Paralysis of the rectus medialis muscle in the eyes of the elderly, also known as rectus medialis paralysis, should first be searched for the cause of rectus medialis paralysis and treated accordingly.
In the elderly, the paralysis of the rectus medialis muscle will suddenly appear double vision, which has a relatively large impact on the quality of life. Cranial magnetic resonance and orbital magnetic resonance examination should be needed first to exclude intracranial diseases, such as cerebral infarction, cerebral hemorrhage, brain tumor, etc., and according to the different causes of the corresponding treatment, the specific method needs to be consulted with the neurologist.
If the cranial MRI and orbital MRI do not show any obvious abnormality, the patient should also be carefully asked if he/she has a history of hypertension and diabetes, because these diseases can also cause paralysis of the internal rectus muscle.
For treatment, while actively treating the cause of the disease, drugs that nourish the nerves, such as methylcobalamin capsules, can be applied, and drugs that improve microcirculation, such as danshen drip pills, can also be used. The specific use of drugs should be under the guidance of the doctor.
If it affects the patient’s life very much, one eye can be covered with one eye when walking or going down stairs to eliminate diplopia to avoid falling. If the condition has been stabilized for more than 12 months and the diplopia is still obvious, surgery can also be performed to correct it.