Shtanko Yulia, Stevens Maria
Humanities, Health, and Society, Florida International University, Herbert Wertheim College of Medicine, Miami, USA.
Cureus. 2024 Jul 24;16(7):e65306. doi: 10.7759/cureus.65306. eCollection 2024 Jul.
This report outlines an unusual instance involving a 65-year-old man who has a medical history of beta thalassemia minor, diabetes mellitus complicated by retinopathy, and iron deficiency anemia. He presented with binocular diplopia, a condition that frequently presents treatment difficulties. Despite inconclusive magnetic resonance imaging (MRI) findings, the patient's symptoms improved significantly with prednisone treatment. The etiology likely includes underlying retinopathy and cranial nerve palsy associated with diabetic complications. This case highlights utilizing corticosteroids, a largely unexplored treatment option, to optimize outcomes in managing binocular diplopia potentially linked to diabetic etiologies. It is notable that this patient was treated in a clinic for uninsured patients, emphasizing his low socioeconomic background, which adds further layers of complexity to his medical care. The complexities of managing diplopia in diabetes, compounded by limited treatment efficacy and financial constraints hindering complete diagnostic evaluation, underscore the intricate challenges of addressing diverse binocular diplopia presentations.
本报告概述了一个不寻常的病例，患者为一名65岁男性，有轻度β地中海贫血、糖尿病并发视网膜病变和缺铁性贫血病史。他出现双眼复视，这种情况常常给治疗带来困难。尽管磁共振成像（MRI）结果不明确，但患者使用泼尼松治疗后症状显著改善。病因可能包括潜在的视网膜病变以及与糖尿病并发症相关的脑神经麻痹。该病例突出了使用皮质类固醇这一在很大程度上未被探索的治疗选择，以优化可能与糖尿病病因相关的双眼复视的治疗效果。值得注意的是，该患者在一家为未参保患者开设的诊所接受治疗，这凸显了他较低的社会经济背景，这给他的医疗护理增添了更多复杂性。糖尿病性复视管理的复杂性，加上有限的治疗效果以及阻碍全面诊断评估的经济限制，凸显了应对各种双眼复视表现所面临的复杂挑战。
