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Anushka Super Speciality Eye Hospital
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Ocular Migraine vs Migraine — How to Identify Eye-Related HeadachesManagement
25 November 2025
Eye Health
Headaches can be confusing — especially when they come with vision changes like flashes, zig-zag lines, or temporary blindness. Many patients panic, thinking they’re losing vision permanently. At Dr. Anushka’s Super Speciality Eye Hospital, Bhiwandi, we meet such patients daily, and the first thing we do is help them understand what’s happening inside their eyes.
One of the most misunderstood conditions is ocular migraine. People often mistake it for a regular migraine, but both conditions affect the body very differently. The right diagnosis matters because sometimes vision-related headaches may signal an eye or retinal problem.
What Is an Ocular Migraine?
Ocular migraine (also called retinal migraine) causes temporary vision disturbances in one eye. Patients say things like:
- I can see zig-zag patterns.
- My vision looks broken or shimmering.
- Half of my vision went black for a few minutes.
These episodes usually last 5–30 minutes and vision returns to normal.
It’s frightening — but most ocular migraines are not dangerous. Still, they need an eye evaluation because similar symptoms can mimic retinal detachment, aura, TIA, or sudden ocular ischemia.
What Is a Regular Migraine?
A traditional migraine is a headache disorder that affects the brain.
Symptoms include:
- Throbbing headache
- Nausea
- Sound/light sensitivity
- Pain for hours to days
Some migraines come with aura, which includes visual symptoms on both eyes, not just one.
Key Differences: Ocular Migraine vs Migraine With Aura
Feature | Ocular Migraine | Migraine with Aura |
Affected Eye | One Eye Only | Both Eyes |
Vision Loss | Temporary blackout possible | Light flashes, patterns, no true blackout |
Headache | May or may not occur | Headache usually follows |
Duration | 5–30 mins | 20–60 mins |
Risk | Can mimic retinal problems | Usually not eye-related |
Symptoms That Need an Eye Specialist Immediately
Patients should visit Dr. Anushka’s Super Speciality Eye Hospital immediately if they experience:
- A curtain-like shadow
- Sudden increase in floaters
- Persistent flashing lights
- Temporary total vision loss
- Symptoms lasting more than 30 minutes
These could indicate retinal detachment, ocular TIA, or optic nerve issues, not migraine.
How We Diagnose Ocular Migraines at Our Hospital
- Detailed retinal exam
- Dilated fundus evaluation
- OCT retina
- Blood pressure evaluation
- Neurological screening if needed
Our NABH-certified setup ensures safe, standardised diagnosis.
Treatment & Prevention
Most ocular migraines improve with:
- Hydration
- Sleep regulation
- Stress management
- Avoiding triggers like bright screens
- Eye rest after screen use
- Avoiding skipped meals
For frequent attacks, a neuro-ophthalmology consultation may be required.
Human Message From Us
Vision symptoms can feel terrifying — especially if it happens suddenly.
At Dr. Anushka’s Super Speciality Eye Hospital, Bhiwandi, we reassure patients that you are not alone, and with the right evaluation, you can prevent complications and protect your eyesight.
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