Ophthalmoplegic migraine digital illustration

Ophthalmoplegic migraine Save

ICD-10 code: G43.B

Chapter: Diseases of the nervous system

Ophthalmoplegic migraine: Causes, symptoms, and treatments

Ophthalmoplegic migraine is a rare type of migraine that affects the nerves in the eye and surrounding muscles. The condition is also known as ocular migraine or eye migraine. It can cause severe pain and discomfort in the eye, along with other symptoms such as blurred vision, double vision, and drooping eyelids.

While the exact cause of ophthalmoplegic migraine is not known, it is believed to be related to the inflammation of the nerves that control eye movement. The condition is more commonly seen in children and young adults, and it typically occurs on one side of the head.

Symptoms of Ophthalmoplegic Migraine
  1. Eye pain, especially around the eye socket
  2. Drooping eyelids
  3. Blurred vision or double vision
  4. Difficulty moving the eye or controlling eye movement
  5. Headache, often on one side of the head

If you experience any of these symptoms, it is important to seek medical attention. Your doctor may refer you to a neurologist or an ophthalmologist for further evaluation and treatment.

Treatments for Ophthalmoplegic Migraine

There is no cure for ophthalmoplegic migraine, but there are treatments available to help manage the symptoms and reduce the frequency and severity of attacks. Treatment options may include:

  1. Medications: Pain-relieving medications, such as NSAIDs or triptans, may be prescribed to help relieve pain and reduce inflammation in the nerves.
  2. Steroid injections: Steroid injections may be given to reduce inflammation and alleviate pain.
  3. Botox injections: Botox injections may be used to help relax the muscles around the eye and reduce pain and discomfort.
  4. Surgery: In severe cases, surgery may be recommended to decompress the affected nerves and reduce inflammation.

It is important to work closely with your doctor to develop a treatment plan that is tailored to your individual needs and medical history. With proper treatment and management, most people with ophthalmoplegic migraine are able to successfully manage their symptoms and enjoy a good quality of life.


Ophthalmoplegic migraine is a rare and potentially debilitating condition that can cause severe pain and discomfort in the eye. If you experience any symptoms of ophthalmoplegic migraine, it is important to seek medical attention and work closely with your doctor to develop a treatment plan that is right for you.