An elderly male patient in his sixties, with Type 2 diabetes, hypertension, chronic kidney disease and a pacemaker, presented with severe headache and rapidly worsening vision in his left eye, his only functional eye, over 15 days.
Doctors suspected Tolosa‑Hunt syndrome/orbital apex syndrome, a rare inflammatory condition that can compress the optic nerve and cause sudden vision loss.
A multidisciplinary team at Manipal Hospital Broadway—Neurologist Dr Vaibhav Seth, Internal Medicine consultant Dr Sima Datta Roy, and Nephrologist Dr Smartya Pulai—secured clearance for a contrast MRI and initiated high‑dose methylprednisolone steroid therapy immediately.
The patient’s blood glucose rose due to steroids and was controlled by optimizing insulin doses.
Within 24 hours the patient showed dramatic improvement: eyelid drooping resolved, double vision improved, and vision in the left eye was restored.
The patient was discharged with normal vision in his only functional eye.
The release also highlights Manipal Hospitals’ scale: serving over 8 million patients annually, operating 49 hospitals in 24 cities, 12,600 licensed beds, a workforce of more than 34,000 employees and 11,000+ doctors, and accreditations including AAHRPP, NABH, NABL, ER and Blood Bank.
