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Cessation of migraine following central retinal vein occlusion

Cases of retinal vein occlusion with migraine have been described since 1882.1 An interesting case of central retinal vein occlusion (CRVO) which coincided with complete cessation of longstanding, severe migraines is reported.

A 44 year old lady developed classic migraine at the age of 11 years. Her symptoms comprised a visual aura of flashing lights followed by severe headache (not localised to one side), photophobia, and nausea, which generally lasted for two days. There were no identifiable triggers. Her management consisted of sumatriptan, which she took on experiencing the visual aura. This considerably reduced the severity of her headache and usually limited the duration of her symptoms to one day. The migraines occurred frequently and randomly with the longest migraine-free period being one month.

One morning, she awoke with visual loss in her right eye. She assumed this to be the visual aura …