Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Bilateral Eye Pain With Headaches
Question: I have bilateral eye pain with headaches everyday. I did have a vertical gaze problem with the left eye. The prism lens did not help. My eye exam was normal. He put a long acting dialator in my left eye. At first it did not help but a few hours later my left eye went back to normal vision. I did not have to tilt my head to try and correct my vision. I have progressive lenses and since the eye drops the correction on the left eye works again. I have not had any loss of visionor ptosis. I can hold an upward gaze for a lenghth of time. I do not have nystagmus. My headaches are worsening and seem to be more global.The optometrist thinks I have Myesthenia Gravis. I do not think I do. I think it is more of a mass lesion. If you send an answer after 5pm pst please send it to YYYY@YYYY
Brief Answer:
It is unlikely to be Myasthenia.
Detailed Answer:
Hello
Welcome to health care magic.
I am Dr. Dadapeer K, an ophthalmologist and I answer health problems related to eye.
I reviewed your history. It seems from the history that you are having eye pain with headache, vertical gaze problem.
In Myasthenia you will have weakness of muscles which varies and weakness increases on fatigue of the muscles after using them. Hence if you look up in upgaze, initially you can do it but later on sustained action the muscle will not be able to do it.
Since you are able to hold up gaze for long time Myasthenia is unlikely in your case.
I would like to rule out migraine first and then consider neurological causes as you are thinking.
Hence I advice you to consult neurologist for examination and if required investigations like CT scan.
Do get back to me with the examination results.
Hope the information is helpful to you.
Thank you
With regards
It is unlikely to be Myasthenia.
Detailed Answer:
Hello
Welcome to health care magic.
I am Dr. Dadapeer K, an ophthalmologist and I answer health problems related to eye.
I reviewed your history. It seems from the history that you are having eye pain with headache, vertical gaze problem.
In Myasthenia you will have weakness of muscles which varies and weakness increases on fatigue of the muscles after using them. Hence if you look up in upgaze, initially you can do it but later on sustained action the muscle will not be able to do it.
Since you are able to hold up gaze for long time Myasthenia is unlikely in your case.
I would like to rule out migraine first and then consider neurological causes as you are thinking.
Hence I advice you to consult neurologist for examination and if required investigations like CT scan.
Do get back to me with the examination results.
Hope the information is helpful to you.
Thank you
With regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
