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Double vision ,Sinus pain in forehead - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Vision and Eye Disorders
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   Hi Doctor, I have recently visited ...with a double vision and pain on the forehead and finally they have done an operation for Sinus and sent be back. Again I am facing the same problem. Need your suggestion
Doctor :   Hi
Doctor :   Iam.Dr....
Doctor :   let me read your query
Doctor :   May i know your age and gender?
Doctor :   Do you have any medical history?
User :   i am 5o year old Male. With diabetics for past 2 yrs
Doctor :   Since when do you have this symptoms?
Doctor :   ok
User :   I never had any medical problems before that. Only medical requirement I had for an Appedicits operation 15 yrs ago
Doctor :   Do you have sinus pain now?
Doctor :   ok
User :   No i don't have sinus pain
Doctor :   Are you using any spectacles?
Doctor :   ok
User :   no
Doctor :   since when you have double vision?
User :   my vision is 100% clear. only double vision happens when i look on 45 degree angle .this is since last 15 days
Doctor :   ok
Doctor :   Do you feel giddiness?
Doctor :   Double vision, or diplopia, is a symptom to take seriously
Doctor :   Problems with any part of the vision system can lead to double vision
User :   the images comes horizonatally double
Doctor :   ok
User :   The Eye Surgeon at Columbia taken my CT Scan and MRI and said there is no problem, but still I have the same issue
Doctor :   Is your diabetes controlled?
User :   yes controlled. Now I am on insulin
Doctor :   ok
Doctor :   What was your last FBS?
User :   140
Doctor :   Diabetes can affect the nerves in eyes leading to retinopathy
Doctor :   it occurs in long standing ones usually
Doctor :   ok fbs is slightly high
Doctor :   Did you under go perimetry test?
User :   what can u suggest. I am trying for an appointment on Friday morning. No i din't go for perimetry test
Doctor :   Yes the causes for double visions are many
Doctor :   like
Doctor :   cornea problems,lens problems ,muscle problems ,nerves etc
Doctor :   but you have diplopia in some angles only ?
User :   yes, only in left right. while viewing on 45 degree anle
Doctor :   sinusitis usually presents with headache, purulent drainage or rhinorrhea, and pain over the frontal bone, at the bridge of the nose, and in the supraorbital region.
Doctor :   Yes did you tell that the doctor?
User :   Columbia hospital last week already done the Surgery for Sinus and whatever was there is removed
Doctor :   Is your Diplopia related with headache?
Doctor :   ok
User :   i don't know doctor. you tell me the remedy
Doctor :   Did they take an CT\MRI of head?
User :   yes
Doctor :   The remedy depends on the location of problem
Doctor :   like wheetrher it is in cornea lens or nerves in brain
Doctor :   For that do peripheral visual field test
User :   should i visit the hospital? and who is the doctor in ...
Doctor :   that gives vision loss in periphery
Doctor :   yes
Doctor :   it is done by opthalmologist
Doctor :   And you do need an neurology consultation too
Doctor :   Double vision that's new or unexplained needs medical attention right away. With so many potentially serious causes for double vision, it's important to discover the reason without delay.
Doctor :   If weak eye muscles are the cause, or if a muscle has been pinched as a result of injury, surgery may help.
Doctor :   If double vision can't be reversed, treatments can help people live with double vision. Sometimes, this requires wearing an eye patch or special contact lens to minimize the effect of double vision.
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