Aim: The study determined the ocular manifestations and pattern of migraine in Aminu Kano Teaching Hospital, Kano. Study design: Observational cross-sectional. Methodology: Ethical clearance was obtained from the research ethical committee of Aminu Kano Teaching Hospital(AKTH). A total of two hundred and fifty-four patients diagnosed with migraine using international headache society criteria attending neurology clinic in AKTH were interviewed and examined using a structured questionnaire which captured the biodata, pattern of migraine, ocular symptoms associated with migraine and migraine disability. The data obtained was collated and analysed using SPSS (Statistical Package for the Social Sciences) version 23, United States. Result: Of the 254 patients examined, there were 95 (37.4%) males and 159 (62.6%) females, (M: F 1:2) with mean age of 28.9±9.7 years. Migraine without aura was the commonest type seen in 55.8% of patients. Most patients had unilateral headaches 52.8% and 57.5% had headaches that was throbbing in nature. The headache lasted 72 hours in 48.2% and 48hrs in 30.3%, it was triggered by physical stress in 49.6% and lack of sleep in 46.5%. The commonest associated symptom was nausea in 44.9%, tinnitus 39.0% and vomiting in 29.1%. While the commonest ocular/visual symptom was photophobia in 76%, blurring of vision in 37.0%. Most of the patients had family history of migraine (62.8%). Migraine without aura (MWOA) was found to be significantly associated with female gender with p value of 0.001 (OR 2.48 95% CI 1.45-4.25). Scotoma, fortifying spectra were significantly associated with Migraine with aura with p value of 0.0004 and 0.001, respectively, (OR=28.46 95% CI=11.53-70.35). MIDAS (Migraine Disability Assessment) was used to calculate migraine disability: 36.2% and 24.2% had moderate and severe disability associated with migraine, respectively. While 55.9% feel their ocular symptoms cause them major disability.