Can microvascular cranial nerve palsy cause drooping eyelids and blurred or double vision?
Patient's Query
Hi doctor,
I am a 64-year-old woman who has had issues in the left eye for the past two to three days. I suffer from blurry vision and double vision. I was admitted to the ICU for elevated BP levels at 240 mmHg, which has now reduced to 140 mmHg. My left eyelid is now shut off, and I have no control over it. Also, I feel weakness on the right side of my body and experience pain while moving my right arm. A few people in my family say that I am acting, and since I have high BP, I should relax. I researched about it on the internet, and from that, I feel I may have microvascular cranial nerve palsy. If that is the case, what is the best treatment for it? And what procedures should I undergo to get control of my eye and feel better and healthy again? Please help.
Hi,
Welcome to icliniq.com.
I went through your query and understood your concern.
Yes, it is a case of microvascular infarction leading to complete ptosis and ophthalmoplegia. It is advisable to wait and watch as recovery is expected in the first three months of the appearance of symptoms. If not, a course of steroids can be given, but first the condition needs to be observed. So I suggest you to keep a check on your blood pressure and sugar levels. Also, I suggest you to keep using an eye lubricant like Carboxymethylcellulose eye drops and ointment at night. In addition, I suggest you to undergo an MRI (magnetic resonance imaging) of the orbit to rule out any mass or lesion. I hope this helps you out. Take care.
Same symptoms don't mean you have the same problem. Consult a doctor now!
Related Questions
Proteus Syndrome- Causes, Symptoms, Diagnosis, Complications, and Management
My daughter complains of double vision. Please help.
Is my blurred vision related to the dose of Metoprolol?
I have blurred vision due to blood clot in my right eye. Is it something serious?
Unequal Pupil Size - Causes, Symptoms, Diagnosis, and Management
Suddenly, I am having double vision at both close and far objects. Do you have any idea?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.