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Retinal Migraine

A type of migraine characterized by transient vision loss in one eye.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Nöroloji department. Book Appointment →

What is Retinal Migraine?

Retinal migraine is a rare type of migraine characterized by attacks of transient complete or partial loss of vision (scotoma, blackout) in only one eye. The visual disturbance is usually followed by a headache.

Attacks may last from a few minutes to one hour, after which vision returns to normal. Transient vasospasm of retinal vessels or retinal dysfunction is thought to play a role in the pathogenesis.

Amaurosis fugax, optic neuritis, and retinal vascular occlusions, which can produce a similar picture, must be excluded. Therefore, a first-time attack requires urgent neuro-ophthalmologic evaluation.

Symptoms

Transient vision loss in one eye
Blackout, scotoma, or flashes in front of the eye
Headache following the visual disturbance
Attacks lasting from minutes to an hour
Complete recovery after the attack
Light and sound sensitivity
Nausea and weakness

Risk Factors

History of migraine and familial predisposition
Female sex, young adult age
Smoking
Hormonal factors
Hypertension
Oral contraceptive use
Trigger foods and stress

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • If you have first-ever vision loss in one eye (urgent)
  • If vision loss lasts longer than 1 hour
  • If accompanied by limb weakness or speech disturbance
  • If attack frequency has increased significantly
  • If attacks continue despite current treatment

Treatment Methods

01
Exclusion of other ocular and vascular causes
02
Avoidance of triggers
03
Acute attack: analgesic and antiemetic
04
Preventive treatment (beta-blocker, calcium channel antagonist)
05
Cardiovascular risk control
06
Smoking cessation and review of hormone therapy

Which Department to Visit?

You can visit our Nöroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.