Visual snow syndrome (VSS) is a visual disorder in which patients perceive the world as if distorted by television static. This usually begins spontaneously in one’s 20s and is often accompanied by other visual and nonvisual symptoms. Some of the symptoms may resemble the visual aura of migraine. The symptoms may start as intermittent, but eventually become chronic, and can persist for years. Normal brain imaging helps exclude competing diagnoses. Workup should also include evaluation by a general ophthalmologist or neuro-ophthalmologist to assess integrity of the afferent visual system. Treatment with medication is usually unsuccessful, and medications have risks. Nonrisk interventions include vision therapy and visual filters.