Migraine Visual Aura

Migraine visual aura are visual distortions that occur with your migraine headaches.

About Migraine Visual Aura

Aura symptoms are often described as a warning sign that a migraine is about to appear and typically last between 20-40 minutes. Visual symptoms are the most common type of aura experiences. Migraine visual aura can present in various forms, and the visual distortions usually start small and progress across your vision over times. While it is not entirely understood why sensory disturbances happen in some patients, there is evidence that the migraine aura may be caused by an electrical or chemical wave that moves across the brain, affecting areas that process sensory signals, speech, and movement.

Symptoms of Migraine Visual Aura

Aura symptoms usually occur before other migraine symptoms like intense head pain, nausea, and sensitivity to light/sound.

Symptoms of migraine visual aura may include:

  • Blind spots (scotomas), that are sometimes outlined by simple geometric designs
  • Changes to vision or vision loss
  • Flashes of light
  • Shimmering spots or stars
  • Zigzag lines that gradually float across your visual field

Risk Factors for Migraine Visual Aura

Risk factors for migraine with aura may include:

  • Family history
  • Sex: Visual aura associated with migraine tends to be more common in women

In addition to the demographic risks above, the following factors may trigger migraine with aura:

  • Stress
  • Certain foods
  • Certain medications
  • Too much or too little sleep
  • Menstruation

Treating Migraine Visual Aura at UT Medicine 

A careful eye exam and additional tests, including imaging may be used to determine if your symptoms are related to any underlying brain condition. While there is no cure for migraine with aura, your ophthalmologist is well-versed in the most current, evidence-based treatment recommendations including lifestyle adjustments, medications, and more to control your symptoms and improve your overall quality of life.

An older man is seated at an ophthalmology clinic, having his eyes examined with a slit lamp device. A healthcare professional is conducting the eye test in a clinical setting with neutral walls.

UT Medicine Mitchel and Shannon Wong Eye Institute