Suggest Treatment For Blurry Eyes And An Altered Sense Of Smell

Posted on Tue, 11 Aug 2015

Question: 37 year old daughter right eye blurry and was informed that her brain function wasn't telling eye to see.
Also, she says that she smells a smoke odor. She's waiting to see a neurologist f/testing?

Answered by Dr. Neeraj Kumar (25 minutes later)

Brief Answer:
Consult neurologist as soon as possible.

Detailed Answer:
Hello XXXX
I have gone through your question and understand your concerns.
Visual involvement with smell abnormalities may be due to space occupying lesions at basifrontal and orbital apex region.
Other possibility in case of acute presentation may be stroke.
Another possibility of optic neuritis with demyelinating lesions? multiple sclerosis can also be having such features.
You need to provide more details regarding consciousness, vomiting, headache, diplopia, loss of consciousness, seizures, facial deviation or numbness, nasal regurgitation, speech change, hearing loss or any limb weakness.
You should consult a neurologist as soon as possible for evaluation, examination and treatment.
If waiting time is more than consult a Ophthalmologist or physician.
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr Neeraj Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Neeraj Kumar (9 hours later)

also, experiencing eating problem/limited . What type of treatment required?
and prognosis

Answered by Dr. Neeraj Kumar (4 hours later)

Brief Answer:
Consult a neurologist

Detailed Answer:
Hello XXXX,
please specify what exactly is eating problem. Is she having loss of appetite or chewing difficulty or deglutination difficulty.
Is there any nasal regurgitation.
With all these symptoms involvement of multiple cranial nerves is most likely and the etiology and prognosis can only be ascertained after examination, investigation.
Consult a neurologist soon.
Do get back to me for further queries.
Regards
Dr Neeraj Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Neeraj Kumar (50 minutes later)

no vomit/regurgitation - However, she is experiencing stress & loss of appetite to include headache Note: She has already initially been seen an ophthalmologist and area of concern expressed was her sense/smell of smoke,, She is awaiting call for further test/diagnoses? Suspect,By neurologist,,,

Answered by Dr. Neeraj Kumar (6 minutes later)

Brief Answer:
Give anxiolytics and consult a neurologist

Detailed Answer:
Hello XXXX,
If eye examination by Ophthalmologist is normal then smell of smoke doesn't seems to be of concern as all other examination are normal and stress with headache is present.
It will be better if you consult a neurologist.
Brain Mri may be required.
Anxiolytics may Have to be given.
Review again after reports.
Wishing good health.
Regards
Dr Neeraj Kumar
Neurologist

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Above answer was peer-reviewed by : Dr. Vinay Bhardwaj