Hello there! i went through your query. If MR scans are clear and opthalmologists have ruled out occular strains i believe on psychiatric issues and possibility of migraines is left Here are the triggers for migranous headaches to be avoided in order to remain headache free Alcohol - Particularly wine and beer Caffeine overuse or caffeine withdrawal Chocolate Aspartame - eg, NutraSweet and Equal Monosodium glutamate (MSG) - May be found in Asian food, canned soup, frozen or processed foods, and the seasoning product Accent Fruits - Citrus fruits, bananas, avocados, and dried fruit Nuts - Peanuts, soy nuts, and soy sauce Tyramine, a biogenic amine that accumulates in food as it ages, may provoke migraine. Sources include the following: Dairy - Aged cheese Meat - Bacon, sausage, luncheon meat, deli meat, pepperoni, and smoked or cured meat Pickled foods Heavily yeasted breads - Eg, sourdough Vinegars - Especially wine vinegar Some types of beans Take some acetaminophen and prochlorperazine for two days in a week for 4 weeks. use isolation and seclusion in dark with calmer surrounding to relieve the symptoms. If symptoms persist see the psychiatrist for boosting to 5HT antagonists like sumatriptans. Hope my effort was fruit ful. take care Regards Dr S Khan