“…The other accompanying factors are problem in sleep initiation, drooping of eyelids, diarrhea, feverishness, drowsiness, speech disturbance, swelling of ankles, tearing of eyes, aura, visual disturbances, transient loss of vision, periodic headache, vertigo, etc. Trigger factors could be identified in all patients; 81% patients had more than one identifiable trigger [1,2] factors, prominent were stress, poor sleep, environmental changes, head movements and mental stress, fasting, menstrual phase, emotional stress. Other less common identified factors were ocular strain, fasting, exertion, perfumes and journey.…”