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What Causes Double Vision With History Of Third Nerve Palsy?
Question: I am a 47 year old healthy female who got third nerve palsy from a fall. MRIs all show that it is intact, just swollen. I was told that it would heal slowly. Now my ptosis is changing, my lid is staying up about 50% of the way on its own. Problem is double vision. I am just looking for some encouragement to help me through the waiting process for diplopia to alleviate, even partially would be helpful. I can move the eye from outside to center and it tracks with my good eye.
Brief Answer:
prognosis explained..
Detailed Answer:
Hello and welcome,
I have read your history carefully and appreciate your concern.
Patients who have closed head trauma causing direct oculomotor nerve palsy usually have multiple permanent neurological deficits. the isolated oculomotor nerve palsy may occur as a result of minor to moderate head injury. so, Its good news that your MRI is otherwise clear.
The prognosis history of traumatic oculomotor palsy shows that full recovery is uncommon. A prolonged period (up to years) of healing process is usually required.
Although definitive surgery is not available, occluding spectacle lenses are helpful for patients awaiting recovery and botulinum toxin injection has been useful in treating exotropia of oculomotor nerve palsy in certain patients.
Ophthalmologic clinical review visits at regular intervals should be arranged to assess the need for extrinsic eye muscle surgery if needed.
let me know if you have any query
thanks.
prognosis explained..
Detailed Answer:
Hello and welcome,
I have read your history carefully and appreciate your concern.
Patients who have closed head trauma causing direct oculomotor nerve palsy usually have multiple permanent neurological deficits. the isolated oculomotor nerve palsy may occur as a result of minor to moderate head injury. so, Its good news that your MRI is otherwise clear.
The prognosis history of traumatic oculomotor palsy shows that full recovery is uncommon. A prolonged period (up to years) of healing process is usually required.
Although definitive surgery is not available, occluding spectacle lenses are helpful for patients awaiting recovery and botulinum toxin injection has been useful in treating exotropia of oculomotor nerve palsy in certain patients.
Ophthalmologic clinical review visits at regular intervals should be arranged to assess the need for extrinsic eye muscle surgery if needed.
let me know if you have any query
thanks.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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