment.
  • #5 Ocular Migraine: What It Is, Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/24961-ocular-migraine
    Ocular migraine (also known as retinal migraine) is a condition that involves attacks of visual issues that affect one eye and migraine headaches. Treatment involves avoiding triggers with lifestyle changes and medication. […] If ocular migraines happen infrequently, such as once a month, healthcare providers generally dont recommend treatment. […] If you have frequent ocular migraines, the goal of treatment is to reduce the frequency of attacks. Treatment includes: Avoiding possible triggers: Its helpful to know what situations trigger your ocular migraines. Keeping a journal of when and how your migraines happen can help with this. Lifestyle changes, such as avoiding dietary triggers, managing stressors like high blood pressure and quitting smoking, may help reduce the number of attacks you have. […] Medication: If lifestyle changes dont help, medication that can help prevent ocular migraines (prophylaxis therapy) is the next step. Calcium channel blockers such as nifedipine and verapamil are the go-to medications. Aspirin and antiepileptic drugs may also help.
  • #6 Retinal Migraine Headache | Treatment & Management | Point of Care
    https://www.statpearls.com/point-of-care/28450
    If the attacks are infrequent, such as one per month, then treatment is not necessary. […] When attacks are more frequent, first-line therapy starts with lifestyle changes that include avoiding dietary triggers such as alcohol and caffeine, controlling stressors like high blood pressure, and ceasing to smoke. […] If that does not help, then the patient must start a diary to help evaluate the success of the therapy and initiate prophylaxis therapy. […] It is usually recommended to avoid ergot and beta-blockers in retinal migraines due to the increased incidence of irreversible vision loss. […] Calcium channel blockers such as nifedipine and verapamil (most effective) are the mainstay of treatment here. […] Other medications such as coumadin and heparin have been used in isolated cases of patients with antiphospholipid antibody syndrome and retinal migraine.
  • #7 Retinal Migraine: Symptoms, Causes and Treatment | AMF
    https://americanmigrainefoundation.org/resource-library/retinal-migraine/
    Bottom line: If you have symptoms of vision loss, you should visit your doctor. Dr. Friedman says, “Just having an attack of vision loss is worrisome…. Regardless of the person’s age, they should go see somebody and get it checked out. Additionally, visiting an eye doctor (ophthalmologist) for a thorough eye exam can be helpful for assessment.”
  • #8 Ocular Migraines – Optometrists.org
    https://www.optometrists.org/vision-therapy/neuro-optometry/vestibular-dysfunction/vision-dizziness-and-imbalance/ocular-migraines/
    Retinal migraines are episodes of repeated temporary vision loss or blindness in one eye. Retinal migraines can occur with a migraine headache or preceding the headache. Episodes can repeat throughout the day, and last from 5 to 20 minutes. […] Retinal migraines usually indicate a serious underlying health problem, and are considered a medical emergency. […] If you experience any type of vision loss, seek immediate medical attention. […] If you suffer from migraines, contact an eye doctor near you, who can diagnose and discuss the best treatment options. […] Retinal migraines may be caused by a more serious condition, and should be treated right away. […] Seek emergency medical care if you experience a retinal migraine, or any type of vision loss. […] Speak to your doctor to determine the best way to prevent a visual migraine.
  • #9 Ocular migraine: When to seek help
    https://www.mayoclinic.org/diseases-conditions/migraine-headache/expert-answers/ocular-migraine/faq-20058113
    See a healthcare professional right away if you have visual symptoms that haven’t been looked at before, such as: Visual changes in only one eye. Visual changes that last less than five minutes or more than 60 minutes. Visual changes without a headache. New headaches or new visual changes. Headaches or visual changes that begin after age 50. New weakness on one side of the body or speech changes. […] These symptoms may suggest a more serious cause of your visual symptoms and need medical attention.
  • #10 Retinal Migraine: Symptoms, Causes and Treatment | AMF
    https://americanmigrainefoundation.org/resource-library/retinal-migraine/
    Retinal migraine is a rare type of migraine that can cause visual symptoms in one eye. Most attacks are short-lived. Learn more about the symptoms, causes and treatment options for this disease. […] There are no clear guidelines for the management of patients with retinal migraine. Once the visual disturbance starts, it needs to run its course. Some treatments, such as triptans, can prolong the visual loss. Preventive therapies used for other migraine types can be effective. These can include medications from the following families: calcium channel blockers (reduces blood pressure), anti-seizure or antidepressant medications. Daily low-dose aspirin can also be helpful. Calcitonin gene-related peptide (CGRP—a protein that is released around the brain) is found in the retina but we don’t know if medications targeting CGRP are useful for this type of migraine.
  • #11 Ocular Migraines: Causes, Symptoms, Diagnosis, Treatment
    https://www.webmd.com/migraines-headaches/ocular-migraine-basics
    Ocular Migraine Treatment […] The visual symptoms of an ocular migraine usually last less than 60 minutes. If you get them less often than once a month, you probably won’t need specific treatment. In this case, stop what you’re doing and rest your eyes until your vision goes back to normal. If you have a headache, take a pain reliever that your doctor recommends. […] […] To help prevent your migraines, avoid triggers. For instance: […] – Stop smoking. […] – Avoid foods and drinks that trigger your migraines. […] – Stay hydrated. […] – Follow your doctor’s advice for managing your blood pressure. […] – Manage your stress in a healthy way. […] – Change to a different method of birth control if you take birth control pills. […] Medications for ocular migraine […] There hasn’t been much research on the best way to treat or prevent ocular migraine. Your doctor may recommend one or more drugs, such as:
  • #12 Patient’s Guide to Visual Migraine – Brigham and Women’s Hospital
    https://www.brighamandwomens.org/neurology/neuro-ophthalmology/visual-migraine
    An isolated visual migraine, without headache, typically does not require any acute treatment, since the visual symptoms resolve on their own fairly quickly. […] It can be helpful to try to rest during the episode. Some patients benefit from other strategies, including eating something, having caffeine, or taking an over-the-counter medication such as acetaminophen (Tylenol) or ibuprofen (i.e., Advil or Motrin). […] Patients in whom the visual symptoms are accompanied by a severe headache often benefit from additional therapies. The goal of these medications is to try to cut short (or abort) the headache before it becomes too severe. […] Some patients find naproxen (i.e., Aleve), which is a stronger anti-inflammatory medication, to be helpful. Other patients try a class of medications known as triptans.
  • #13 Retinal migraine
    https://www.nhs.uk/conditions/retinal-migraine/
    Treatment for retinal migraines is not usually needed if you do not have them very often. […] If you have them frequently, a GP may suggest: […] painkillers like paracetamol or ibuprofen […] medicines to help prevent migraines, such as topiramate or amitriptyline […] If these treatments do not help control your migraines, you may be referred to a specialist called a neurologist for more tests and treatment.
  • #14 Ocular Migraine (Retinal Migraine) | Your Eye Health
    https://www.guidedogs.org.uk/getting-support/information-and-advice/eye-health/ocular-migraine/
    Retinal migraine can also cause a dull ache behind the eye and a migraine headache. […] Over-the-counter painkillers can help when taken at the start of a migraine attack. […] You can take over-the-counter painkillers such as paracetamol or ibuprofen for pain relief. […] If managing your migraine triggers isnt working for you, and the frequency or severity of your migraines is a concern, speak to your GP. They may be able to prescribe preventative medication for ocular migraines, such as: Blood pressure medicine – beta-blockers that relax the blood vessels, Calcium channel blockers – that stop the blood vessels from narrowing, Anti-seizure medication, Tricyclic antidepressants. […] Some of these medications have side effects, which your doctor will discuss with you. Some are not suitable for people who are pregnant or breastfeeding. […] You could reduce the frequency of your migraines by learning about your migraine triggers and managing them. See your GP if the severity or frequency of your migraines is a problem.
  • #15 Ocular Migraine or Visual Migraine
    https://www.naturaleyecare.com/eye-conditions/ocular-migraines/?srsltid=AfmBOopTPGrHb1T4nmmjMxTtKybdF0cSzQiaz_bKAmFTidLSLD3XS1r_
    Retinal migraines, the visual symptoms take place in the retina rather than across the outer brain cortex. They occur in only one eye, before or during the headache phase. The disturbance in retinal migraine may also result from abnormal spreading of electrical activity, except it occurs in the retina. The disturbance may also be due to reduced retinal blood flow. […] Retinal migraines, on the other hand, have more potential for long-term vision loss. Either way, getting evaluated and monitored by your eye doctor is highly recommended to rule out other concerns. […] Retinal migraine usually occurs in one eye, and there may be an abnormal spread of electrical activity in the retina. The migraine may also be caused by the sudden constriction (spasm) or blockage behind, or in, an eye. It may occur with, or without, a throbbing headache at the side of the head. The patient may also simultaneously experience sensitivity to light or nausea. The temporary loss or distortion of vision in one eye makes it difficult to conduct close visual work and makes it dangerous to drive. This type of migraine is generally of short duration, an hour or less, and then vision returns to normal. However, some researchers have found that irreversible vision loss is also possible.
  • #16 Retinal Migraine: Symptoms, Causes and Treatment | AMF
    https://americanmigrainefoundation.org/resource-library/retinal-migraine/
    Retinal migraine is a rare type of migraine that can cause visual symptoms in one eye. Most attacks are short-lived. Learn more about the symptoms, causes and treatment options for this disease. […] There are no clear guidelines for the management of patients with retinal migraine. Once the visual disturbance starts, it needs to run its course. Some treatments, such as triptans, can prolong the visual loss. Preventive therapies used for other migraine types can be effective. These can include medications from the following families: calcium channel blockers (reduces blood pressure), anti-seizure or antidepressant medications. Daily low-dose aspirin can also be helpful. Calcitonin gene-related peptide (CGRP—a protein that is released around the brain) is found in the retina but we don’t know if medications targeting CGRP are useful for this type of migraine.
  • #17 Retinal Migraine: Symptoms, Diagnosis, Treatments
    https://www.webmd.com/migraines-headaches/retinal-migraine
    If you are diagnosed with retinal migraine, ask your doctor about the right treatment for you. There isnt a single suggested treatment program as it varies by person. […] Your doctor also may recommend: Anti-nausea medication, Calcium channel blockers, which lower blood pressure, Anti-epileptic medications, which prevent seizures, Tricyclic antidepressants, which change your brains chemistry. […] Doctors dont usually use traditional migraine treatments such as triptans and ergotamines for people with retinal migraine. Triptans, for example, arent safe if youre at risk for a stroke, which may be the case for people experiencing temporary blindness in one eye.
  • #18 What Is an Ocular Migraine?
    https://www.verywellhealth.com/ocular-migraine-overview-and-more-5205087
    A retinal migraine affects only one eye and can occur before or during a headache. The symptoms, which can be more serious than those for a migraine with aura, may include temporary blindness or decreased vision. […] If you have retinal migraines, avoid using triptans or ergots, as they can increase the risk of complications. Also, people with retinal migraine should stop hormonal birth control and stop smoking.
  • #19 Retinal Migraine Headache | Treatment & Management | Point of Care
    https://www.statpearls.com/point-of-care/28450
    Aspirin and antiepileptic drugs have all been shown to reduce the severity of attacks. […] Abortive therapy is not used in this condition due to the brief duration of episodes; the main focus of treatment would be to reduce the recurrence of attacks. […] Medications such as Triptans, ergots, and beta-blockers should be avoided in migraines with transient vision loss since there is a concern for exacerbation of vasoconstriction and increasing the risk of potential irreversible visual loss. […] Preventive therapy is important to reduce the frequency of attacks and severity and must be taken on a daily basis.
  • #20 Retinal migraine
    https://www.nhs.uk/conditions/retinal-migraine/
    Treatment for retinal migraines is not usually needed if you do not have them very often. […] If you have them frequently, a GP may suggest: […] painkillers like paracetamol or ibuprofen […] medicines to help prevent migraines, such as topiramate or amitriptyline […] If these treatments do not help control your migraines, you may be referred to a specialist called a neurologist for more tests and treatment.
  • #21 Ocular Migraine: What It Is, Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/24961-ocular-migraine
    Ocular migraine (also known as retinal migraine) is a condition that involves attacks of visual issues that affect one eye and migraine headaches. Treatment involves avoiding triggers with lifestyle changes and medication. […] If ocular migraines happen infrequently, such as once a month, healthcare providers generally dont recommend treatment. […] If you have frequent ocular migraines, the goal of treatment is to reduce the frequency of attacks. Treatment includes: Avoiding possible triggers: Its helpful to know what situations trigger your ocular migraines. Keeping a journal of when and how your migraines happen can help with this. Lifestyle changes, such as avoiding dietary triggers, managing stressors like high blood pressure and quitting smoking, may help reduce the number of attacks you have. […] Medication: If lifestyle changes dont help, medication that can help prevent ocular migraines (prophylaxis therapy) is the next step. Calcium channel blockers such as nifedipine and verapamil are the go-to medications. Aspirin and antiepileptic drugs may also help.
  • #22 Retinal Migraine Headache – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK507725/
    Ocular or retinal migraines are generally defined as a transient monocular scotoma or loss of vision that is accompanied or followed by a headache within 60 minutes of visual symptoms onset. […] This activity reviews the evaluation and management of retinal migraines and highlights the role of the interprofessional team in caring for affected patients. […] Review the treatment and management options available for retinal migraines. […] When attacks are more frequent, first-line therapy starts with lifestyle changes that include avoiding dietary triggers such as alcohol and caffeine, controlling stressors like high blood pressure, and ceasing to smoke. […] If that does not help, then the patient must start a diary to help evaluate the success of the therapy and initiate prophylaxis therapy.
  • #23 Ocular Migraines: Causes, Symptoms, Diagnosis, Treatment
    https://www.webmd.com/migraines-headaches/ocular-migraine-basics
    Ocular Migraine Treatment […] The visual symptoms of an ocular migraine usually last less than 60 minutes. If you get them less often than once a month, you probably won’t need specific treatment. In this case, stop what you’re doing and rest your eyes until your vision goes back to normal. If you have a headache, take a pain reliever that your doctor recommends. […] […] To help prevent your migraines, avoid triggers. For instance: […] – Stop smoking. […] – Avoid foods and drinks that trigger your migraines. […] – Stay hydrated. […] – Follow your doctor’s advice for managing your blood pressure. […] – Manage your stress in a healthy way. […] – Change to a different method of birth control if you take birth control pills. […] Medications for ocular migraine […] There hasn’t been much research on the best way to treat or prevent ocular migraine. Your doctor may recommend one or more drugs, such as:
  • #24 Retinal Migraine Headache – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK507725/
    Ocular or retinal migraines are generally defined as a transient monocular scotoma or loss of vision that is accompanied or followed by a headache within 60 minutes of visual symptoms onset. […] This activity reviews the evaluation and management of retinal migraines and highlights the role of the interprofessional team in caring for affected patients. […] Review the treatment and management options available for retinal migraines. […] When attacks are more frequent, first-line therapy starts with lifestyle changes that include avoiding dietary triggers such as alcohol and caffeine, controlling stressors like high blood pressure, and ceasing to smoke. […] If that does not help, then the patient must start a diary to help evaluate the success of the therapy and initiate prophylaxis therapy.
  • #25 Ocular Migraines: Causes, Symptoms, Diagnosis, Treatment
    https://www.webmd.com/migraines-headaches/ocular-migraine-basics
    – Drugs that treat epilepsy, such as topiramate (Qudexy XR, Topamax, Trokendi XR) or valproic acid (Depakene, Depakote) […] – Tricyclic antidepressants such as amitriptyline (Elavil), nortriptyline (Pamelor), or venlafaxine (Effexor) […] – Blood pressure medicines including beta-blockers like metoprolol (Lopressor) or propranolol (Inderal), and calcium-channel blockers such as nicardipine (Cardene) and verapamil (Calan) […] – CGRP inhibitors, including eptinezumab (Vyepti), erenumab (Aimovig), fremanezumab (Ajovy), galcanezumab (Emgality) […] Devices to prevent ocular migraine […] The market also offers various devices to prevent ocular migraine. For instance: […] – sTMS mini gives off a magnetic pulse that stimulates part of the brain. You hold it at the back of your head at the first sign of a headache.
  • #26 Ocular Migraine: What It Is, Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/24961-ocular-migraine
    Ocular migraine (also known as retinal migraine) is a condition that involves attacks of visual issues that affect one eye and migraine headaches. Treatment involves avoiding triggers with lifestyle changes and medication. […] If ocular migraines happen infrequently, such as once a month, healthcare providers generally dont recommend treatment. […] If you have frequent ocular migraines, the goal of treatment is to reduce the frequency of attacks. Treatment includes: Avoiding possible triggers: Its helpful to know what situations trigger your ocular migraines. Keeping a journal of when and how your migraines happen can help with this. Lifestyle changes, such as avoiding dietary triggers, managing stressors like high blood pressure and quitting smoking, may help reduce the number of attacks you have. […] Medication: If lifestyle changes dont help, medication that can help prevent ocular migraines (prophylaxis therapy) is the next step. Calcium channel blockers such as nifedipine and verapamil are the go-to medications. Aspirin and antiepileptic drugs may also help.
  • #27 Retinal Migraine Headache – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK507725/
    Ocular or retinal migraines are generally defined as a transient monocular scotoma or loss of vision that is accompanied or followed by a headache within 60 minutes of visual symptoms onset. […] This activity reviews the evaluation and management of retinal migraines and highlights the role of the interprofessional team in caring for affected patients. […] Review the treatment and management options available for retinal migraines. […] When attacks are more frequent, first-line therapy starts with lifestyle changes that include avoiding dietary triggers such as alcohol and caffeine, controlling stressors like high blood pressure, and ceasing to smoke. […] If that does not help, then the patient must start a diary to help evaluate the success of the therapy and initiate prophylaxis therapy.
  • #28 When To Worry About Retinal Migraine: Duration, Symptoms
    https://www.medicinenet.com/when_should_i_be_worried_about_a_retinal_migraine/article.htm
    Retinal migraine is usually not a medical emergency. In most people, the condition is harmless, and vision returns to normal after some time. […] How is retinal migraine treated? The is no fixed treatment protocol for retinal migraine. For attacks that do not come often, your doctor may treat your retinal migraine as they treat other types of migraine. […] Medications for retinal migraines include: Nonsteroidal anti-inflammatory medications such as ibuprofen and aspirin, Anti-nausea medications such as metoclopramide, Calcium channel blockers (used to treat hypertension) such as nifedipine and verapamil, Antiepileptic medications (used to treat epilepsy or seizures), Tricyclic medications (used to treat depression) such as amitriptyline. […] Depending on your habits, lifestyle, and any underlying medical conditions, your doctor may also ask you to do the following: Manage your stress, Quit smoking, Take steps to keep blood pressure under check, Discontinue hormonal contraceptive pills, Avoid traveling to places located at high altitude, Drink plenty of water to avoid dehydration, Have frequent, small meals to avoid hypoglycemia, Avoid exposure to excessive heat.
  • #29 Retinal Migraine Headache – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK507725/
    Ocular or retinal migraines are generally defined as a transient monocular scotoma or loss of vision that is accompanied or followed by a headache within 60 minutes of visual symptoms onset. […] This activity reviews the evaluation and management of retinal migraines and highlights the role of the interprofessional team in caring for affected patients. […] Review the treatment and management options available for retinal migraines. […] When attacks are more frequent, first-line therapy starts with lifestyle changes that include avoiding dietary triggers such as alcohol and caffeine, controlling stressors like high blood pressure, and ceasing to smoke. […] If that does not help, then the patient must start a diary to help evaluate the success of the therapy and initiate prophylaxis therapy.
  • #30 What Is an Ocular Migraine?
    https://www.verywellhealth.com/ocular-migraine-overview-and-more-5205087
    A retinal migraine affects only one eye and can occur before or during a headache. The symptoms, which can be more serious than those for a migraine with aura, may include temporary blindness or decreased vision. […] If you have retinal migraines, avoid using triptans or ergots, as they can increase the risk of complications. Also, people with retinal migraine should stop hormonal birth control and stop smoking.
  • #31 When To Worry About Retinal Migraine: Duration, Symptoms
    https://www.medicinenet.com/when_should_i_be_worried_about_a_retinal_migraine/article.htm
    Retinal migraine is usually not a medical emergency. In most people, the condition is harmless, and vision returns to normal after some time. […] How is retinal migraine treated? The is no fixed treatment protocol for retinal migraine. For attacks that do not come often, your doctor may treat your retinal migraine as they treat other types of migraine. […] Medications for retinal migraines include: Nonsteroidal anti-inflammatory medications such as ibuprofen and aspirin, Anti-nausea medications such as metoclopramide, Calcium channel blockers (used to treat hypertension) such as nifedipine and verapamil, Antiepileptic medications (used to treat epilepsy or seizures), Tricyclic medications (used to treat depression) such as amitriptyline. […] Depending on your habits, lifestyle, and any underlying medical conditions, your doctor may also ask you to do the following: Manage your stress, Quit smoking, Take steps to keep blood pressure under check, Discontinue hormonal contraceptive pills, Avoid traveling to places located at high altitude, Drink plenty of water to avoid dehydration, Have frequent, small meals to avoid hypoglycemia, Avoid exposure to excessive heat.
  • #32 Ocular Migraines: Causes, Symptoms, Diagnosis, Treatment
    https://www.webmd.com/migraines-headaches/ocular-migraine-basics
    Ocular Migraine Treatment […] The visual symptoms of an ocular migraine usually last less than 60 minutes. If you get them less often than once a month, you probably won’t need specific treatment. In this case, stop what you’re doing and rest your eyes until your vision goes back to normal. If you have a headache, take a pain reliever that your doctor recommends. […] […] To help prevent your migraines, avoid triggers. For instance: […] – Stop smoking. […] – Avoid foods and drinks that trigger your migraines. […] – Stay hydrated. […] – Follow your doctor’s advice for managing your blood pressure. […] – Manage your stress in a healthy way. […] – Change to a different method of birth control if you take birth control pills. […] Medications for ocular migraine […] There hasn’t been much research on the best way to treat or prevent ocular migraine. Your doctor may recommend one or more drugs, such as:
  • #33 When To Worry About Retinal Migraine: Duration, Symptoms
    https://www.medicinenet.com/when_should_i_be_worried_about_a_retinal_migraine/article.htm
    Retinal migraine is usually not a medical emergency. In most people, the condition is harmless, and vision returns to normal after some time. […] How is retinal migraine treated? The is no fixed treatment protocol for retinal migraine. For attacks that do not come often, your doctor may treat your retinal migraine as they treat other types of migraine. […] Medications for retinal migraines include: Nonsteroidal anti-inflammatory medications such as ibuprofen and aspirin, Anti-nausea medications such as metoclopramide, Calcium channel blockers (used to treat hypertension) such as nifedipine and verapamil, Antiepileptic medications (used to treat epilepsy or seizures), Tricyclic medications (used to treat depression) such as amitriptyline. […] Depending on your habits, lifestyle, and any underlying medical conditions, your doctor may also ask you to do the following: Manage your stress, Quit smoking, Take steps to keep blood pressure under check, Discontinue hormonal contraceptive pills, Avoid traveling to places located at high altitude, Drink plenty of water to avoid dehydration, Have frequent, small meals to avoid hypoglycemia, Avoid exposure to excessive heat.
  • #34 Understanding Ocular Migraines: Symptoms & Treatments
    https://flei.com/understanding-ocular-migraines-symptoms-causes-and-treatment/
    An ocular migraine, also referred to as a retinal migraine, is a type of migraine that involves visual disturbances. Unlike typical migraines, which are characterized by severe headaches, ocular migraines primarily affect vision. […] Depending on the frequency and severity of symptoms, your doctor may prescribe medications to prevent or alleviate ocular migraines. These may include: Beta-blockers, Calcium channel blockers, Antidepressants, Anti-seizure medications, Triptans (for acute migraine attacks). […] Making lifestyle changes, such as getting an adequate amount of sleep, managing stress, staying hydrated, and eating a balanced diet can also help reduce the frequency and severity of ocular migraines. […] During an ocular migraine episode, its essential to rest in a quiet, dark room until the visual disturbances subside. Over-the-counter pain relievers may help alleviate any associated headache.
  • #35 Retinal Migraine: Symptoms, Causes and Treatment | AMF
    https://americanmigrainefoundation.org/resource-library/retinal-migraine/
    Retinal migraine is a rare type of migraine that can cause visual symptoms in one eye. Most attacks are short-lived. Learn more about the symptoms, causes and treatment options for this disease. […] There are no clear guidelines for the management of patients with retinal migraine. Once the visual disturbance starts, it needs to run its course. Some treatments, such as triptans, can prolong the visual loss. Preventive therapies used for other migraine types can be effective. These can include medications from the following families: calcium channel blockers (reduces blood pressure), anti-seizure or antidepressant medications. Daily low-dose aspirin can also be helpful. Calcitonin gene-related peptide (CGRP—a protein that is released around the brain) is found in the retina but we don’t know if medications targeting CGRP are useful for this type of migraine.
  • #36 Retinal Migraine Headache – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK507725/
    It is usually recommended to avoid ergot and beta-blockers in retinal migraines due to the increased incidence of irreversible vision loss. […] Calcium channel blockers such as nifedipine and verapamil (most effective) are the mainstay of treatment here. […] Other medications such as coumadin and heparin have been used in isolated cases of patients with antiphospholipid antibody syndrome and retinal migraine. […] Aspirin and antiepileptic drugs have all been shown to reduce the severity of attacks. […] The main focus of treatment would be to reduce the recurrence of attacks. […] The most important initial step in evaluating a patient with suspected retinal migraine is to determine if the visual symptoms are monocular or binocular. […] Complications of a retinal migraine include central retinal artery occlusion (CRAO), retinal infarction, central retinal venous occlusion, branch retinal artery occlusion (BRAO), retinal hemorrhages that can lead to edema of the retina and disc, ischemia of choroid or optic nerve, and vitreous hemorrhage. […] It is critical to educate the patients about the red flags of vision loss. […] Preventive therapy is important to reduce the frequency of attacks and severity and must be taken on a daily basis.
  • #37 Ocular Migraine: What It Is, Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/24961-ocular-migraine
    Ocular migraine (also known as retinal migraine) is a condition that involves attacks of visual issues that affect one eye and migraine headaches. Treatment involves avoiding triggers with lifestyle changes and medication. […] If ocular migraines happen infrequently, such as once a month, healthcare providers generally dont recommend treatment. […] If you have frequent ocular migraines, the goal of treatment is to reduce the frequency of attacks. Treatment includes: Avoiding possible triggers: Its helpful to know what situations trigger your ocular migraines. Keeping a journal of when and how your migraines happen can help with this. Lifestyle changes, such as avoiding dietary triggers, managing stressors like high blood pressure and quitting smoking, may help reduce the number of attacks you have. […] Medication: If lifestyle changes dont help, medication that can help prevent ocular migraines (prophylaxis therapy) is the next step. Calcium channel blockers such as nifedipine and verapamil are the go-to medications. Aspirin and antiepileptic drugs may also help.
  • #38 Retinal Migraine Headache – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK507725/
    It is usually recommended to avoid ergot and beta-blockers in retinal migraines due to the increased incidence of irreversible vision loss. […] Calcium channel blockers such as nifedipine and verapamil (most effective) are the mainstay of treatment here. […] Other medications such as coumadin and heparin have been used in isolated cases of patients with antiphospholipid antibody syndrome and retinal migraine. […] Aspirin and antiepileptic drugs have all been shown to reduce the severity of attacks. […] The main focus of treatment would be to reduce the recurrence of attacks. […] The most important initial step in evaluating a patient with suspected retinal migraine is to determine if the visual symptoms are monocular or binocular. […] Complications of a retinal migraine include central retinal artery occlusion (CRAO), retinal infarction, central retinal venous occlusion, branch retinal artery occlusion (BRAO), retinal hemorrhages that can lead to edema of the retina and disc, ischemia of choroid or optic nerve, and vitreous hemorrhage. […] It is critical to educate the patients about the red flags of vision loss. […] Preventive therapy is important to reduce the frequency of attacks and severity and must be taken on a daily basis.
  • #39 Retinal migraine: caught in the act
    https://pmc.ncbi.nlm.nih.gov/articles/PMC1772006/
    Retinal migraine (otherwise known as ophthalmic migraines, anterior visual pathway migraines, or ocular migraines) causes monocular visual loss for 10-20 minutes which can be associated with diffuse or unilateral headache. People experiencing ocular migraines often have a history of one of the more conventional forms of migraine, and exercise may precipitate the attacks. Vasospasm of the retinal circulation or ophthalmic artery is thought to be the cause of the amaurosis of ocular migraine. […] When considered necessary, effective treatments include propranolol, verapamil, and nifedipine. Prophylactic aspirin or nifedipine may be tried to prevent exercise induced attacks, and inhaled amyl nitrate can be used early in an attack to try to induce resolution. […] Our case demonstrates photographically the arterial vasoconstriction of retinal migraine, which occurred in the absence of a precipitating cause such as exercise and in the absence of a migrainous aura or headache. […] Doppler studies have revealed cessation of retinal arterial flow during an exercise induced retinal migraine episode.
  • #40 List of drugs/medicines used for Retinal Migraine / Ocular Migraine (Retinal Migraine)
    https://www.medindia.net/drugs/medical-condition/ocular-migraine.htm
    Searching for effective treatment options for 'Retinal Migraine / Ocular Migraine symptom’? This page is a valuable resource, featuring a complete guide to the latest medications-both generic and branded-ideal for relieving Retinal Migraine / Ocular Migraine symptom. […] Consult with your doctor to verify all details and find the most effective treatment approach for your needs. […] Brand Names and Generic Names of Drugs for Treatment of Retinal Migraine / Ocular Migraine […] Aspirin is an analgesic and antipyretic, prescribed for pain, heart attack and fever. […] Nifedipine is a calcium channel blocker, prescribed for angina (chest pain), high blood pressure and abnormal heart rhythms. […] Verapamil is a calcium channel blocker, prescribed for high blood pressure, chest pain, abnormal heart rhythm, and headache.
  • #41 Retinal Migraine: Symptoms, Causes and Treatment | AMF
    https://americanmigrainefoundation.org/resource-library/retinal-migraine/
    Retinal migraine is a rare type of migraine that can cause visual symptoms in one eye. Most attacks are short-lived. Learn more about the symptoms, causes and treatment options for this disease. […] There are no clear guidelines for the management of patients with retinal migraine. Once the visual disturbance starts, it needs to run its course. Some treatments, such as triptans, can prolong the visual loss. Preventive therapies used for other migraine types can be effective. These can include medications from the following families: calcium channel blockers (reduces blood pressure), anti-seizure or antidepressant medications. Daily low-dose aspirin can also be helpful. Calcitonin gene-related peptide (CGRP—a protein that is released around the brain) is found in the retina but we don’t know if medications targeting CGRP are useful for this type of migraine.
  • #42 Retinal Migraine Headache – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK507725/
    It is usually recommended to avoid ergot and beta-blockers in retinal migraines due to the increased incidence of irreversible vision loss. […] Calcium channel blockers such as nifedipine and verapamil (most effective) are the mainstay of treatment here. […] Other medications such as coumadin and heparin have been used in isolated cases of patients with antiphospholipid antibody syndrome and retinal migraine. […] Aspirin and antiepileptic drugs have all been shown to reduce the severity of attacks. […] The main focus of treatment would be to reduce the recurrence of attacks. […] The most important initial step in evaluating a patient with suspected retinal migraine is to determine if the visual symptoms are monocular or binocular. […] Complications of a retinal migraine include central retinal artery occlusion (CRAO), retinal infarction, central retinal venous occlusion, branch retinal artery occlusion (BRAO), retinal hemorrhages that can lead to edema of the retina and disc, ischemia of choroid or optic nerve, and vitreous hemorrhage. […] It is critical to educate the patients about the red flags of vision loss. […] Preventive therapy is important to reduce the frequency of attacks and severity and must be taken on a daily basis.
  • #43 Migraine with Aura: Symptoms, Visual Disturbances, and Management
    https://headacheaustralia.org.au/migraine-aura/
    Migraine with retinal aura causes fully reversible visual disturbances in one eye, such as shimmering or flickering of vision, blind spots, or blindness. In migraine with retinal aura, the visual symptoms typically only occur in one eye. […] The treatment and prevention methods for migraine aura are similar to migraine without aura. Your migraine management strategies will depend on the severity and frequency of your attacks. Some options include: […] Preventive treatments are used when migraine attacks begin to significantly disrupt your day-to-day life. Typically, this will be when you have four or more migraine days per month. In other cases, you may have fewer attacks, but when they occur they are so disabling that it warrants being on a preventive treatment. […] Several clinicians at the Migraine World Summit have suggested aspirin may be a useful preventive for those who experience migraine with aura. More evidence is required for broad recommendation in migraine prevention, preferably from at least one larger double-blind, placebo-controlled study.
  • #44 Retinal migraine
    https://www.nhs.uk/conditions/retinal-migraine/
    Treatment for retinal migraines is not usually needed if you do not have them very often. […] If you have them frequently, a GP may suggest: […] painkillers like paracetamol or ibuprofen […] medicines to help prevent migraines, such as topiramate or amitriptyline […] If these treatments do not help control your migraines, you may be referred to a specialist called a neurologist for more tests and treatment.
  • #45 Retinal Migraine: Causes, Symptoms, Treatment, and More
    https://www.healthline.com/health/migraine/retinal-migraines
    A retinal migraine is a type of migraine with aura that is rare and includes repeated bouts of short-lasting, diminished vision or blindness in one eye. […] If retinal migraine isn’t experienced frequently, doctors or optometrists may prescribe medications typically used to treat other forms of migraine. […] These rescue medications include triptans, nonsteroidal anti-inflammatory drugs such as aspirin and ibuprofen, and antinausea medications. […] An eye specialist may sometimes prescribe specific medications for a retinal migraine including a beta-blocker such as propranolol, an antidepressant such as amitriptyline, or an anticonvulsant such as valproate or topiramate. […] More research needs to be done in this area to come up with a more definitive treatment.
  • #46 Retinal Migraine Headache – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK507725/
    It is usually recommended to avoid ergot and beta-blockers in retinal migraines due to the increased incidence of irreversible vision loss. […] Calcium channel blockers such as nifedipine and verapamil (most effective) are the mainstay of treatment here. […] Other medications such as coumadin and heparin have been used in isolated cases of patients with antiphospholipid antibody syndrome and retinal migraine. […] Aspirin and antiepileptic drugs have all been shown to reduce the severity of attacks. […] The main focus of treatment would be to reduce the recurrence of attacks. […] The most important initial step in evaluating a patient with suspected retinal migraine is to determine if the visual symptoms are monocular or binocular. […] Complications of a retinal migraine include central retinal artery occlusion (CRAO), retinal infarction, central retinal venous occlusion, branch retinal artery occlusion (BRAO), retinal hemorrhages that can lead to edema of the retina and disc, ischemia of choroid or optic nerve, and vitreous hemorrhage. […] It is critical to educate the patients about the red flags of vision loss. […] Preventive therapy is important to reduce the frequency of attacks and severity and must be taken on a daily basis.
  • #47 Ocular Migraines: Causes, Symptoms, Diagnosis, Treatment
    https://www.webmd.com/migraines-headaches/ocular-migraine-basics
    – Drugs that treat epilepsy, such as topiramate (Qudexy XR, Topamax, Trokendi XR) or valproic acid (Depakene, Depakote) […] – Tricyclic antidepressants such as amitriptyline (Elavil), nortriptyline (Pamelor), or venlafaxine (Effexor) […] – Blood pressure medicines including beta-blockers like metoprolol (Lopressor) or propranolol (Inderal), and calcium-channel blockers such as nicardipine (Cardene) and verapamil (Calan) […] – CGRP inhibitors, including eptinezumab (Vyepti), erenumab (Aimovig), fremanezumab (Ajovy), galcanezumab (Emgality) […] Devices to prevent ocular migraine […] The market also offers various devices to prevent ocular migraine. For instance: […] – sTMS mini gives off a magnetic pulse that stimulates part of the brain. You hold it at the back of your head at the first sign of a headache.
  • #48 Retinal migraine
    https://www.nhs.uk/conditions/retinal-migraine/
    Treatment for retinal migraines is not usually needed if you do not have them very often. […] If you have them frequently, a GP may suggest: […] painkillers like paracetamol or ibuprofen […] medicines to help prevent migraines, such as topiramate or amitriptyline […] If these treatments do not help control your migraines, you may be referred to a specialist called a neurologist for more tests and treatment.
  • #49 Retinal Migraine: Causes, Symptoms, Treatment, and More
    https://www.healthline.com/health/migraine/retinal-migraines
    A retinal migraine is a type of migraine with aura that is rare and includes repeated bouts of short-lasting, diminished vision or blindness in one eye. […] If retinal migraine isn’t experienced frequently, doctors or optometrists may prescribe medications typically used to treat other forms of migraine. […] These rescue medications include triptans, nonsteroidal anti-inflammatory drugs such as aspirin and ibuprofen, and antinausea medications. […] An eye specialist may sometimes prescribe specific medications for a retinal migraine including a beta-blocker such as propranolol, an antidepressant such as amitriptyline, or an anticonvulsant such as valproate or topiramate. […] More research needs to be done in this area to come up with a more definitive treatment.
  • #50 Retinal Migraine: Symptoms, Diagnosis, Treatments
    https://www.webmd.com/migraines-headaches/retinal-migraine
    If you are diagnosed with retinal migraine, ask your doctor about the right treatment for you. There isnt a single suggested treatment program as it varies by person. […] Your doctor also may recommend: Anti-nausea medication, Calcium channel blockers, which lower blood pressure, Anti-epileptic medications, which prevent seizures, Tricyclic antidepressants, which change your brains chemistry. […] Doctors dont usually use traditional migraine treatments such as triptans and ergotamines for people with retinal migraine. Triptans, for example, arent safe if youre at risk for a stroke, which may be the case for people experiencing temporary blindness in one eye.
  • #51 Ocular Migraines: Causes, Symptoms, Diagnosis, Treatment
    https://www.webmd.com/migraines-headaches/ocular-migraine-basics
    – Drugs that treat epilepsy, such as topiramate (Qudexy XR, Topamax, Trokendi XR) or valproic acid (Depakene, Depakote) […] – Tricyclic antidepressants such as amitriptyline (Elavil), nortriptyline (Pamelor), or venlafaxine (Effexor) […] – Blood pressure medicines including beta-blockers like metoprolol (Lopressor) or propranolol (Inderal), and calcium-channel blockers such as nicardipine (Cardene) and verapamil (Calan) […] – CGRP inhibitors, including eptinezumab (Vyepti), erenumab (Aimovig), fremanezumab (Ajovy), galcanezumab (Emgality) […] Devices to prevent ocular migraine […] The market also offers various devices to prevent ocular migraine. For instance: […] – sTMS mini gives off a magnetic pulse that stimulates part of the brain. You hold it at the back of your head at the first sign of a headache.
  • #52 Retinal Migraine Headache – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK507725/
    It is usually recommended to avoid ergot and beta-blockers in retinal migraines due to the increased incidence of irreversible vision loss. […] Calcium channel blockers such as nifedipine and verapamil (most effective) are the mainstay of treatment here. […] Other medications such as coumadin and heparin have been used in isolated cases of patients with antiphospholipid antibody syndrome and retinal migraine. […] Aspirin and antiepileptic drugs have all been shown to reduce the severity of attacks. […] The main focus of treatment would be to reduce the recurrence of attacks. […] The most important initial step in evaluating a patient with suspected retinal migraine is to determine if the visual symptoms are monocular or binocular. […] Complications of a retinal migraine include central retinal artery occlusion (CRAO), retinal infarction, central retinal venous occlusion, branch retinal artery occlusion (BRAO), retinal hemorrhages that can lead to edema of the retina and disc, ischemia of choroid or optic nerve, and vitreous hemorrhage. […] It is critical to educate the patients about the red flags of vision loss. […] Preventive therapy is important to reduce the frequency of attacks and severity and must be taken on a daily basis.
  • #53 Retinal Migraine Headache | Treatment & Management | Point of Care
    https://www.statpearls.com/point-of-care/28450
    Aspirin and antiepileptic drugs have all been shown to reduce the severity of attacks. […] Abortive therapy is not used in this condition due to the brief duration of episodes; the main focus of treatment would be to reduce the recurrence of attacks. […] Medications such as Triptans, ergots, and beta-blockers should be avoided in migraines with transient vision loss since there is a concern for exacerbation of vasoconstriction and increasing the risk of potential irreversible visual loss. […] Preventive therapy is important to reduce the frequency of attacks and severity and must be taken on a daily basis.
  • #54 Retinal Migraine: Causes, Symptoms, Treatment, and More
    https://www.healthline.com/health/migraine/retinal-migraines
    A retinal migraine is a type of migraine with aura that is rare and includes repeated bouts of short-lasting, diminished vision or blindness in one eye. […] If retinal migraine isn’t experienced frequently, doctors or optometrists may prescribe medications typically used to treat other forms of migraine. […] These rescue medications include triptans, nonsteroidal anti-inflammatory drugs such as aspirin and ibuprofen, and antinausea medications. […] An eye specialist may sometimes prescribe specific medications for a retinal migraine including a beta-blocker such as propranolol, an antidepressant such as amitriptyline, or an anticonvulsant such as valproate or topiramate. […] More research needs to be done in this area to come up with a more definitive treatment.
  • #55 Ocular Migraines: Causes, Symptoms, Diagnosis, Treatment
    https://www.webmd.com/migraines-headaches/ocular-migraine-basics
    – Drugs that treat epilepsy, such as topiramate (Qudexy XR, Topamax, Trokendi XR) or valproic acid (Depakene, Depakote) […] – Tricyclic antidepressants such as amitriptyline (Elavil), nortriptyline (Pamelor), or venlafaxine (Effexor) […] – Blood pressure medicines including beta-blockers like metoprolol (Lopressor) or propranolol (Inderal), and calcium-channel blockers such as nicardipine (Cardene) and verapamil (Calan) […] – CGRP inhibitors, including eptinezumab (Vyepti), erenumab (Aimovig), fremanezumab (Ajovy), galcanezumab (Emgality) […] Devices to prevent ocular migraine […] The market also offers various devices to prevent ocular migraine. For instance: […] – sTMS mini gives off a magnetic pulse that stimulates part of the brain. You hold it at the back of your head at the first sign of a headache.
  • #56 Retinal Migraine: Symptoms, Causes and Treatment | AMF
    https://americanmigrainefoundation.org/resource-library/retinal-migraine/
    Retinal migraine is a rare type of migraine that can cause visual symptoms in one eye. Most attacks are short-lived. Learn more about the symptoms, causes and treatment options for this disease. […] There are no clear guidelines for the management of patients with retinal migraine. Once the visual disturbance starts, it needs to run its course. Some treatments, such as triptans, can prolong the visual loss. Preventive therapies used for other migraine types can be effective. These can include medications from the following families: calcium channel blockers (reduces blood pressure), anti-seizure or antidepressant medications. Daily low-dose aspirin can also be helpful. Calcitonin gene-related peptide (CGRP—a protein that is released around the brain) is found in the retina but we don’t know if medications targeting CGRP are useful for this type of migraine.
  • #57 Retinal Migraine: Symptoms, Causes and Treatment | AMF
    https://americanmigrainefoundation.org/resource-library/retinal-migraine/
    Retinal migraine is a rare type of migraine that can cause visual symptoms in one eye. Most attacks are short-lived. Learn more about the symptoms, causes and treatment options for this disease. […] There are no clear guidelines for the management of patients with retinal migraine. Once the visual disturbance starts, it needs to run its course. Some treatments, such as triptans, can prolong the visual loss. Preventive therapies used for other migraine types can be effective. These can include medications from the following families: calcium channel blockers (reduces blood pressure), anti-seizure or antidepressant medications. Daily low-dose aspirin can also be helpful. Calcitonin gene-related peptide (CGRP—a protein that is released around the brain) is found in the retina but we don’t know if medications targeting CGRP are useful for this type of migraine.
  • #58 Migraine with aura – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/migraine-with-aura/diagnosis-treatment/drc-20352077
    For migraine with aura, just as with migraine alone, treatment is aimed at relieving migraine pain. […] Medications used to relieve migraine pain work best when taken at the first sign of an oncoming migraine as soon as signs and symptoms of a migraine aura begin. […] Depending on how severe your migraine pain is, types of medications that can be used to treat it include: […] Prescription drugs such as sumatriptan (Imitrex, Tosymra) and rizatriptan (Maxalt, Maxalt-MLT) are used to treat migraine because they block pain pathways in the brain. […] This newer oral tablet is approved for the treatment of migraine with or without aura. […] Ubrogepant (Ubrelvy) and rimegepant (Nurtec ODT) are oral calcitonin gene-related peptide (CGRP) antagonists recently approved for the treatment of acute migraine with or without aura in adults.
  • #59 Ocular Migraines: Causes, Symptoms, Diagnosis, Treatment
    https://www.webmd.com/migraines-headaches/ocular-migraine-basics
    – Drugs that treat epilepsy, such as topiramate (Qudexy XR, Topamax, Trokendi XR) or valproic acid (Depakene, Depakote) […] – Tricyclic antidepressants such as amitriptyline (Elavil), nortriptyline (Pamelor), or venlafaxine (Effexor) […] – Blood pressure medicines including beta-blockers like metoprolol (Lopressor) or propranolol (Inderal), and calcium-channel blockers such as nicardipine (Cardene) and verapamil (Calan) […] – CGRP inhibitors, including eptinezumab (Vyepti), erenumab (Aimovig), fremanezumab (Ajovy), galcanezumab (Emgality) […] Devices to prevent ocular migraine […] The market also offers various devices to prevent ocular migraine. For instance: […] – sTMS mini gives off a magnetic pulse that stimulates part of the brain. You hold it at the back of your head at the first sign of a headache.
  • #60 Ocular Migraines: Causes, Symptoms, Diagnosis, Treatment
    https://www.webmd.com/migraines-headaches/ocular-migraine-basics
    – Drugs that treat epilepsy, such as topiramate (Qudexy XR, Topamax, Trokendi XR) or valproic acid (Depakene, Depakote) […] – Tricyclic antidepressants such as amitriptyline (Elavil), nortriptyline (Pamelor), or venlafaxine (Effexor) […] – Blood pressure medicines including beta-blockers like metoprolol (Lopressor) or propranolol (Inderal), and calcium-channel blockers such as nicardipine (Cardene) and verapamil (Calan) […] – CGRP inhibitors, including eptinezumab (Vyepti), erenumab (Aimovig), fremanezumab (Ajovy), galcanezumab (Emgality) […] Devices to prevent ocular migraine […] The market also offers various devices to prevent ocular migraine. For instance: […] – sTMS mini gives off a magnetic pulse that stimulates part of the brain. You hold it at the back of your head at the first sign of a headache.
  • #61 Ocular Migraines: Causes, Symptoms, Diagnosis, Treatment
    https://www.webmd.com/migraines-headaches/ocular-migraine-basics
    – Nerivio is a wireless remote electrical neuromodulation device that you put on your upper arm at the beginning of migraine headaches. […] – Cefalys is a portable headband-like tool that you use for 20 minutes once a day. It gives electrical impulses on the skin at the forehead and stimulates a nerve associated with migraine headaches. When it’s on, you’ll probably feel a tingling or massaging sensation. […] – gammaCore is a noninvasive vagus nerve stimulator that sends mild electrical stimulation to your vagus nerve. This helps ease pain or helps prevent onset of a migraine.
  • #62 Ocular Migraines | Symptoms, Causes, and Treatment – Pure Medical
    https://pure-medical.co.uk/migraine-and-headaches/ocular-migraines
    A gadget can also be used as a treatment. Cefaly is a migraine-prevention gadget that looks like a headband. Once a day, you utilise it for 20 minutes. It activates a nerve linked to migraine headaches by sending electrical impulses to the skin on the forehead. Youll probably notice a tingling or massaging feeling when its turned on.
  • #63 Migraine with aura – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/migraine-with-aura/diagnosis-treatment/drc-20352077
    Medications can help prevent frequent migraines, with or without aura. […] Your doctor might recommend preventive medications if you have frequent, long-lasting or severe headaches that don’t respond well to treatment. […] Options include: […] Injections of onabotulinumtoxinA (Botox) about every 12 weeks help prevent migraines in some adults. […] Erenumab-aooe (Aimovig), fremanezumab-vfrm (Ajovy), galcanezumab-gnlm (Emgality), and eptinezumab-jjmr (Vyepti) are newer drugs approved by the Food and Drug Administration to treat migraines. […] Some of these medications are not safe to take during pregnancy. If you’re pregnant or trying to get pregnant, don’t use any of these medications without first talking with your doctor.
  • #64 Ocular Migraine – What You Need to Know
    https://www.drugs.com/cg/ocular-migraine.html
    If your symptoms do not happen often, no treatment may be needed. Follow up with your healthcare provider as directed. You may be given medicine if you also have migraine headaches or if your symptoms happen often. […] The following list of medications are related to or used in the treatment of this condition. […] Ubrelvy (ubrogepant) tablets are used for the acute treatment of migraine. […] Nurtec ODT (rimegepant) is used to treat acute migraines and prevent episodic migraines, by … […] Imitrex (sumatriptan) is used to treat migraine headaches, with or without aura, in adults … […] Botox is used to treat chronic migraines, excessive sweating, bladder conditions, eye muscle … […] Maxalt (rizatriptan) is used to treat migraine headaches in adults, with or without aura. […] Atogepant (Qulipta) is a prescription medicine used to prevent migraines in adults. […] Eptinezumab systemic is used for chronic migraine, headache, migraine, migraine prevention […] Erenumab a once-monthly, self-administered, injectable medication for the prevention of … […] Relpax (eletriptan) is used to relieve migraine pain and symptoms, such as nausea and sensitivity …
  • #65 Why Am I Getting Ocular Migraines? – DMEI | Dean McGee Eye Institute
    https://www.dmei.org/blog/why-am-i-getting-ocular-migraines/
    Retinal migraines are believed to be caused by the narrowing of blood flow to the eye. The constriction of blood reduces the amount of oxygen delivered to the eye. Once the blood vessels relax, visual symptoms improve. […] Aside from avoiding certain triggers, there are certain medications that may help prevent or treat ocular migraines. […] Preventative medications include: Blood pressure lowering medications including beta blockers and calcium channel blockers, Certain anti-seizure medications, Antidepressant medications, Botox injections, Calcitonin gene-related peptides monoclonal antibodies. […] Relief medications include: Pain relievers such as ibuprofen, Triptans such as Imitrex or Maxalt, which help constrict cranial arteries to reduce painful dilation, Lasmiditan, which is approved for treatment of migraine with or without aura, Gepants (calcitonin gene-related peptides antagonists) such as Ubrelvy or Nurtec, Zavagepant, which is a migraine medicine nasal spray.
  • #66 Patient’s Guide to Visual Migraine – Brigham and Women’s Hospital
    https://www.brighamandwomens.org/neurology/neuro-ophthalmology/visual-migraine
    Some commonly tried medications include amitriptyline, gabapentin, and topiramate. […] For some patients, botulinum injections (in the forehead and scalp) can help reduce headaches. […] It is very important to remember that many of the most effective preventive treatments for migraines do not require any medications.
  • #67 Get Your Ocular Migraine Treated At Ojas – Eye Hospital In Mumbai
    https://www.ojaseyehospital.com/blog/get-your-ocular-migraine-treated-at-ojas-eye-hospital-in-mumbai/
    Ocular migraine: How is it treated? Ocular migraines frequently go away on their own within a few minutes or up to an hour without any particular treatment. If the pain is persistent using an over-the-counter pain reliever as soon as possible may help. […] Aim to use prescription drugs: There are now treatments for the symptoms that can be taken frequently beforehand to prevent migraines or reduce the severity of attacks. It can be difficult to find the right medicine combination, and long-term drug use might sometimes result in unpleasant side effects, such as rebound headaches. […] Therapeutic devices are an option: If you get ocular migraines frequently, you can benefit from making an investment in therapeutic equipment to reduce the quantity of light you are exposed to. […] Use alternative methods: You can use a variety of complementary therapies in addition to medical treatment. These include support groups, aromatherapy, oxygen therapy, heat or ice packs, acupuncture, massage therapy, chiropractic adjustments, and massage.
  • #68 4 Ways to Treat an Ocular Migraine – wikiHow
    https://www.wikihow.com/Treat-an-Ocular-Migraine
    Cognitive behavior therapy (CBT) and talk therapy can both be effective at treating migraines. […] Acupuncture can help lower pain, while massage may lower the frequency of migraines. […] Some vitamins and minerals can help prevent migraines. Vitamin B-2 (riboflavin), Coenzyme Q10, and magnesium are all great options. Always talk to your doctor before taking any vitamins or supplements.
  • #69 Patient’s Guide to Visual Migraine – Brigham and Women’s Hospital
    https://www.brighamandwomens.org/neurology/neuro-ophthalmology/visual-migraine
    Triptans are specially designed to work on receptors on blood vessels and brain cells in order to halt a migraine at an early stage. […] Many patients with isolated visual migraines, without severe headaches, have relatively infrequent episodes that do not require specific preventive treatments. […] If a patient is aware of the particular triggers that seem to bring on an episode, then those triggers can be avoided. […] In patients where the pattern of migraines includes frequent, severe headaches, it is very reasonable to consider additional preventive treatments. […] There are numerous medications that can be used as a preventive treatment for migraine. […] One medication that is used commonly, particularly because it has no side effects, is vitamin B2 (riboflavin). […] Other herbal medications used to reduce migraine headaches include petasites (butterbur) and feverfew.
  • #70 4 Ways to Treat an Ocular Migraine – wikiHow
    https://www.wikihow.com/Treat-an-Ocular-Migraine
    Cognitive behavior therapy (CBT) and talk therapy can both be effective at treating migraines. […] Acupuncture can help lower pain, while massage may lower the frequency of migraines. […] Some vitamins and minerals can help prevent migraines. Vitamin B-2 (riboflavin), Coenzyme Q10, and magnesium are all great options. Always talk to your doctor before taking any vitamins or supplements.
  • #71 Retinal and Ophthalmic Migraine Treatments using Acupuncture
    https://innerlight-wellness.net/acupuncture-for-ocular-migraines/
    At Inner Light Wellness Acupuncture, we have been helping our patients diagnosed with ocular migraines lead pain-free and healthier lives with our customized acupuncture treatment plans. […] Treatment frequency will vary based on the severity of your ocular migraines. Most people start with two to three visits per week for the first few weeks then move to two visits per week for several more weeks. Once you are improving between the visits, we reduce the frequency until you are on once per month maintenance visits. Patients who follow this protocol achieve long lasting results with ocular migraines. […] Rest assured, we see at least an 85% success rate for our patients receiving acupuncture for headaches.
  • #72 ocular-migraines-natural-treatment – Makari Wellness
    https://makariwellness.com/ocular-migraines-natural-treatment/
    Acupuncture for ocular migraine can be effective in many cases of migraine flare. […] Many natural treatments are available for ocular migraine treatment, including acupuncture, Chinese herbs, acupressure, nutritional therapy, and supplements. […] Acupuncture treatment for ocular migraine aims to restore the flow of Qi and balance in the body. […] The most effective acupuncture ocular migraine can have has proven beneficial, but it is not a quick fix. […] According to Traditional Chinese Medicine, the uninterrupted flow of Qi (vital life energy) protects the body from illness. […] Acupressure uses the hands for stimulation. […] Herbal remedies are not one-size-fits-all in terms of effectiveness, so our certified Chinese herbalist will combine different herbs to create a unique formula for your condition. […] The deficiency of some nutrients can also trigger a migraine.
  • #73 4 Ways to Treat an Ocular Migraine – wikiHow
    https://www.wikihow.com/Treat-an-Ocular-Migraine
    Cognitive behavior therapy (CBT) and talk therapy can both be effective at treating migraines. […] Acupuncture can help lower pain, while massage may lower the frequency of migraines. […] Some vitamins and minerals can help prevent migraines. Vitamin B-2 (riboflavin), Coenzyme Q10, and magnesium are all great options. Always talk to your doctor before taking any vitamins or supplements.
  • #74 4 Ways to Treat an Ocular Migraine – wikiHow
    https://www.wikihow.com/Treat-an-Ocular-Migraine
    Cognitive behavior therapy (CBT) and talk therapy can both be effective at treating migraines. […] Acupuncture can help lower pain, while massage may lower the frequency of migraines. […] Some vitamins and minerals can help prevent migraines. Vitamin B-2 (riboflavin), Coenzyme Q10, and magnesium are all great options. Always talk to your doctor before taking any vitamins or supplements.
  • #75 Ocular Migraine or Visual Migraine
    https://www.naturaleyecare.com/eye-conditions/ocular-migraines/?srsltid=AfmBOopTPGrHb1T4nmmjMxTtKybdF0cSzQiaz_bKAmFTidLSLD3XS1r_
    Retinal migraine, as defined by the International Headache Society, is actually fairly uncommon. Most cases are diagnosed as ophthalmic migraine. […] Ocular migraines tend to go away after a few minutes to an hour and generally treatment is not needed. However, if you have them repeatedly it will be a good idea to have an exam. Normal practice is for a medical doctor to get your complete medical history and give you a thorough physical exam to rule out causes of the headache from other physical conditions. An ophthalmologist can verify that eye-related problems are not contributing to the condition. […] Similarly, if you have frequent migraine headaches, you should talk to your health care professional. […] Spasms and constriction of tiny blood vessels that cause ocular migraines can be lessened through targeted supplementation, healing modalities such as massage to reduce tension in the neck and shoulder muscles, craniosacral therapy, chiropractic, and acupuncture or shiatsu to balance out meridians that can contribute to, or result in, onset of ocular migraine headaches.
  • #76 Patient’s Guide to Visual Migraine – Brigham and Women’s Hospital
    https://www.brighamandwomens.org/neurology/neuro-ophthalmology/visual-migraine
    Triptans are specially designed to work on receptors on blood vessels and brain cells in order to halt a migraine at an early stage. […] Many patients with isolated visual migraines, without severe headaches, have relatively infrequent episodes that do not require specific preventive treatments. […] If a patient is aware of the particular triggers that seem to bring on an episode, then those triggers can be avoided. […] In patients where the pattern of migraines includes frequent, severe headaches, it is very reasonable to consider additional preventive treatments. […] There are numerous medications that can be used as a preventive treatment for migraine. […] One medication that is used commonly, particularly because it has no side effects, is vitamin B2 (riboflavin). […] Other herbal medications used to reduce migraine headaches include petasites (butterbur) and feverfew.
  • #77 Ocular Migraine (Retinal Migraine) vs. Migraine Aura
    https://www.allaboutvision.com/conditions/ocular-migraine/overview-of-retinal-migraine/
    Finding and avoiding your triggers may help you have fewer migraines, whether they come with headaches or not. Some triggers can be harder to avoid than others. Certain medications and supplements may help some people get fewer migraines. Many of these medications were originally used to manage different conditions, such as high blood pressure or depression. A doctor can help you decide which ones to try. They might recommend: Antidepressants, Blood pressure medicine, Anti-seizure medicine, Vitamin, mineral or herbal supplements, Botox injections, Devices that temporarily slow down brain activity, Monoclonal antibodies (CGRP). […] Always talk to your doctor before you take new drugs or supplements, even if you can buy them without a prescription. Some can aggravate certain conditions or interact with other medications. They can also lead to rebound headaches or even organ damage if you use them too much.
  • #78 Retinal Migraine Headache – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK507725/
    It is usually recommended to avoid ergot and beta-blockers in retinal migraines due to the increased incidence of irreversible vision loss. […] Calcium channel blockers such as nifedipine and verapamil (most effective) are the mainstay of treatment here. […] Other medications such as coumadin and heparin have been used in isolated cases of patients with antiphospholipid antibody syndrome and retinal migraine. […] Aspirin and antiepileptic drugs have all been shown to reduce the severity of attacks. […] The main focus of treatment would be to reduce the recurrence of attacks. […] The most important initial step in evaluating a patient with suspected retinal migraine is to determine if the visual symptoms are monocular or binocular. […] Complications of a retinal migraine include central retinal artery occlusion (CRAO), retinal infarction, central retinal venous occlusion, branch retinal artery occlusion (BRAO), retinal hemorrhages that can lead to edema of the retina and disc, ischemia of choroid or optic nerve, and vitreous hemorrhage. […] It is critical to educate the patients about the red flags of vision loss. […] Preventive therapy is important to reduce the frequency of attacks and severity and must be taken on a daily basis.
  • #79 Retinal Migraine Headache – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK507725/
    It is usually recommended to avoid ergot and beta-blockers in retinal migraines due to the increased incidence of irreversible vision loss. […] Calcium channel blockers such as nifedipine and verapamil (most effective) are the mainstay of treatment here. […] Other medications such as coumadin and heparin have been used in isolated cases of patients with antiphospholipid antibody syndrome and retinal migraine. […] Aspirin and antiepileptic drugs have all been shown to reduce the severity of attacks. […] The main focus of treatment would be to reduce the recurrence of attacks. […] The most important initial step in evaluating a patient with suspected retinal migraine is to determine if the visual symptoms are monocular or binocular. […] Complications of a retinal migraine include central retinal artery occlusion (CRAO), retinal infarction, central retinal venous occlusion, branch retinal artery occlusion (BRAO), retinal hemorrhages that can lead to edema of the retina and disc, ischemia of choroid or optic nerve, and vitreous hemorrhage. […] It is critical to educate the patients about the red flags of vision loss. […] Preventive therapy is important to reduce the frequency of attacks and severity and must be taken on a daily basis.
  • #80 Ophthalmologic Manifestations of Migraines – EyeWiki
    https://eyewiki.org/Ophthalmologic_Manifestations_of_Migraines
    Retinal migraine (retinal vasospasm) presents with typical migraine headache and a reversible monocular visual loss, scintillations, scotoma, or blindness. […] Patients who experience recurrent attacks of migraines are advised to follow up with their physicians for prophylactic therapy. Doses of these preventative medications can be titrated at follow-up visits as necessary. It is also recommended that patients follow up if they continue to experience migraine attacks despite pharmacologic intervention. It is important to closely follow patients who present with retinal migraine to prevent irreversible blindness.
  • #81 Retinal Migraine Headache – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK507725/
    Ocular or retinal migraines are generally defined as a transient monocular scotoma or loss of vision that is accompanied or followed by a headache within 60 minutes of visual symptoms onset. […] This activity reviews the evaluation and management of retinal migraines and highlights the role of the interprofessional team in caring for affected patients. […] Review the treatment and management options available for retinal migraines. […] When attacks are more frequent, first-line therapy starts with lifestyle changes that include avoiding dietary triggers such as alcohol and caffeine, controlling stressors like high blood pressure, and ceasing to smoke. […] If that does not help, then the patient must start a diary to help evaluate the success of the therapy and initiate prophylaxis therapy.
  • #82 Retinal Migraine Headache – MD Searchlight
    https://mdsearchlight.com/migraine-headaches/retinal-migraine-headache/
    Treatment Options for Retinal Migraine Headache If you only experience the symptoms (attacks) about once a month, its generally not necessary to get treatment. However, if your symptoms become more frequent, the first step is usually to make some changes in your lifestyle. This might involve avoiding certain foods or drinks like alcohol and caffeine, managing conditions like high blood pressure, and quitting smoking. […] If these lifestyle changes dont help, you might be asked to start keeping a diary to record your symptoms and how you respond to treatment. This can help your doctor assess how well your treatment is working. You might then be prescribed some preventative medication. Generally, you would avoid medications like ergot and beta-blockers in cases of retinal migraines because of a higher risk of permanent vision loss. The go-to treatments are typically calcium channel blockers such as nifedipine and verapamil, although these might not be suitable if you have heart failure, low blood pressure, certain heart conditions, or liver or kidney failure.
  • #83 Retinal Migraine Headache – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK507725/
    It is usually recommended to avoid ergot and beta-blockers in retinal migraines due to the increased incidence of irreversible vision loss. […] Calcium channel blockers such as nifedipine and verapamil (most effective) are the mainstay of treatment here. […] Other medications such as coumadin and heparin have been used in isolated cases of patients with antiphospholipid antibody syndrome and retinal migraine. […] Aspirin and antiepileptic drugs have all been shown to reduce the severity of attacks. […] The main focus of treatment would be to reduce the recurrence of attacks. […] The most important initial step in evaluating a patient with suspected retinal migraine is to determine if the visual symptoms are monocular or binocular. […] Complications of a retinal migraine include central retinal artery occlusion (CRAO), retinal infarction, central retinal venous occlusion, branch retinal artery occlusion (BRAO), retinal hemorrhages that can lead to edema of the retina and disc, ischemia of choroid or optic nerve, and vitreous hemorrhage. […] It is critical to educate the patients about the red flags of vision loss. […] Preventive therapy is important to reduce the frequency of attacks and severity and must be taken on a daily basis.
  • #84 Retinal Migraine – Migraine Aus
    https://www.migraine.org.au/retinal
    There are no diagnostic test for retinal migraine, and no recommended treatment other than usual treatment for migraine. […] In addition to a neurologist, an assessment by an opthamologist may be recommended to rule out other eye conditions.
  • #85 Ocular migraine | Ohio State Health & Discovery
    https://health.osu.edu/health/eye-health/ocular-migraine
    Retinal detachment is another serious condition that can have some similar symptoms to ocular migraine or migraine with aura. […] We can’t rule out the possibility of retinal detachment without a dilated eye exam, especially if you’ve never had a migraine with visual symptoms before. […] It’s best to first see an eye doctor; many primary care providers will send patients to an eye doctor for a dilated eye exam to rule out retinal detachment.
  • #86 Retinal Migraine: Symptoms, Diagnosis, Treatments
    https://www.webmd.com/migraines-headaches/retinal-migraine
    If you are diagnosed with retinal migraine, ask your doctor about the right treatment for you. There isnt a single suggested treatment program as it varies by person. […] Your doctor also may recommend: Anti-nausea medication, Calcium channel blockers, which lower blood pressure, Anti-epileptic medications, which prevent seizures, Tricyclic antidepressants, which change your brains chemistry. […] Doctors dont usually use traditional migraine treatments such as triptans and ergotamines for people with retinal migraine. Triptans, for example, arent safe if youre at risk for a stroke, which may be the case for people experiencing temporary blindness in one eye.
  • #87 Retinal migraine | nidirect
    https://www.nidirect.gov.uk/conditions/retinal-migraine
    Treatment for retinal migraine usually just involves taking pain relief for any headaches and reducing exposure to anything that might be triggering the retinal migraine. […] Your doctor may sometimes prescribe preventative medication to try and reduce how often you get a migraine. Your doctor will discuss the best way to treat your symptoms with you. […] There is no one best way to treat retinal migraine. Your doctor may have to try several different medications to see what works best for you.
  • #88 Retinal migraine: Causes, symptoms, and treatment
    https://www.medicalnewstoday.com/articles/314917
    A retinal migraine involves repeated attacks of visual disturbances in one eye. These include flashing or sparkling lights, partial vision loss, or blindness. […] The United Kingdoms National Health Service (NHS) notes that treatment usually involves pain relief medications and trying to avoid triggers. […] The medication a doctor prescribes to treat retinal migraine may depend on a persons age and how frequently they experience retinal migraine. […] The American Migraine Foundation notes that if the attacks are not frequent, the treatment will be the same as for other types of migraine. […] Treatment typically involves pain medication to treat the migraine headache. A person should also try to avoid triggers to help prevent migraine from occurring.
  • #89 Retinal migraine
    https://www.nhs.uk/conditions/retinal-migraine/
    Treatment for retinal migraines is not usually needed if you do not have them very often. […] If you have them frequently, a GP may suggest: […] painkillers like paracetamol or ibuprofen […] medicines to help prevent migraines, such as topiramate or amitriptyline […] If these treatments do not help control your migraines, you may be referred to a specialist called a neurologist for more tests and treatment.
  • #90 Ocular Migraine: What It Is, Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/24961-ocular-migraine
    Ocular migraine (also known as retinal migraine) is a condition that involves attacks of visual issues that affect one eye and migraine headaches. Treatment involves avoiding triggers with lifestyle changes and medication. […] If ocular migraines happen infrequently, such as once a month, healthcare providers generally dont recommend treatment. […] If you have frequent ocular migraines, the goal of treatment is to reduce the frequency of attacks. Treatment includes: Avoiding possible triggers: Its helpful to know what situations trigger your ocular migraines. Keeping a journal of when and how your migraines happen can help with this. Lifestyle changes, such as avoiding dietary triggers, managing stressors like high blood pressure and quitting smoking, may help reduce the number of attacks you have. […] Medication: If lifestyle changes dont help, medication that can help prevent ocular migraines (prophylaxis therapy) is the next step. Calcium channel blockers such as nifedipine and verapamil are the go-to medications. Aspirin and antiepileptic drugs may also help.
  • #91 Retinal Migraine Headache – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK507725/
    It is usually recommended to avoid ergot and beta-blockers in retinal migraines due to the increased incidence of irreversible vision loss. […] Calcium channel blockers such as nifedipine and verapamil (most effective) are the mainstay of treatment here. […] Other medications such as coumadin and heparin have been used in isolated cases of patients with antiphospholipid antibody syndrome and retinal migraine. […] Aspirin and antiepileptic drugs have all been shown to reduce the severity of attacks. […] The main focus of treatment would be to reduce the recurrence of attacks. […] The most important initial step in evaluating a patient with suspected retinal migraine is to determine if the visual symptoms are monocular or binocular. […] Complications of a retinal migraine include central retinal artery occlusion (CRAO), retinal infarction, central retinal venous occlusion, branch retinal artery occlusion (BRAO), retinal hemorrhages that can lead to edema of the retina and disc, ischemia of choroid or optic nerve, and vitreous hemorrhage. […] It is critical to educate the patients about the red flags of vision loss. […] Preventive therapy is important to reduce the frequency of attacks and severity and must be taken on a daily basis.
  • #92 Retinal Migraine Treatment – Florida Pain Physicians
    https://floridapainphysician.com/retinal-migraine-treatment/
    You may notice your vision is impaired. Perhaps, you have partial or total loss of vision or a blind spot. This is accompanied, usually later, by a severe headache a migraine. The medical term for this unusual form of migraine is a retinal migraine. This type of migraine headache causes pain and changes in vision. When it occurs in both eyes, the term is migraine with aura. […] With eye problems of any sort, it is best to see a doctor quickly to find out what the problem is and get treatment. For migraine treatment in Jacksonville, FL, there are non-surgical remedies your doctor may recommend. Two of the most common include BOTOX and medical marijuana. […] We urge you to see a doctor when you’re experiencing retinal headaches. Perhaps, BOTOX or medical marijuana can alleviate your suffering.
  • #93 Increased risks of retinal vascular occlusion in patients with migraine and the protective effects of migraine treatment: a population-based retrospective cohort study | Scientific Reports
    https://www.nature.com/articles/s41598-024-66363-9
    Risks of retinal vascular occlusion were significantly higher in migraine both with aura (MA) and without aura (MO) (aHR, 1.77 [95% CI, 1.58, 1.98], and 1.92 [95% CI, 1.64, 2.25]). […] Among patients with migraine, nonsteroidal anti-inflammatory drugs, propranolol, and flunarizine significantly reduce their risks of retinal vascular occlusion (aHR, 0.19 [95% CI, 0.16, 0.22], 0.73 [95% CI, 0.62, 0.86], 0.84 [95% CI, 0.76, 0.93]). […] Risks of retinal vascular occlusion, RAO, and RVO in migraine patients treated with NSAIDs were significantly lower than those without such treatment (aHR, 0.19 [95% CI, 0.16, 0.22], p0.001; 0.18 [95% CI, 0.13, 0.23], p0.001; 0.21 [95% CI, 0.17, 0.25], p0.001, respectively). Propranolol similarly reduced risks of retinal vascular occlusion, RAO, and RVO (aHR, 0.73 [95% CI, 0.62, 0.86], p0.001; 0.61 [95% CI, 0.44, 0.83], p=0.002; 0.77 [95% CI, 0.63, 0.93], p0.006). Flunarizine significantly decreased the risks of retinal vascular occlusion and RVO (aHR, 0.84 [95% CI, 0.76, 0.93], p0.001; 0.77 [95% CI, 0.68, 0.86], p0.001).
  • #94 Retinal Migraine: Causes, Symptoms, Treatment, and More
    https://www.healthline.com/health/migraine/retinal-migraines
    A retinal migraine is a type of migraine with aura that is rare and includes repeated bouts of short-lasting, diminished vision or blindness in one eye. […] If retinal migraine isn’t experienced frequently, doctors or optometrists may prescribe medications typically used to treat other forms of migraine. […] These rescue medications include triptans, nonsteroidal anti-inflammatory drugs such as aspirin and ibuprofen, and antinausea medications. […] An eye specialist may sometimes prescribe specific medications for a retinal migraine including a beta-blocker such as propranolol, an antidepressant such as amitriptyline, or an anticonvulsant such as valproate or topiramate. […] More research needs to be done in this area to come up with a more definitive treatment.
  • #95
    https://111.wales.nhs.uk/retinalmigraine/
    Retinal migraine is caused by the blood vessels to the eye suddenly narrowing (constricting), reducing the bloodflow to the eye. […] Treatment for retinal migraine usually just involves taking pain relief for any headaches and reducing exposure to anything that might be triggering the retinal migraine. […] Your doctor may sometimes prescribe medication, such as: aspirin to reduce pain and inflammation, a beta-blocker which may help relax blood vessels, a calcium channel blocker which may help prevent blood vessels constricting, a tricyclic antidepressant which may help prevent migraine, anti-epileptics which may help prevent migraine. […] However, there’s still a lack of research about the best way to treat or prevent a retinal migraine.