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Medical Forum / General / Vision / February 2006

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Ocular migraines - looking for cause / treatment

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The Central Scrutinizer - 06 Feb 2006 23:54 GMT
Hey, all.

This isn't exactly bang-on topic, but I presume I'll find some wisdom
in here.

I'm an occasional sufferer of ocular migraines. Or at least, this is
what my optometrist says. ;)

The symptom is thus: with little warning, a region close to the center
of my visual field becomes 'null' - normally my peripheral vision is
close to 90 degrees to either side, but when I move my hand to a
certain area of my visual field, it simply vanishes. The size of this
area varies from quite small (tennis-ball sized area in a
basketball-sized visual field) to an entire quadrant (usually
lower-left).

Over the next while (anywhere from 45 minutes to several hours) this
'blob' turns into a halo, which slowly grows out toward the edges of my
visual field, and ultimately dissipates. Shortly thereafter, I get a
mild, dull headache. Not really disruptive, not even really
distracting. But very consistent.

My optometrist tells me I'm lucky, as many migraine sufferers are
bedridden for hours from the pain. For me, it's little more than an
inconvenience, as I can't really see what I'm writing or typing when it
kicks in.

What I'm struggling with is what brings this on?? I've been free of
this for many months, and within the past week I've had half a dozen.
No recent dietary/activity changes to speak of...

Anyone out there had patients with similar complaints, and found any
useful ways to 'nail down' factors which could contribute to this?

Thanks!!

BD.
Salmon Egg - 07 Feb 2006 01:00 GMT
On 2/6/06 3:54 PM, in article
1139270075.061767.282670@o13g2000cwo.googlegroups.com, "The Central
Scrutinizer" <bobby_dread@hotmail.com> wrote:

> This isn't exactly bang-on topic, but I presume I'll find some wisdom
> in here.
[quoted text clipped - 9 lines]
> basketball-sized visual field) to an entire quadrant (usually
> lower-left).

<snip>

My personal experience does not quite match yours if we indeed have the same
problem. I get small temporary scotomas from time to time and shimmering.
Nevertheless be happy that it is not worse than you describe.

If you really want to verify that it is ocular migraine and not something
more serious, the expert will be a neurologist specializing in visual
problems rather than an ophthalmologist.

Good luck

Bill

-- Ferme le Bush
Scott Seidman - 07 Feb 2006 01:25 GMT
> What I'm struggling with is what brings this on?? I've been free of
> this for many months, and within the past week I've had half a dozen.
[quoted text clipped - 6 lines]
>
> BD.

Generally, ocular migraines are migraines--same triggers.  You'll have more
luck at a migraine site.

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Scott
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Mike Tyner - 07 Feb 2006 05:10 GMT
> What I'm struggling with is what brings this on?? I've been free of
> this for many months, and within the past week I've had half a dozen.
> No recent dietary/activity changes to speak of...

There's some good information about triggers on the Imitrex web site:
<http://www.migrainehelp.com/2.understanding_migraine/2.4.triggers/2.4.1.migraine
_triggers.html
>

> Anyone out there had patients with similar complaints, and found any
> useful ways to 'nail down' factors which could contribute to this?

Fairly often, the specific trigger is never found.

Migraine is migraine, and the visual symptoms are so characteristic that
it's hard to name any other condition that causes identical symptoms (formed
hallucinations and transient scotomas that respect the midline). Most
physicians will recommend a neurological exam and CT scan, for CYA value,
but abnormalities are seldom identified except during an attack.

There are variable reports of increased risk of stroke in migraine
sufferers, but the risks are only consistently found in people under 30 and
in women taking contraceptives.

-MT
The Real Bev - 08 Feb 2006 04:35 GMT
>> What I'm struggling with is what brings this on?? I've been free of this
>> for many months, and within the past week I've had half a dozen. No
[quoted text clipped - 7 lines]
>
> Fairly often, the specific trigger is never found.

I've had two in the last 20 years.  The first happened while I was driving on
vacation and lasted about 15 minutes.  The second happened while I was in my
office and also lasted about that long.  My optometrist was only a block away,
but it had stopped before I got there.  I think it happened a third time, but
I just can't remember.

I just feel really lucky that there's no pain involved.  Pretty crystalline
patterns for 15 minutes aren't really all that bad.

> Migraine is migraine, and the visual symptoms are so characteristic that
> it's hard to name any other condition that causes identical symptoms
[quoted text clipped - 5 lines]
> sufferers, but the risks are only consistently found in people under 30 and
>  in women taking contraceptives.

Guess I'm OK, then.  Apparently I can also eat all the mercury-filled tuna I
want -- at least nobody has been willing to say it will hurt me unless I'm
pregnant.

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Cheers,
Bev
<><><><><><><><><><><><><><><><><><><><><><><><><><><><><>
"I've seen a look in dogs' eyes,  a quickly vanishing look
of amazed contempt, and I am convinced that basically dogs
think humans are nuts."                  -- John Steinbeck

 
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