How are you? Tolosa-Hunt syndrome (THS), a painful ophthalmoplegia caused by nonspecific inflammation of the cavernous sinus or superior orbital fissure, an be treated with corticosteroids. This can provide significant pain relief within 24-72 hours of therapy initiation. Ophthalmoparesis usually requires weeks to months for resolution. It may not completely resolve in some cases depending on the degree of inflammation and the aggressiveness of therapy. If your present medication does not work, other immunosuppressive therapy such as azathioprine, methotrexate, or radiation therapy may be done. Check with your doctor for proper management. Take care and do keep us posted.