55 years old male with complaint of ptosis on the right eye having diabetes for the past 10 to 12 years. FBS yesterday taken was 165 mg/dl. Ocular movement normal on left side but adduction limited in affected side. He is suspected to have third nerve palsy. What all medical intervention can be possible to get normal?
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I recommend performing a brain MRI. If normal (which means that is a peripheral nerve damage) I would recommend starting low dose Steroids for 20 days, Vitamin B complex supplements, Alpha lipoic acid 1200 mg daily. In case of pain in the eye, Gabapentin or Pregabalin can be helpful.
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