What Are the Causes of an Eye Migraine?

Ocular migraine

Eye migraine

Irritation and damage due to diseases of the eye such as refractive errors (myopia, hyperopia, presbyopia and astigmatism), glaucoma, iris ciliaryitis, keratitis, corneal ulcers, orbital infections, eye tumors and eye trauma The headache caused by the nerve endings that dominate the eye is called eye-originated headache. Its prevention and treatment should focus on the prevention, inspection, diagnosis and treatment of eye diseases.

Prevention and treatment of ocular migraine

Everyone must understand the importance of protecting the eyes, understand the general physiological knowledge of the eyes and the knowledge of diseases; it is not appropriate to read in dark places; the refractive error should not use the eyes for too long, and look at distant objects appropriately Target self-regulation; do eye exercises; avoid eye trauma and physicochemical irritation; do not rub your eyes with your hands, wipe your eyes with a clean handkerchief; check your eyesight regularly to find problems and solve them in time.

Patients with headache should go to the ophthalmology clinic in time to rule out eye-borne headache, and check fundus and CT of the eye if necessary. Check your eyesight regularly to find out if there are eye-source headaches caused by refractive errors; glaucoma has severe headaches and frequent vomiting, and it is easy to misdiagnose as migraine and delay treatment, which must be paid great attention. The headache caused by glaucoma is mostly in the frontal and temporal region of the affected side. Headache and eye pain occur simultaneously. Pressing the eyeball can make the headache worse. Acute onset can be accompanied by vision loss, eye bleeding, corneal edema, etc. Pressure helps to confirm the diagnosis.

Etiology treatment

The cause of eye-borne headache is the most effective treatment. Such as refractive errors, optometry to correct; acute angle closure glaucoma is most likely to cause blindness, and must be treated urgently. The treatment principle is to choose a miotic agent, a carbonic anhydrase inhibitor acetazamide 0.25 g, orally 2 to 3 times a day; or use 20% mannitol to quickly reduce the intraocular pressure, and to choose an appropriate surgical treatment after the intraocular pressure drops.

Symptomatic treatment

Analgesics can be taken, such as indomethacin, somitone, analdine, and carbamazepine, if necessary, supplemented with diazepam, doxepine to eliminate stress and anxiety.

Acupuncture and physical therapy

Eye migraine case

eye

Vascular headache (migraine) manifested as eye pain

The patient was a 16-year-old female student of seventh middle school in Linyi City, Shandong Province. She developed paroxysmal eye pain from the age of 8 years. It occurred 2-5 times a month, and the pain lasted for 1-3 days. It was manifested as deep orbital pain, very serious and severe. She had nausea and vomiting, ipsilateral nasal congestion, runny nose, and no premonitions. She had undergone various tests including craniocerebral CT, magnetic resonance, electroencephalogram, brain ultrasound, intraocular pressure, and fundus. There is no effect with various treatments (patients have been seeking medical treatment for many years, countless hospitals have been seen). At the time of the visit, it was the onset of pain. The patient was very distressed and his physical examination was normal. After examination, Dr. Guo Wanlun considered vascular headache. He was given oral Jingtongling and acupuncture. The pain improved after half an hour. The patient was very happy after receiving the results. Continue After 30 days of treatment, the pain did not recur, and there was no attack for six months. Many vascular headaches (migraines) are manifested as eye pain or orbital pain, which is easy to be misdiagnosed clinically, suspected glaucoma or maladjusted light, and patients repeatedly check intraocular pressure, etc. It is actually vascular headache, which is also very common. Acupuncture can be given after the diagnosis of vascular headache, and it can get very good results.