Can Migraines Cause Eye Pain and Blinking Issues?

Migraine headache

Hello, doctor.
I've been experiencing frequent migraines lately, which are causing my eyes to twitch and feel sore.
I would like to ask if migraines alone can affect the eyes.
Thank you, doctor.

Yuris, 20~29 year old female. Ask Date: 2019/05/11

Dr. Jiang Junyi reply Neurology

Hello, based on your description, common symptoms of migraine with aura include visual disturbances such as seeing bright lights resembling stars and lightning, as well as blurred or distorted vision.
These are all precursors to a migraine.
A few minutes after the aura appears, you may experience tingling, weakness, or numbness in the face, hands, or legs.
During the attack, symptoms such as nausea, vomiting, photophobia, phonophobia, and pallor may accompany the headache.
Once the aura subsides, you may experience severe unilateral throbbing pain in the head.
These migraine symptoms typically last for several hours, and can even extend up to 2-3 days.
Some forms of migraine can affect the retina.
Retinal migraine may cause temporary loss of vision in one eye during the headache, lasting from a few minutes to several months, usually reversible, but it is important to be aware that it could be a sign of a more serious condition.
You mentioned experiencing eye pain, which may warrant consideration of issues such as elevated intraocular pressure or dry eye syndrome.
It is advisable to consult with a neurologist and an ophthalmologist for evaluation and treatment.
Wishing you good health and peace.
Dr.
Jiang from Taoyuan Hospital cares about you.

Reply Date: 2019/05/11

More Info

Migraines are a type of severe headache that can indeed cause a variety of symptoms, including eye pain and issues with blinking. The relationship between migraines and eye discomfort is well-documented in medical literature. When a person experiences a migraine, it is not uncommon for them to report associated symptoms that affect the eyes, such as pain, sensitivity to light, and even visual disturbances.

One of the primary reasons migraines can lead to eye pain is due to the way the nervous system responds during a migraine attack. Migraines are often associated with increased sensitivity in the trigeminal nerve, which is responsible for sensation in the face, including the eyes. This heightened sensitivity can result in pain that radiates to the eye area, leading to discomfort or a feeling of pressure behind the eyes. Additionally, the muscles around the eyes may become tense during a migraine, contributing to a sensation of strain or fatigue.

Moreover, the phenomenon known as "ocular migraine" can occur, where visual disturbances precede or accompany a headache. These disturbances can include flashing lights, blind spots, or even temporary vision loss. While these symptoms are typically transient, they can cause significant anxiety and discomfort during a migraine episode.

In terms of blinking issues, some individuals may find themselves blinking more frequently or experiencing involuntary blinking (blepharospasm) during a migraine. This can be attributed to the discomfort and irritation that the migraine causes, leading to an increased awareness of the eyes and a reflexive response to blink more often. The eyes may also feel dry or strained, prompting a person to blink in an attempt to alleviate discomfort.

If you are experiencing frequent migraines accompanied by eye pain and blinking issues, it is essential to consult with a healthcare professional. They can help determine whether your symptoms are indeed related to migraines or if there may be another underlying condition contributing to your discomfort. A thorough evaluation may include a neurological examination, an assessment of your visual health, and possibly imaging studies if deemed necessary.

In the meantime, managing migraine triggers can be beneficial. Common triggers include stress, certain foods, dehydration, and lack of sleep. Keeping a migraine diary to track your symptoms and potential triggers can provide valuable insights for both you and your healthcare provider. Additionally, lifestyle modifications such as regular exercise, proper hydration, and maintaining a consistent sleep schedule may help reduce the frequency and severity of migraine attacks.

In conclusion, migraines can indeed cause eye pain and blinking issues due to the interconnected nature of the nervous system and the muscles around the eyes. If these symptoms persist or worsen, seeking medical advice is crucial for appropriate management and treatment.

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