When should you consider referral to neuro-ophthalmology or neurology for ocular migraines?

"Ocular" migraine is really a misnomer. Scintillating scotoma/teichopsia (which leads the patient to seek medical attention) has a cortical, not ocular, origin with the possible exception of the rara avis of retinal migraine.

If the patient identifies "build-up" of classic teichopsia (Airy 1870), in...