How Long Do Ocular Migraines Last
Most of the time, ocular migraines are relatively short-lived in duration. Sometimes, they last for as little as 20-30 minutes before disappearing completely. In other cases, especially if they are accompanied by more traditional migraine symptoms, ocular migraines may last longer. If your vision does not return within an hour, contact a doctor, or seek emergency care to ensure your migraine symptoms were not caused by something more serious.
Chickenpox And Shingles Vaccines
One study found rare instances of corneal inflammation in children and adults after they received the zoster virus vaccine for both conditions.
Common side effects from the chickenpox vaccine include:
Soreness and a mild rash at the injection spot
Temporary joint pain and stiffness
For the shingles vaccine, common side effects are:
Soreness, redness and swelling at the injection site
Stomach pain and nausea
You Have Benign Essential Blepharospasm
“This is a rare neurological disorder where there is involuntary spasms of the eyelid associated with muscle contractions,” Dr. Park says. “It usually causes the eye to close or blink uncontrollably.”
Most often, it’ll affect both eyes and can be accompanied by jaw clenching, grimacing and tongue protrusion, according to the National Organization for Rare Disorders.
Fix it: Treatment options include oral medications, Botox injections and in severe cases, surgery to remove the eyelid muscle.
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Eye Care Professionals Respond To Covid
Those and other side effects arent stopping eye care professionals in the U.S. from rolling up their sleeves to receive COVID-19 shots or to even administer the vaccinations.
In a Dec. 2, 2020, letter to the head of the U.S. Department of Health and Human Services, Dr. William Reynolds, president of the American Optometric Association, wrote that the organizations members stand ready to assist the public and aid the nations health care community in the response to the COVID-19 outbreak.
Ophthalmologists in the U.S. also are engaged in the fight against COVID-19.
Dr. William Culbertson, professor of ophthalmology at the Bascom Palmer Eye Institute in Miami, told Ophthalmology Times that ophthalmologists and staff at the institute started receiving vaccinations Dec. 15, 2020.
Although we are not frontline health care providers, we all see patients face to face at the slit lamp and in surgery, so we have all been at substantial risk until we get vaccinated, Culbertson said.
In addition, at least one ophthalmologist Dr. Jorge Arroyo of Bostons Beth Israel Deaconess Medical Center participated in the trial of the Moderna vaccine for COVID-19.
It was a 34-year-old Chinese ophthalmologist, Li Wenliang, who was among the first to warn the world about the coronavirus outbreak in late December 2019. Dr. Li died of complications from the disease only a few weeks later.
You Have A Neurological Issue
In rare cases, eye twitching can signal an underlying problem with your brain or nervous system, according to the Mayo Clinic, such as:
- Bell’s palsy
- Oromandibular dystonia and facial dystonia
- Parkinson’s disease
- Tourette syndrome
Fix it: Dr. Park says the twitching alone is unlikely to be due to a neurologic condition, but you should see a doctor if you also have any of the following symptoms:
- Muscle spasm
- Eyelid swelling or redness of the eye
- Changes in vision, such as double vision
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How Can I Treat Migraines Without Using Medicines
It is very important to remember that many of the most effective preventive treatments for migraines do not require any medications. Frequent aerobic exercise is an excellent example of an effective way to improve headaches. Other strategies may include better sleep habits, stress reduction, massage, yoga, and acupuncture.
What Medicines Help Relieve Migraine Pain
For mild to moderate migraines, over-the-counter medicines that may help relieve migraine pain include:
- an acetaminophen, aspirin, and caffeine combination
People who have more severe migraines may need to try abortive prescription medicines. A medicine called ergotamine can be effective alone or combined with other medicines. Dihydroergotamine is related to ergotamine and can be helpful. Other prescription medicines for migraines include sumatriptan, zolmitriptan, naratriptan, rizatriptan, almotriptan, eletriptan, and frovatriptan.
If the pain wont go away, stronger pain medicine may be needed, such as a narcotic, or medicines that contain a barbiturate . These medicines can be habit-forming and should be used cautiously. Your doctor may prescribe these only if they are needed and only for a short period of time.
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What Should You Do If You Have An Ocular Migraine
If you note ocular migraine symptoms, your actions will depend on the severity of the symptoms and how much they affect your ability to function. Since ocular migraines are generally painless, you may be able to continue with your normal daily activities, especially if symptoms are confined to one eye or wear off quickly. You should also follow these steps:
Make sure that you are in a place where you do not require visual clarity. If you are on the road, for example, you should pull over as soon as it is possible to do so safely. If you suffer complete blindness, sit or lie down and wait for the migraine to pass. Ocular migraines may also be disorienting, so you may need to sit down while waiting for symptoms to stop.
See if you can isolate a trigger. If possible, note what is going on in your environment that could have triggered a migraine, whether you note that you are highly stressed, that there are extremely bright or flashing lights in the room, or that you have recently consumed a specific food.
Contact your doctor if needed. While ocular migraines are generally harmless, you should consult your doctor to rule out any larger problems, especially if you have recently had an ocular migraine for the first time or frequency appears to be increasing. In some cases, your doctor may be able to help you manage ocular migraines with medication. In other cases, they may work with you to help isolate a trigger, which can help you avoid potential future episodes.
Eye Twitching And Headache: Is There A Link
Headaches are pretty common. At any given time, some people are battling a headache. It can be a dulling and manageable pain, moderate or debilitating. Getting one is not out of the norm. If you were to line up outside a doctors office because of a headache, you would not be alone.
The fact that it is common does not diminish its significance. In some cases, a headache can be a symptom of a serious condition. When left unmanaged, this condition can progress. At other times, the pain does not have an identifiable cause and can be recurrent.
Both headaches and eye twitching are common, but is there a link?
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Causes Of Eye Twitching
It may be that a persons headaches are unconnected to their eye twitching, but that they both occur due to the same trigger. Headaches do not always cause eye twitching, nor the other way around, but they may both occur at the same time as a response to a shared trigger.
Some of the triggers for both eye twitching and headaches include:
What Causes Ocular Migraines
Like other types of migraines, there are a number of potential triggers for ocular migraines. Some are unknown others, you may be able to isolate and define, especially if you have ongoing ocular migraine symptoms. Triggers may include:
Stress and anxiety. The higher your stress levels, the more likely you are to trigger a migraine of any type. Some people find that during periods of high stress, whether theyre working hard to meet a deadline or struggling to deal with personal problems, may cause more frequent instances of migraines, including ocular migraines. Others find that extreme anger or anxiety can trigger migraine symptoms.
Relaxing after a period of intense stress. Some people dont have migraines when they are in the middle of stressful situations. Instead, for whatever reason, those symptoms are triggered after the migraine is over. Sufferers are ready to kick back and relax for a little while, and instead, they may find a migraine taking hold.
Caffeine consumption. Some patients find that their bodies are more sensitive to certain chemicals than othersincluding, most commonly, caffeine. Ocular migraines may occur shortly after caffeine consumption of a specific volume or as the caffeine starts to leave the bloodstream. If you cannot isolate ocular migraine triggers, consider whether caffeine could be to blame. Be sure to include chocolate and tea as potential triggers. Caffeine withdrawal can also act as a trigger for both ocular and retinal migraines.
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Preventing And Reducing The Symptoms Of Photophobia
- Avoid bright sunlight by wearing a wide-brimmed hat and sunglasses when outside.
- Keep your house lights as dimmed as practically possible.
- Talk to your optometrist about trying FL-41 glasses, which have been shown to reduce light sensitivity in some cases.18
- If you suffer from migraines, avoid triggers that cause attacks when possible .19
- Practice good eye hygiene to reduce the risk of conjunctivitis.
- Stay up to date with your vaccinations to reduce the risk of bacterial meningitis and encephalitis.
Covid Eye Problems In Children
While COVID-19 vaccines havent been tied to serious vision issues, researchers have detected eye problems in a number of children with the disease itself.
One study showed nearly one-fourth of children treated for COVID-19 at a Chinese hospital in early 2020 had mild eye problems. Those problems included:
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Caffeine And Eyelid Twitching
Patients will often express concerns to me about their eye twitching. Technically, it is not an eye problem. It is the thin, fragile eyelid muscles that are twitching.
Myokymia is the involuntary misfiring of the nerves that innervate the delicate eyelid muscles. An individual can have bouts of eyelid twitching over days or months. The causes are largely unknown.
It is usually due to one or more factors of diet, stress, or fatigue:
- extreme physical exertion and fatigue,
- lack of sleep.
Common myokymia does not affect vision. It is more of an annoyance than a problem.
Consider, however, if other facial muscles or the deeper eye muscles that control eye movements are involved, a medical evaluation is warranted to rule out more serious nerve disease.
There is no treatment for eyelid twitching. Do consider your dietary intake of caffeine, alcohol, and/or tobacco smoking. Evaluate ways to reduce your level of stress and get more rest.
What Causes Migraine Pain
Research is still ongoing, but migraines are thought to likely be caused by a phenomenon called cortical spreading depression . This is a process that happens in the brain, more specifically the cortex, when these brain cells are over stimulated.
This stimulation affects the production of serotonin and other brain chemicals. Serotonin then stimulates the trigeminovascular system. This system controls the brains blood vessels, causing them to swell.
Swollen blood vessels do two things:
- Push on neighbouring nerves causing the sensation of pain.
- Force the blood to travel through much smaller than normal spaces, making the pulsation of the blood more prominent.
With changes like this happening to the vessels inside our heads, it isnt all that surprising that people often describe the pain as throbbing or as a feeling of pressure inside their head.
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What To Do If You Have A Visual Disturbance
If you are suffering from visual disturbances
- Stop what you are doing. If you are driving, pull over as soon as you can do so safely.
- Stay calm. Most visual disturbances will pass in 10-30 minutes and are not likely to be a medical issue.
- Rest, often a cool dark room is most comforting.
- Take paracetamol, ibuprofen, diclofenac or naproxen whichever painkiller you have previously used comfortably and safely.
- Record, write down what you feel and see. Take special note of whether or not the disturbance is affecting one or both eyes.
Then, when you get a chance, contact your Optometrist or GP to discuss how soon you should be checked. In most cases these symptoms are not urgent.
But if you have sudden loss of sight in one or both eyes, or in a section of your vision, seek medical advice immediately.
How To Cope With Frequent Migraine Attacks
Life can be quite extra challenging when migraine attacks become a regular part of your day. Imagine dealing with eye twitching and an unbearable headache behind the eyes while in transit for your daily commute. It can suck out the joy in your life and affect everything, including your social circle, extracurricular activities, and relationships.
Sadly, this is the reality of many people. Therefore, we suggest trying some of the following self-care techniques to cope:
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What Are Some Migraine Risk Factors And Triggers
Some things make you more likely to get migraine headaches . Other things may bring on a migraine .
Common migraine risk factors include the following:
- Family history: You are much more likely to have migraines if one or both of your parents had migraines.
- Sex: Women are more likely than men to have migraines.
- Age: Most people have their first migraine during adolescence, but migraines can start at any age, usually before age 40.
Common migraine triggers include the following:
- Food and drink: Certain food and drink may cause migraines. Dehydration and dieting or skipping meals may also trigger migraines.
- Hormone changes: Women may experience migraines related to their menstrual cycles, to menopause, or to using hormonal birth control or hormone replacement therapy.
- Stress: Stress may trigger migraines. Stress includes feeling overwhelmed at home or work, but your body can also be stressed if you exercise too much or dont get enough sleep.
- Senses: Loud sounds, bright lights , or strong smells may trigger migraines.
- Medicines: Certain medicines may trigger migraines. If you think your migraines might be related to your medicine, talk to your doctor. Your doctor may be able to prescribe a different medicine.
- Illness: Infections, such as the cold or the flu, may trigger migraines, especially in children.
Foods that may trigger migraines:
- aged, canned, cured, or processed meat
- aged cheese
- soy sauce
The Difference Between Migraines With Aura And Ocular Migraines
Theres nothing like itthe excruciating, throbbing pain in your head that can only be a migraine. If you suffer from migraines, you may have noticed some visual disturbances in addition to your headache. Most likely what you have experienced is a migraine with aura accounting for approximately 20% of all migraines. There is also another less common type of migraine with visual disturbance called an ocular migraine affecting only about one out of every 200 people who have migraines. These two types of headaches are very similar making it very confusing to tell which is which. Read on to learn the distinctions between the two.
What are the symptoms?
The symptoms of the two conditions are almost the same except for a few telltale signs. The main difference is a migraine with aura will affect both eyes while an ocular migraine affects only one. Both have visual disturbances such as:
- Flashes of light
- Shimmering, colored, or flickering lights
- Floating lines
The visual disturbances tend to go away before the headache begins for the migraine with aura but can last longer for the ocular headache. Also, the headache, which can also be accompanied by symptoms of nausea and severe light sensitivity, tends to be right behind the affected eye of an ocular migraine but can be more spread out for a migraine with aura.
What are the causes?
What to do about them?
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What Causes A Migraine
Although migraines are extremely common, their exact cause remains unknown. It appears likely that the visual aura relates to a phenomenon called cortical spreading depression which temporarily affects electrical impulses in the brain. The pain of a migraine headache probably relates to spasm or irritability of blood vessels in the brain, which are sensitive to pain . Beyond these hypotheses, however, the exact mechanism that triggers a migraine remains unknown.
It is often possible to identify certain risk factors that increase the chance of having migraines. A positive family history is very common, so the doctor will often ask about headaches in ones parents or siblings. Overall, migraines are more common in women than in men. In addition, a persons hormonal status can affect the pattern of migraines they experience therefore, it is natural for a woman to notice a change in headaches and other migraine symptoms in adolescence or around the time of menopause.
Many individuals can identify specific triggers for their migraines. These triggers include fatigue, skipping a meal, caffeine withdrawal, stress, and certain foods . For many patients with isolated visual migraines, however, the events can be very infrequent and no definite trigger can be determined.
Eye Twitching And Brain Tumors
Sometimes eye twitching lasts a little longer than expected up to several days or weeks. If this happens, you may begin to panic and convince yourself that your eye twitching is a sign of a brain tumor.
Rest assured: If an eye twitch is the only symptom youre experiencing, it is likely not linked to a brain tumor or other severe disorder. In most cases, it can probably be attributed to one of the culprits listed above.
Typically, signs and symptoms of a brain tumor include severe headaches, confusion, blurred vision with dizziness and, in some cases, seizures. In rare and unfortunate circumstances, brain tumors dont show any symptoms, which makes it difficult for the person with the tumor to know something is wrong and have it checked out.
If youre experiencing signs and/or symptoms of a brain tumor in addition to a persistent eye twitch, seek medical attention immediately.
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