Correcting Misdiagnosed "Ocular Migraine"

Take2TheSkies

Filing Flight Plan
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Sep 9, 2023
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Take2TheSkies
Background
I am a private pilot and about to renew my 3rd Class Medical certificate. I am concerned about a misdiagnosed ocular migraine impacting my ability to renew my medical certificate, and affecting my ability to obtain a 1st Class Medical in the future.

The Misdiagnosis
A few weeks ago, I was working late on a computer and would use OTC lubricating eye drops before bed. After turning the lights off a few minutes later, I noticed faint light refraction around the rim of my eyes during the brief moment I blinked. I repeated this process for a few days.

Not connecting the eye drops to the symptoms, I saw my optometrist who said I was normal. I requested a referral to an ophthalmologist to double-check, and it led to the diagnosis of an ocular migraine. The misdiagnosis likely stemmed from explaining these symptoms while sharing that I was experiencing heightened stress while working long days. The doc's report noted the eye/retina was physically health and was otherwise unremarkable.

Recognizing the Error
In the following weeks, I discovered the direct causation between using eye drops and experiencing brief light refraction in the minutes that follow when I blink while it is pitch black.

To this day, I have never in my life experienced any symptoms of an ocular migraine outside of this specific scenario, including when I use eyedrops in a lighted environment and during far more stressful and fatiguing periods. Arguably, the light refraction I saw was not actually an ocular migraine symptom, and is not at all like the depications of ocular migraines: the jaggedy, in-your-face light that can appear in your vision at high noon.

Looking for Solution
I spoke to my physician, who agreed this was likely a misdiagnosis. I wrote the specialist and he declined to reconsider the diagnosis.

How do you suggest I proceed? I'm very grateful for your time and advice.
 
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Seem crazy, but go back, tell him the story and get that into record. Or see a neurologist whose record will be of "similar expertise rank" @ FAA.
 
Thank you, @bbchien! What happens once this is in the record (assuming the specialist persists on not changing the diagnosis)? Do I engage my AME and declare the diagnosis with explanation? Would a fresh eval from a neurologist of similar expertise rank allow the diagnosis to be wiped for good for FAA purposes?

Thanks again for your many contributions to aviation! Long time reader, first time poster.
 
FAA makes the "authoratative judgement" as to what you actually have (or don't have), and you get qa letter stating such. Yes the AME can help.
 
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