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Suggest Treatment For Persistent Eye Pain And Double Vision Along With Headache

Posted on Mon, 3 Aug 2015

Question: Hii doctor,my mom is 56years old.she is suffering from eye pain and sometimes double vision,cheek bone and head pain from the last one and a half mnths.she went to neurologist and Dr.sent her for MRI.Her MRI report was normal.Dr.prescribed some medicines1.gabantin plus(gabapentin-100mg,mecobalamin-500mcg) 2.indocap25mg 3.orthocort 6mg 4.ecospirin av 150(atorvastatin-10mg,aspirin-150mg) 5.amitryn10mg 6.pantocid d.
She is taking these medicines from one month.Even she consulted opthalmologist.there also Dr said her eyes are normal.But she is not getting relief from pain.Dr may I know the cause of this pain and treatment too.

Answered by Dr. Ajay Panwar (1 hour later)

Brief Answer:
Tell a few details.Upload medical documents.

Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

I would like to know a few details in order to answer this query well-
1)Is this headache/eye pain persistent or episodic?If episodic,what is the frequency of episodes?How long does each episode lasts?
2)Is this pain unilateral(on one side of the head-right or left) or bilateral?
3)Is the pain associated with nausea,vomiting or blurred vision?
4)Does the headache increases on exposure to sound or bright light?
5)Does the headache improves with sleep?
6)How often does the double vision occur?At what time of the day,does the double vision occurs?Is it associated with a specific posture like standing or lying down?How long does the double vision lasts?
7)Any other disease/medical history?

Its hard to guess your established diagnosis on the basis of prescription medicines you have mentioned.Please upload the medical documents as scanned .jpg file,on the basis of which the above treatment was started.

Waiting for your follow-up with above details.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Ajay Panwar (43 hours later)

she is having migraine from the last 25 years.but this blurred vision and headache on the left side started just one and ahalf months before.she was getting eye pain and headache persistently.it was more at night.it starts as head ache first then slowly it comes to forehead then inside eye and finally to cheeck only in the left side.Day time its less.initially she was getting blurred vision ,slowly she was viewing everything double.But after taking gabantin plus and orthocort she got a little relief from pain and double vision is also reduced.But still she is getting blurred vision if she remove the spectacles.
MRI report-Few ischemic changes in bilateral deep hemisphere white matter.
blood test everything is normal,excep tcholesterol-240 &BP was150/80.
Dr actually my mother is in XXXXXXX and m in B'lore.That's y m not having any reports with me.

Answered by Dr. Ajay Panwar (4 hours later)

Brief Answer:
Few ischemic changes are not causing these symptoms.

Detailed Answer:
Hi XXXXXX,
Thanks for being in follow-up.

Few ischemic changes in deep hemispheric white matter are not causing these symptoms.
Pain behind the eye on one side is commonly associated with Migraine.So,her Migraine needs to be controlled well.
Double vision,though,can be associated with Migraine as well but if it worsens on removing the spectacles,then it is likely due to eye related causes.Please discuss with ophthalmologist and tell him that 'double vision increases without spectacles'.

Ecosprin-AV has been given because of ischemic changes.AV component(Atorvastatin) will take care of the deranged cholesterol levels.

Hope that I have answered your query.If you have some follow-up questions,I shall be glad to answer else please close the thread,rate it and write a review as your rating will be of help to me.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar