I am from india but currently lives in japan. My father visited here 2 months back. But from last 7 days, he noticed below things 1. With both eyes open, if he sees straight more than 20-25 cm, he can see double vision/any object double horizontally. 2. With only one eye open at a time, there is no problem in vision. No double vision. 3. With both eyes open, if he sees the object with cross eyes then there is no problem for vision. However, he feels pain in the right eye. 4. He is also having small pain above the right-side eye. 5. His eyes looks slightly crossed from front. We had a web call with indian online service eye expert doctor and he suggested that the reason for this could be due to high sugar level which cause right 6th nerve palsy. He suggested to reduce sugar level and take "neurobion forte 30s" tablet which will improve double vision and cross appearance. I am very much tensed. I would appreciate more if you could please guide me with your valuable suggestions. Thank you.
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Hello sir I can see your concern the above mentioned reason is highly likely for your fathers condition. The treatment for the same is: 1. Get a recent blood report with your fasting glucose and hba1c and see the level of diabetic control 2. Consult your physician to help you better control dm with possible change in drugs 3. This condition takes about 3-6 months to resolve sometimes so be patient 4. When next possible please have a fundus examination done for both eyes to check for the other effects of diabetes ie diabetic retinopathy to avoid vision related problems in future. Thank you hope your concern has be addressed.
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Hello sir in addition to rightly mentioned points by my fellow colleague, I would suggest 1. Along with urgent diabetologist opinion for glycemic control, I would advise for a neurologist opinion for right sided 6th nerve palsy to rule out any systemic neurological involvement 2. Patching one eye temporary to prevent double vision while walking 3. Strict diabetic control.
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