Q: I am a 40 years old man who had high blood pressure 140/80 mmHg two days back. I don’t have any heart or high blood sugar problem. My eye's vision has become little bit blurred and sometime I see ghost images or double images. When I come down by stairs I can't justify the stairs steps. Also, I have constant headache since the high BP. I have consulted an eye specialist and a general physician both. The general physician prescribed routine medicines. But eye specialist took vision test and all was normal. But in my left eye the extreme left portion of vision was found doubled. The doctor told me that it was a left eye paresis. He prescribed Neurobion thrice daily and 2 injections in a week of same Neurobion. Also asked for some tests like RBS, blood CP and erythrocyte sedimentation rate (ESR) and Urine DL or DR. Please advise.

A:Your BP of 140/80 is not bad and does not even need drug treatment but if you have a family history of stroke or heart attacks then your blood cholesterol may be high and needs to be tested & treatment with drugs like Atorovast or other statins. Clopitap tablets or low dose aspirin e.g. 75 mg every night after meal for the rest of your life would be helpful in preventing a similar or other vascular episode in future. Make sure you do not have intolerance to aspirin. This may have caused slight weakness of your eye muscle giving you the double vision. If you look down the steps with bifocal or varifocals (progressive) glasses that also can give you blurred vision at that distance in which case walk down without the glasses and see. Treatment with Neurobion tablets or injection is useless and even if it is paresis, it will get better on its own in 1-2 months time.