instruction: hello doctor I have bilateral monocular diplopia this began five months ago along with unilateral tinnitus of the left ear tinnitus is constant eyesight is rapidly deteriorating I had several new glasses prescriptions that help slightly with the double vision but are not completely resolved I recently had an mri of the pituitary without contrast in the last year I had to have two colonic polyps removed but I fear that cancer was missed I believe I have secondary metastases in my brain I also performed fbc cop and sea tests
output: hello welcome to icliniq com there is no need to panic about your brain the double vision is not related to any neurological disorder anyway I would recommend checking the thyearoid hormone levels regarding the tinnitus it seems to be related to an inner ear infection as there is a presence of inflammation in the left mastoid sinus right next to the left ear for this reason I recommend consulting with an ent specialist regarding the double vision I would also recommend performing repetitive nerve stimulation in order to investigate for possible myasthenia graves syndrome I hope you will find this information helpful