double and ear pain help

[tonn]

Problem of double vision and plus sensitivity on my left forehead and below my left eye, and i do have  twitching  on left side of my face that would close eyes and leave a dark color on my lower eye cheek, been with ENT and Eye Doctors,i do have sinus infection,been over many times ( anti-biotic ) and now having vision problem, any suggestion from anyone I need help,thank you very much

[tonn]

just look you up i see your from india,wish that you were in california,so i can ask more and hopefully get treated correctly, i will ask my doctors to take a look at your suggestion,thank you so much again, tony

[Dr Sharma]

Hi there. You need to get an ophthalmologist to examine your eye for local pathology and cause of double vision. If this is not related to eye, consult a neurologist to check for migraines with aura. Fibromyalgia and multiple sclerosis also need evaluation since you have blurred and double vision and multiple twitches. Apart from clinical neurological examination MRI shows MS as paler areas of demyelination , two different episodes of demyelination separated by one month in at least two different brain location. Spinal tap is done and CSF electrophoresis reveals oligoclonal bands suggestive of immune activity, which is suggestive but not diagnostic of MS. Demyelinating neurons transmit nerve signals slower than non demyelinated ones and can be detected with EP tests. These are visual evoked  potentials, brain stem auditory evoked response, and somatosensory evoked potential. slower nerve responses in any one of these is not confirmatory of MS but can be used to complement diagnosis along with a neurological examination, medical history and an MRI and a spinal tap. Hope this helps. Take care.