Occular Migraine? Aura without headache?

Thank you!

Hi Lisa, Sorry I confused Glaucoma with my need of surgery for cataracts. From yesterday's visit with my Neurologist of most interest regarding auras was I received tablets and nasal spray to treat the onset of an aura. Of significance was I should go to the emergency room if the duration of an aura is 60 minutes.
She also remarked that triptans are not recommended for patients older than 65.

Hi, @pfrjr78 - interesting about the tablets and nasal spray to treat the onset of aura. Which ones did the neurologist prescribe?

What did your neurologist share about why they suggested a visit to the ER if the aura lasted more than 60 minutes and how the ER might intervene if this were the case?

Gave samples of tablets and sprays: Rimegepant and Zavegepant.
I had a very lengthy and informative first visit, thoroughly covering numerous items related to my over 60 yrs of headaches and including much about auras. She did not share why the ER visit nor ER treatment but asked considerable questions about nature, durations, etc. about my auras that i have been having over 15 yrs.

I am very interested in the ER visits. My fluttering/auras go on for hours. Since there is no pain, and mostly just my peripheral vision is effected; I've never thought seriously about it. Maybe I should get that referral to a neurologist.

Hi, I was only responding to questions from Moderator Lisa Lucier . She asked, "Why they suggested a visit to the ER if the aura lasted more than 60 minutes and how the ER might intervene ". My visit with her was very lengthy, involving numerous aspects of my decades of headaches of which auras has been a very small part. It has only been in the last 15 yrs that I have experienced auras and in almost all of those years I was getting on average one in one to two years. So her comment about visiting an ER didn't raise much of a concern. It wasn't until Lisa asked those questions that I began to wonder. I really would not like to say at this point if I would or not recommend her because it was only my first visit, but I will never forget her caution. Hope things work out well for both of us and thank you for the post.

Jokenly, relating to the terminology, "Headache", more than a decade ago my condition improved after years of headache pain as a result of two Radio Frequency Ablation treatments. When I told my now retired cherished Primary, Dr. Richard Weiss at that time that I no longer had a headache, as an ache I meant, just a lot of head pressure he chuckled telling that that's a headache. I recalled this when my new and current Neurologist reminded me saying something like, it's not pressure or pain it's just headache.

Very concerning and unexpected bad news. After a very encouraging only visit with my Neurologist that I would get some help. Unfortunately after completing an MRI of the brain yesterday and lab work related to inflammation I learned today that she was leaving the office in less than a week. It's been a long time and another long wait I'm afraid

I usually get the aura and other symptoms without the headache, though mine have pretty much stopped in my older age. I have only had a a headache with my aura symptoms a few times in my life, thankfully!

After the first few times I experienced aura, I got scared and saw an eye doctor. (Ophthalmologist, not Optometrist) and that doctor diagnosed me with migraine without aura.

Mine would seem to come out of nowhere at times, but other times, they started after bright light hitting my eyes, looking at certain patterns (like small houndstooth and certain striped patterns (black & white, dark blue& white), and even looking down onto a driveway that was covered in pink & white petals from a tree).

They would usually start as a sort of white area in my eyesight, usually on one side of an eye, then after a few seconds, the squiggly lines would appear and move around my field of vision. Sometimes it would remind me of a mirage, other times like a kaleidoscope. They would normally last anywhere from about 15 minutes to an hour or so.

I often also experienced smelling things that no one else could smell. Sometimes this would start before the aura, so after a while, if I started smelling someone odd, I would gear myself up for a coming aura. I smelled weird things, such as wet garden dirt, fruit loops, and cotton candy, and the scent was very strong. Sometimes the scent would disappear once the aura started, other times, I think I might have had auras with only the scents.

I would get nauseous, but not all the time.