How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Rick Your Own Question

Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 8515
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
48069651
Type Your Eye Question Here...
Dr. Rick is online now
A new question is answered every 9 seconds

new info on treatment for persistent migraine aura without infarction

Resolved Question:

Is there any new info on treatment for persistent migraine aura without infarction? Mine has persisted CONSTANTLY for 1 years. The last time I contacted you, none of the docs knew anything about this.
Submitted: 3 years ago.
Category: Eye
Expert:  Dr. Rick replied 3 years ago.

Dr. Rick :

Hi. I'm online and happy to answer your question today.

Dr. Rick :

I have been suffering with this condition for almost 30 years and personally tried all of the treatments there are....

Customer:

Do I understand that you personally have this condition?

Customer:

I have had it constantly for 14 years, not "1" year.

Dr. Rick :

Yes. Not only do I treat patients with it but I have it too.....

Dr. Rick :

What meds have you tried?

Customer:

All of the migraine and anti-seizure meds, flurosinine (sp), neurontin, amitryptiline, clonazepam. Dr. just started me on verapamil.

Dr. Rick :

I have problems with mine but really haven't been able to find any treatment that gets rid of it completely.


 


There was one time, I was in the middle of a very delicate retina operation, when an attack started. After a few moments I lost most of my central vision and the inferior part of my visual field. I, calmly, removed my surgical instruments from the patient’s eye and we all sat around in the OR for 15 minutes until my vision returned. Other than that my ocular migraines have not really caused me any significant problems :o)

Dr. Rick :

I did have good luck with verapamil. Beta blockers, while they helped, had too many side effect for me

Customer:

Since my large scintillating blobs are constant, this is a constant annoyance. For some reason, the problem got worse after cataract surgery. My peripheral vision is now diminished so I almost lost my driver's license and cannot see clearly at my feet. Use a cane or walker and also have very poor balance, which I guess is because of my poor vision.

Dr. Rick :

Of course, the good news is that this is not a sign of anything more serious.... :)

Dr. Rick :

Hmmmmm.......you shouldn't have lost visual field from ocular migraines. Was the field loss documented with formal visual field testing at the ophthalmologists office?

Customer:

Yes, I know that. Also that it is not painful. I do not have headaches. Dr. Peter Goadsby at UCSF is beginning a study of this condition. Did you know that ? His assistant is going to interview me by phone next week.

Customer:

Yes, opthomologists say they can't see a reason for peripheral vision loss. RP runs in my family but neither of the docs see evidence of that or any other "eye" disease.

Dr. Rick :

No. I'm in Wisconsin and as a retina specialist, and since my symptoms are pretty well controlled now, I've not kept up on the very latest and greatest research on this topic.

Dr. Rick :

It does, however, seem like you are plugged into the best care you can get....except, of course, from the wonderful docs at Just Answer lol!

Customer:

Well, back to square one where neither of us really understands this phenomenon and no one else seems to either!

Dr. Rick :

RP, if you were having field loss, would show up on clinical exam. I treat a number of RP patients with various sub types and inheritance patterns.

Dr. Rick :

You've got that right :(

Dr. Rick :

Yours is much worse then mine. But the field loss really doesn't make sense. Something else must be going on.

Dr. Rick :

The folks at UCSF will hopefully figure it out. I rotated through there when I was in medical school....used to live in San Jose. It's a small world, eh?

Customer:

I tend to think my peripheral vision loss is due to not being able to "see through" the increased scintillating activity that has occurred since cataract surgery. How would you suggest I find out what else is "going on" when highly regarded retinal specialists see nothing?

Dr. Rick :

If they, and neuro-ophthalmologists, have found nothing, I think you may be stuck being what we doctors call "a very interesting case" Not a good label to have....

Customer:

Yes, it's like "living in interesting times," the Chinese curse, which is also true today.

Dr. Rick :

True........but this life we have is the only game in town.....

Dr. Rick :

I wish I had some magical insight for you, but I think you are already getting the best care out there....

Customer:

I continue to check the blogs regularly, but not obsessively, as I live as active a life as I can with this condition and my age, 74. The good things about the blogs, which reveal that almost no one has gotten help, is that it has brought the condition to the attention of neurologists/opthos.
When I first saw a neuro at Mayo clinic, it didn't have a name and she had seen only one other somewhat similar case. She dubbed it "scintillating scotoma." and thought only about 500 people in the world had it. There are several hundred on the blogs alone, so docs now realize that it is prevalent enough to start trying to find out what is going on. Thank you.

Dr. Rick :

You have a wonderful attitude. We could all learn something from it. It was a pleasure to chat with you and I wish you the best with the folks at UCSF. Have a good weekend.

Dr. Rick :

And, now, the obligatory word from our sponsors: :o)


I hope that this information was helpful for you. Please, allow me get credit for my time and effort in assisting you and press the YES button for this assist. I will be glad to answer additional questions until you are satisfied. Thank you very much.

Positive Feedback and/or Bonus is welcomed and appreciated.


 


 

Customer:

Bye

Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 8515
Experience: Ophthalmology since 1994 with Retina sub-specialty interest
Dr. Rick and other Eye Specialists are ready to help you
Expert:  Dr. Rick replied 3 years ago.
Let me know if there are there any other concerns or issues you would like to discuss on this topic.

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex Los Angeles, CA
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP Hesperia, CA
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin Kernersville, NC
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther Woodstock, NY
  • Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know. Robin Elkton, Maryland
 
 
 

Meet The Experts:

 
 
 
  • Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    2903
    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
< Last | Next >
  • http://ww2.justanswer.com/uploads/DoctorDanB/2010-6-7_6228_just_answer_profile_picture_60_pixels.jpg Dr. Dan B.'s Avatar

    Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    2903
    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
  • http://ww2.justanswer.com/uploads/anupamadesai/2010-04-13_122313_Dr._A.S.Desai_new_photo.jpg Dr. A.S. Desai's Avatar

    Dr. A.S. Desai

    Ophthalmologist

    Satisfied Customers:

    1903
    MS Ophthalmology with 11 years of surgical expereince
  • http://ww2.justanswer.com/uploads/gsokoye/2009-10-28_181751_Dr._Stan.JPG Dr. Stan's Avatar

    Dr. Stan

    Ophthalmologist

    Satisfied Customers:

    895
    Johns Hopkins Fellowship Trained, Certified and Licensed Medical Physician and Surgeon
  • http://ww2.justanswer.com/uploads/eyemd/2009-04-07_180315_pic.jpg Dr. Stevens's Avatar

    Dr. Stevens

    Ophthalmologist

    Satisfied Customers:

    629
    Board Certified Ophthalmologist
  • http://ww2.justanswer.com/uploads/CO/CorneaDoc/2012-2-18_0390_photo6.64x64.jpg Dr. Susan's Avatar

    Dr. Susan

    Ophthalmologist

    Satisfied Customers:

    217
    Board Certified & Fellowship trained eye surgeon.
  • http://ww2.justanswer.com/uploads/neuph94/2009-10-11_164729_gif_pic.GIF Dr. JP's Avatar

    Dr. JP

    Ophthalmology, Oculoplastic Surgery

    Satisfied Customers:

    28
    Harvard Medical School, Massachussetts Eye and Ear
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjcufyksv/2012-3-13_44825_crop3.64x64.jpg Dr-Trace's Avatar

    Dr-Trace

    Board Certified Ophthalmologist

    Satisfied Customers:

    26
    Board Certified in General Ophthalmology
 
 
 
Chat Now With An Eye Doctor
Dr. Rick
Dr. Rick
Ophthalmologist & Retina Specialist
5459 Satisfied Customers
Ophthalmology since 1994 with Retina sub-specialty interest