Chong Yu Jeat, Mollan Susan P, Logeswaran Abison, Sinclair Alexandra B, Wakerley Benjamin R
Birmingham Neuro-Ophthalmology, Ophthalmology Department, Queen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham B15 2TH, UK.
Moorfields Eye Hospital NHS Foundation Trust, London EC1V 2PD, UK.
Vision (Basel). 2021 Aug 23;5(3):38. doi: 10.3390/vision5030038.
Retinal migraine was first formally described in 1882. Various terms such as "ocular migraine" and "ophthalmic migraine" have since been used interchangeably in the literature. The lack of a consistent consensus-based definition has led to controversy and potential confusion for clinicians and patients. Retinal migraine as defined by the International Classification of Headache Disorders (ICHD) has been found to be rare. The latest ICHD defined retinal migraine as 'repeated attacks of monocular visual disturbance, including scintillation, scotoma or blindness, associated with migraine headache', which are fully reversible. Retinal migraine should be considered a diagnosis of exclusion, which requires other causes of transient monocular visual loss to be excluded. The aim of this narrative review is to summarize the literature on retinal migraine, including: epidemiology and risk factors; proposed aetiology; clinical presentation; and management strategies. It is potentially a misnomer as its proposed aetiology is different from our current understanding of the mechanism of migraine.
视网膜性偏头痛于1882年首次得到正式描述。此后，“眼性偏头痛”和“ophthalmic migraine”等各种术语在文献中被交替使用。缺乏基于共识的一致定义给临床医生和患者带来了争议和潜在的困惑。国际头痛疾病分类（ICHD）所定义的视网膜性偏头痛已被发现较为罕见。最新的ICHD将视网膜性偏头痛定义为“与偏头痛性头痛相关的单眼视觉障碍的反复发作，包括闪烁、暗点或失明”，这些症状是完全可逆的。视网膜性偏头痛应被视为一种排除性诊断，这需要排除导致短暂性单眼视力丧失的其他原因。本叙述性综述的目的是总结关于视网膜性偏头痛的文献，包括：流行病学和危险因素；提出的病因；临床表现；以及管理策略。它可能是一个不恰当的名称，因为其提出的病因与我们目前对偏头痛机制的理解不同。
