Research Letter |

Fundus Video of Retinal Migraine

Isao Ota, MD, PhD1; Kiyomi Kuroshima, MD2; Taiji Nagaoka, MD, PhD3
[+] Author Affiliations
1Department of Ophthalmology, Asahikawa Red Cross Hospital, Asahikawa, Japan
2Department of Neurology, Asahikawa Red Cross Hospital, Asahikawa, Japan
3Department of Ophthalmology, Asahikawa Medical University, Asahikawa, Japan
JAMA Ophthalmol. 2013;131(11):1481-1482. doi:10.1001/jamaophthalmol.2013.4686.
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Retinal migraines are characterized by attacks of fully reversible monocular vision loss associated with migraine headaches, and these phenomena are rare. Furthermore, because it is difficult to observe dynamic changes in fundus images during transient vision loss, retinal vasospasm rarely has been documented photographically.14 Using videos, we documented a case of retinal vasospasm during a transient episode of monocular vision loss in a patient with a history of migraine.

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Figure 1.
Dynamic Fundus Changes and Control Image

A, Dynamic fundus changes over time during the attack in the images captured from the video. The times indicate when the images were obtained after the onset of the attack. B, A control image obtained 1 month after the attack.

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Figure 2.
Fundus Photographs of Right Eye

Images of the right eye obtained with a regular fundus camera taken immediately after the attack (A) and 1 month after the attack under normal conditions (B).

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