Why Do I Have Frequent Ocular Migraines?
Question
Asked by Darklingilisten
Why Do I Have Frequent Ocular Migraines?
When I was little, I started to see bright lines intersecting one another in my field of vision. I don't know when they started really, but that I was very young. I was afraid of the dark not only because I couldn't see anything around me, but also because the bright intersecting lines and shapes became all that I could see, whether I closed my eyes or not. Sometimes I felt as though my head was a balloon, filled with helium, my skin tight around my head. Occasionally, a curtain of glittering pale green and blue would wash completely over my vision, and then my ears would ring (my sister told me it was because someone was talking about me, and I often wondered why I was the topic of conversation so much). If I stared into space for too long objects would separate into two. I always thought it was all normal, up until a few days ago.
在高中，我经常开始偏见。他们来了一年的时间，有时会重叠彼此。在那段时间里，我一直看到那些明亮的形状，但它们比以往任何时候都更亮，往往模糊了我的能力。我停止吃大多数加工的食物，肉类和乳制品，并专注于我自己的个人幸福和偏头痛，只会每隔几个月发生一次。但我仍然看到明亮的形状，苍白的光线，我的耳朵仍然跑。仍然，它是，是，对我来说是正常的。这是大约4或5年前。
A few days ago I went to my eye doctor and he asked me to read a row of letters with my left eye. I told him I couldn't see the first two letters because they were obscured by the migraine light aura thingys. When he started asking me about it, he seemed to grow concerned and asked me to take a vision test in which I had to look into a black box with a black dot in the middle, while black, vibrating lines flashed around it. I had to press a button whenever I saw them. I couldn't see the black lines very much, especially with my left eye, no matter how much I blinked. I took the test twice and my doctor told me the results were abnormal, and that he wanted me to take another test in a month, and then decide if I should see a neurologist. All throughout this I grew a bit frightened because it all seemed so normal to me, and now I might have to see a neurologist. Do other people have this sort of thing? Is this something that happens a lot to people? ...should I be worried?
I hope not :(
回答
Hi Darlingilisten,
The test your ophthalmologist gave you sounds similar to one that is important for all migraine patients to have done regularly. It's called a vision fields test, and it tells the doctor how well your eye is able to see. There is a normal pattern for most people, and when that normal pattern is different, it can indicate that there might be a problem he needs to look deeper into. He wants you to come back because he wants to see if it changes, and he wants to monitor the situation.
偏头痛本身可导致某些类型的眼睛损伤，尤其是称为常压青光眼的东西，或窄角度青光眼。但在你受到害怕之前，这可能是发生的事情，也有一个条件，无菌能成为持久性。这通常可以通过熟悉病情和治疗方案的医生治疗。你看，几乎随时你有一个光环，你的视野测试将是异常的。如果您的光环不消失，您可能对您的眼科医生一起看偏头痛专家可能很重要。专家通常会要求患者看到叫做神经眼科医生的人，他们经过特别培训这些类型的条件。
It sounds like your eye doctor is talking about seeing a neurologist. Unfortunately, neuros don't always have the most training in dealing with migraine related problems. That said, it still might be a good idea to see a neurologist who might offer a 3rd opinion with a different focus.
如果那没关系，我也想谈谈眼睛偏头痛的一刻......
One of the most important things is to get an accurate diagnosis. To simplify matters and make it easier for people to get information and treatment, doctors usually go by the gold standard for diagnosis, the International Headache Society's International Classification of Headache Disorders, 2nd Edition (ICHD-II). Although people often ask what "ocular," "optical," or "ophthalmic" migraines are, there are no such diagnoses under ICHD-II or the brand new version just released: ICHD-III. We do see the terms used, but doctors use it differently, so it really doesn't tell anyone what type of migraine you actually have.
I hope you'll come back and let us know how you're doing. Your story may be helpful to someone else who doesn't understand where they should go or what they should do.
~Ellen
You should know: The answer above provides general health information that is not intended to replace medical advice or treatment recommendations from a qualified healthcare professional.
