Microvascular cranial nerve palsy is one of the most common causes of acute double vision in older adults.
It occurs more often in patients with diabetes and high blood pressure.
Symptoms usually result from problems with eye movement and in serious cases the affected eye may not be able to move at all in one or more directions. If the eyes aren’t moving together, the patient experiences blurred or double vision.
Microvascular cranial nerve palsies recover without medical intervention although anti-inflammatory drugs, such as ibuprofen, may help with any associated pain. Until the double vision resolves, it may be alleviated by patching either eye.
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