Rare Ocular Phenomenon: A Case of Ping-Pong Gaze

Ping-pong gaze, a rare neurological phenomenon characterized by pendular, rhythmic oscillations of the eyes, is explored in a unique clinical context. A 40-year-old male with a history of chronic pancreatitis, type two diabetes mellitus, and chronic alcoholism presented with hypoglycemic coma and synchronous horizontal eye movements indicative of ping-pong gaze. Radiological assessments hinted at cerebral infarction or posterior reversible encephalopathy syndrome (PRES). Despite aggressive intensive care management, the patient’s condition deteriorated, highlighting the intricate challenge of managing hypoglycemic coma amidst brain pathology, metabolic disorders, and chronic alcoholism. This exceptional case underscores the need for prompt recognition of ping-pong gaze, comprehensive care, and further investigation into its underlying medical conditions.