Is scintillating scotoma an ocular migraine?
Scintillating scotoma is a common visual aura that was first described by 19th-century physician Hubert Airy (1838–1903). Originating from the brain, it may precede a migraine headache, but can also occur acephalgically (without headache)….
Scintillating scotoma | |
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Prognosis | Self-limiting |
What exactly is an ocular migraine?
Retinal migraine (ocular migraine) is an eye condition that causes brief attacks of blindness or visual problems like flashing lights in 1 eye. These episodes can be frightening, but in most cases they’re harmless and shortlived, and eyesight goes back to normal afterwards.
Is an ocular migraine something to worry about?

Aura is generally harmless. The visual disturbances may temporarily interfere with certain daily activities such as reading or driving, but the condition usually is not considered serious. It has been noted, however, that aura may be associated with a small increased risk of stroke (cerebral infarction) in women.
What’s the difference between a migraine and an ocular migraine?
To tell whether you are experiencing an actual or a visual migraine, cover one eye and see if you notice a problem with your vision. Then cover the other eye and check again. If the vision problem is just in one eye, then it is an ocular migraine. If it is in both eyes, then it is a visual migraine.
Is scintillating scotoma serious?
Scintillating scotomas are typically benign, meaning that they aren’t a cause for concern and they go away without treatment. Recurring scintillating scotomas can indicate other health conditions, such as migraine, glaucoma, multiple sclerosis, and preeclampsia.

How long do scintillating scotomas last?
Most scintillating scotomas are temporary and last anywhere from a few seconds to up to 30 minutes. Often, they are associated with migraine headaches (and therefore are sometimes called a migraine scotoma). But scintillating scotoma can occur without head pain as well.
What causes scintillating scotoma without headache?
Scintillating scotomas are typically caused by what’s known as cortical spreading depression. Basically, this is abnormal electrical activity moving through your brain. These electrical impulses may be related to high blood pressure, inflammation, or hormonal fluctuations, among other things.
What triggers an ocular migraine?
Prevention. Same as prevention for migraines. Avoid migraine triggers. Common triggers include stress, hormonal changes, bright/flashing lights, drinking alcohol (red wine), changes in the weather, skipping meals/not eating enough, or too much or too little sleep.
Can ocular migraines be a symptom of something else?
Although sudden vision impairment can also be a sign of stroke or carotid artery disease, true ocular migraines don’t actually indicate or cause any damage to your eyes or brain. You can often tell if you’re about to experience one if you start to lose your ability to see the focal point of your vision.
What triggers scintillating scotoma?
What are scotomas caused by?
Common causes of scotomas include demyelinating disease such as multiple sclerosis (retrobulbar neuritis), damage to nerve fiber layer in the retina (seen as cotton wool spots) due to hypertension, toxic substances such as methyl alcohol, ethambutol and quinine, nutritional deficiencies, vascular blockages either in …
How do you fix a scotoma?
Can a scotoma be treated? Temporary scotomas, such as those caused by a migraine, usually don’t need to be treated. Permanent or fixed scomtomas aren’t able to be corrected with glasses or surgery, but often treating the underlying cause (such as high blood pressure) can prevent new blind spots from forming.
What causes optical aura?
These may start in the periphery of your sight,and become larger and more central (Some people experience the opposite,starting as a tiny dot centrally and become a bigger
Will you have scintillating scotoma with dry eyes?
Scintillating Scotoma generally begins as a spot of flickering light in or near the center of the visual field that prevents vision within the Scotoma area. Typically Scintillating scotoma affects both eyes since it is not a problem specific to one eye. The affected area in the eye flickers but is not dark.
What is an ophthalmoplegic migraine?
Ophthalmoplegic migraines are a rare type of neurological disorder that comes with a one sided headache. What makes this type of “migraine” characteristic is that the affected side also comes with a paralysis of the eye muscles giving it the name “ophthalmoplegic.”
Are you experiencing a migraine aura without a headache?
Yes, some people experience migraine aura without a headache. This is known as silent migraine. In the past, doctors called it acephalgic migraine. Aura refers to a group of sensory disturbances that occur at the start of a migraine episode. These disturbances develop slowly over several minutes and can last 5–60 minutes in total.