Occular Migraine? Aura without headache?

Posted by esikora @esikora, May 24, 2023

Anyone else experience aura without headache? Please share. Thanks.

Interested in more discussions like this? Go to the Headache & Migraine Support Group.

@amkie

I've had them for over 35 years.
Low dose aspirin keeps them away. Through trial and error, I've determined that taking the low dose aspirin (81mg) 3 times per week is enough to prevent them from happening. Mine were usually associated with bright lights or intensely examining details in a bright lighting or sometimes computer use. A opthomologist recommended the aspirin but 5mg per day caused too much bruising as did the low dose, if I took it every day.

Jump to this post

I have them too and it seems to be triggered by bright lights and LED lights. My vision is complete blurred. They come suddenly . I take baby aspirin and in about 15 to 20 minutes I’m okay. I had an MRI on my brain and everything was okay.

REPLY
@saucy

I’ve had them for years and sometimes go weeks without one but yesterday had 3, one in bed at night others in the house. Used to think it was the sun since I spend a lot of time outside but yesterday 2 were in the dark! Never had 3 in one day!

Jump to this post

I've had them for over 35 years.
Low dose aspirin keeps them away. Through trial and error, I've determined that taking the low dose aspirin (81mg) 3 times per week is enough to prevent them from happening. Mine were usually associated with bright lights or intensely examining details in a bright lighting or sometimes computer use. A opthomologist recommended the aspirin but 5mg per day caused too much bruising as did the low dose, if I took it every day.

REPLY

I’ve had them for years and sometimes go weeks without one but yesterday had 3, one in bed at night others in the house. Used to think it was the sun since I spend a lot of time outside but yesterday 2 were in the dark! Never had 3 in one day!

REPLY

My triggers include bright light, smoke and dark chocolate. Interestingly, milk chocolate doesn't seem to be a problem.... and I'm glad about that!

REPLY

Suggest you record everything your eating and your routine, too. I discovered mine was eggs, sauerkraut, and processed foods. Odors will also cause the issue.

REPLY
@turley78

My eye doctor also advised me that my ocular migraines are nothing to be concerned about. That is great but now I am having 8-10 a day and they are very distracting. Luckily, like you, I don't get the headaches with them either. Sometimes the blurry vision does cause me to be nauseous or I sometimes feel a little tired after having them. I would love to know the source or how to stop them. Do you have updates or helpful hints since you last posted, that you can share?

Jump to this post

Hi @turley78
Having visual disturbances 8-10 times a day would definitely be distracting. Wow, sorry to hear that. Wish I had a solution for you.

MESSAGE TO ALL: Especially to those having temporary blind spots in just one eye. Be sure to get checked out and don't just assume visual disturbances are ocular migraines. Two years ago, I wasn't sure if I had an ocular migraine or TIA. Now after two more incidents, providers have determined I'm having TIAs (aka mini-strokes) connected to afib.

Good 5 min video on Amaurosis Fugax by neuro-opthalmologist


I've now had 3 TIAs in less than 2 years, all three times they happened at the end of about 30 hours in afib (atrial fibrillation - irregular and rapid heartbeat that can cause blood clots). Almost two years ago, vision in both eyes became totally pixelated and then a weird fall backwards 4 hours later. Last week, I suddenly lost a third of my vision in just one eye for 2 minutes, blurred out/cloudy, not pixelated this time, but couldn't see through it. 4 months ago, my left arm suddenly became heavy, numb, had strong pins and needles, hand became bright red and felt like it was swelling (all at once) then suddenly every symptom was gone in less than 30 seconds. I thought I was having a heart attack or stroke while just talking to a neighbor. Every time, the issue(s) both started and stopped in an instant and were of brief duration.

When my neurologist concluded it was an ocular migraine 2 years ago, I didn't make the afib connection and didn't bring that up. I also have a rare neuropathy with lots of neuro issues so that just seemed like one more. At the time, I went to see her because I was more worried that it might be my advanced breast cancer spreading to my brain, but luckily a brain MRI confirmed it wasn't.

Blessings to all hoping you all find solutions to your visual disturbances.

REPLY

When I was having frequent ocular migraines (2-3 per day) my outstanding ophthalmologist recommended that I see a neurologist. However, I was able to adjust my sleep schedule and the frequent ocular migraines stopped. Given the frequency of yours, it seems you should have further evaluation, but I'm not a doctor.

REPLY
@californiazebra

Hi @esikora -- I had my one and only ocular migraine, no headache, about a year ago. I was in the kitchen and suddenly couldn't make anything out. Everything in my vision was very pixelated (maybe what they call kaleidoscope vision) and it was very confusing. It was colorful and like when they blur out a face with pixelation on the TV. I thought, why can't I see? Can I see? I looked around and couldn't make anything out. Nope, I can't see. I blinked several times hoping to clear it up and nope. Then I thought, OMG, am I'm having a stroke? I had been told I was at higher risk due to afib, cancer and cancer meds. I quickly did all the stroke tests on myself and passed. Then it all suddenly went away. Very scary.

Then 4 hours later, I was standing in front of my recliner and suddenly just fell straight backwards like a tree in the forest -- no bending. No dizziness, no loss of balance, no warning. Again, bizarre. Thankfully, I just fell hard back into the recliner (about broke it) or I would have really been injured. I'm sure it was somehow related. Really bizarre. I was afraid maybe it was a TIA. I had a brain MRI and no explanation, but TIAs can only be detected while they are happening.

I also had an eye exam a month later. No glaucoma. I do have early cataracts, but that wouldn't explain this.

My neurologist told me it was an ocular migraine and not to worry about it. They are random and it may never happen again. I've never had any type of migraine before or since. I rarely even get a regular headache. I'll never know why it happened. Best of luck to you.

Jump to this post

My eye doctor also advised me that my ocular migraines are nothing to be concerned about. That is great but now I am having 8-10 a day and they are very distracting. Luckily, like you, I don't get the headaches with them either. Sometimes the blurry vision does cause me to be nauseous or I sometimes feel a little tired after having them. I would love to know the source or how to stop them. Do you have updates or helpful hints since you last posted, that you can share?

REPLY

I have had optical migraines without headache for many years. I started getting them in the mid 90s. When they started I didn’t know what they were and they were disturbing my vision. I went to an eye doctor and had an exam and they explained what it was and said it was usually caused by stress. Over the years they have tapered off but I do get them during times of high stress. Christmas night around 2013 or 14 I had one that caused me to lose my peripheral vision in my right eye for about 30 minutes! It was totally black. It cleared up and when I went for my checkup with my neurologist, (I have multiple sclerosis) he told me that the vision loss was due to the optical migraine and not my MS.

REPLY

I had auras or they call them occular migraines. I never had a migraine I just couldn't see very well and then it would stop. It's rare for that to happen now. I think mine were brought on by hormones.

REPLY
Please sign in or register to post a reply.