
Retinal Migraine (ocular migraine) is a rare type of migraine that involves an aura, with visually predominant hallucinations. It is an eye condition that causes brief attacks of temporary blindness or visual problems like flashing lights in one eye. In most of the cases, the vision becomes normal after a short while, and the signs are harmless. Some people get retinal migraine every few months, although the frequency can vary. Retinal migraine is a separate condition different from headache-type migraine or migraine with aura, which usually affects the vision of both eyes.
Signs and Symptoms
- Seeing twinkling lights, also known as scintillations
- Areas of lessened vision, also called scotoma
- Temporary loss of vision, or blindness
- Any of the above happening repeatedly
- Headache before during or after the vision attack
Причины
The underlying cause of retinal migraine remains largely unknown. A possible cause discovered upon examining people with active retinal migraine is that some individuals were having a spasm of the blood supply to the retina as their migraine occurred.
It may be triggered by:
- стрессом
- smoking
- high blood pressure
- oral contraceptive pill
- excess exercise
- high altitude
- dehydration
- low blood sugar
- excessive heat
Retinal migraine tends to be more common in:
- women
- people aged under 40
- personal or family history of migraine or other headaches
- people with an underlying disease – such as lupus, hardening of the arteries, sickle cell anaemia, epilepsy, antiphospholipid syndrome, and giant cell arteritis
Патофизиология
Retinal migraine is caused by the blood vessels to the eye suddenly narrowing (constricting), reducing the blood flow to the eye. Afterwards the blood vessels relax, blood flow resumes and sight returns. Usually there are no abnormalities within the eye and permanent damage to the eye is rare.
Диагноз
There are no diagnostic tests to confirm retinal migraine. Diagnosis is accomplished by reviewing the patient’s personal and family medical history, studying their symptoms, and conducting an examination. Retinal migraine is then diagnosed by ruling out other causes for the symptoms.
Treatments
Treatment for retinal migraine usually just involves taking pain relief for any headaches and reducing exposure to anything that might be triggering the retinal migraine.
- aspirin
- beta-blocker
- calcium channel blocker
- tricyclic antidepressant
- anti-epileptics
Прогноз
Mostly the attacks are short and self-relieving
Осложнения
- Retinal damage
- Vision loss
Disease & Ayurveda
There is not a single disease name explained in Ayurveda for retinal migraine. But Ayurveda explains the eyes as the seat of Pitta and associated with headaches like suryavarta and anantavata, ardhavabhedaka etc. So, a vitiation of Vaata and Pitta can lead to this disease.
Нидана
- Dry food intake & excessive food intake
- Wind from east side
- Causative factors for the vitiation of Vaata & Pitta
- Irregular sleep or lack of sleep
- Taking bath in cold water immediately after heat/sun exposure
Пурваарупа
Не упоминается
Сампрапти
Не упоминается
Лакшана
Seeing bright lights and visual hallucinations with or without headache
Подразделения
Не упоминается
Прогноз
Yaapya
Чикитса
Самана
- Lepanam with Soolahara dravyas
- Aamapachanam
- Agnideepanam
- Intake of jeernaghrutam
Содхана
- Avapeedanasyam
- Uttamammtrasnehapanam with Chatu:sneham
- Sirovirechananasyam
- Kaayavirechanam
- Upanaha
- Sirovasti
- Nadeeswedam
- Asthapanavasti
- Anuvasanavasti
Commonly used Medicines
- Varanadi kashayam
- Pathyakshadhatryadi kashayam
- Sirasoolari vajrarasam
- Rasnadi choornam
- Migrakot Tablets
- Pathyakshadhatryadi Tablets
Brands Available
- AVS Коттакал
- AVP Коимбатур
- СНС Ушадхасала
- Вайдьяратнам ушадхасала
Home Remedies
There is no cure for migraine at home but some measures can be helpful to lessen the suffering due to migraine.
- using flexible cold packs or masks
- staying in a quiet, darkened room
- sleeping, when necessary
- herbal extracts, like jatipatri, karpoora and turmeric
- acupuncture
- neck exercises
A migraine episode is often a response to a trigger. To figure out the culprit, a person might try keeping a diary and recording what they did, ate, and drank before an episode.
It may be particularly helpful to avoid:
- low blood sugar
- physical overexertion
- стрессом
- certain foods, such as chocolate and any that contain tyramine
- certain medications, like some birth control pills
- bright lights and flickering screens
The following strategies can also help reduce the frequency of migraines:
- getting enough rest and sleep
- reducing stress
- drinking plenty of water
- improving posture
- avoiding dietary triggers, such as caffeine, alcohol, and cheese
- exercising daily
Диета
- Следует избегать
Heavy meals and difficult to digest foods – cause indigestion.
Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine
Carbonated drinks – makes the stomach more acidic and disturbed digestion
Refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire)
Milk and milk products – increase kapha, cause obstruction in channels and obesity
Curd – causes vidaaha and thereby many other diseases
- To be added
Light meals and easily digestible foods
Green gram, soups, honey
Freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain etc
Поведение
- Protect yourself from cold climate.
- Better to avoid exposure to excessive sunlight wind rain or dust.
- Maintain a regular food and sleep schedule.
- Avoid holding or forcing the urges like urine, faeces, cough, sneeze etc.
- Avoid sedentary lifestyle.
Йога
Regular stretching and mild cardio exercises are advised. Also, specific yogacharya including naadisuddhi pranayama, bhujangaasana, pavanamuktasana is recommended.
Regular exercise helps improve bioavailability of the medicine and food ingested and leads to positive health.
Yoga can maintain harmony within the body and with the surrounding system.
Паванамуктасана
Надисудхи пранаяма
Бхуджангасана
Simple exercises for lungs and heart health
All the exercises and physical exertions must be decided and done under the supervision of a medical expert only.
Research Articles
https://pubmed.ncbi.nlm.nih.gov/29939547/
Эти заявления не были оценены Управлением по контролю за продуктами и лекарствами США. Данный продукт не предназначен для диагностики, лечения, излечения или профилактики каких-либо заболеваний. Пожалуйста, проконсультируйтесь с вашим лечащим врачом перед приемом.
Писатель:
Доктор Раджеш Наир, соучредитель и главный консультант Ayurvedaforall.Com, окончил престижный аюрведический колледж Vaidyaratnam (филиал Университета Каликут), штат Керала, Индия. Кроме того, он получил диплом об окончании аспирантуры по йогатерапии в Университете Аннамалай.
Доктор Наир проводит консультации в двух оживленных клиниках в Харипаде и его окрестностях, Аллеппи, Керала, южном штате, известном на весь мир аутентичным аюрведическим лечением и врачами. Предлагая консультации по всем аспектам аюрведического лечения, доктор Наир проявляет особый интерес к панчакарме, йоге и массажу.
Through Ayurvedaforall Dr. Nair offers online consultation to patients worldwide and has served hundreds of patients over the last 20 years. In addition to his Ayurvedic practice, he is the chief editor of ayurveda-amai.org, the online portal of Ayurveda Medical Association of India, and the state committee member of Ayurveda Medical Association of India.
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