Double Vision & Cranial Nerve Palsy Specialist

NeuroEyeOrbit Institute

Swaraj Bose, MD

Neuro-Ophthalmologist & Orbital Surgeon located in Cedars Sinai Medical Towers, Los Angeles, CA

Dr. Bose is a leading eye specialist providing patients in Beverly Hills, CA, and the Culver City area with the diagnostic and care options they need to effectively manage double vision and cranial nerve palsies.

Double Vision & Cranial Nerve Palsy Q & A

by Swaraj Bose, MD
 

What is cranial nerve palsy?

The cranial nerves are nerves that emanate from the brain and control functions associated with the five senses (taste, smell, hearing, vision and touch). In a cranial nerve palsy, the areas served by these nerves may become fully or partially dysfunctional. Cranial nerve palsies can be present at birth (congenital) or they may develop later as a result of migraines, infections, tumors, increased pressure in the brain and vascular disease including high blood pressure, stroke and diabetes. The nerves that are involved in vision symptoms are the 3rd, 4th and 6th cranial nerves.

What are the symptom of a cranial nerve palsy that affects the nerves associated with the eye?

Depending on the nerve that's affected, symptoms can include droopy eyelids (ptosis), unusual dilation of the pupil (mydriasis), restriction in the eye's movement and diplopia (double vision). Based on the clinical exam findings, your symptoms, your age and other health factors, Dr. Bose will be able to determine which diagnostic tests are right for you.

How is a cranial nerve palsy treated?

Some cases may resolve on their own, but for symptoms that persist for more than six months, alternate forms of treatment may be explored based on the underlying cause of the symptoms. In some cases, patching one eye or wearing special glasses may help resolve symptoms of diplopia, while in other cases, surgery may be used to realign the eye muscles. When symptoms are caused by an increase in pressure from a tumor, medical or surgical removal of the growth may be necessary to resolve symptoms. In some cases, BOTOX may be used to temporarily reduce pressure from the stronger muscle in order to enable the weaker muscle to compensate.

Additional information here.

Major Insurance Providers Accepted

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For questions regarding your specific insurance plan, please contact the office.

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Aetna
Anthem Blue Cross Blue Shield
Anthem Blue Cross of California
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Cedar Sinai Medical Group
Cigna
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Health Net
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Motion Picture Industry Health Plan
Screen Actors Guild
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