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Medical Forum / General / Vision / October 2005

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adult strabismus

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Susan - 12 Oct 2005 00:09 GMT
My name is Susan, I am 41.  I have had strabismus since I was 3.  My
eyeglasses and contacts always straightened my lazy eye until I turned
33!  I had muscle surgery in 1997.  I was happy for awhile, but over
time I began having trouble making eye contact with people again.   The
degree to which my left eye crosses is subtle but it was completly
straight for 30 years with my prescription.  My prescription by the way
is +5.50 in both eyes with an add on for reading of +1.50.  I also have
a strong family history of glaucoma and my pressures are up.  I am in
the process of making an appointment with my regular doctor to do a
full work up for the glaucoma.  I know I have to consider the glaucoma
problem first, but I don't know what to do about another muscle
surgery. I just recently went back to work after raising my family and
I don't know if the risks of surgery are worth it.  I have never had
double vision.  Is it likely that I may have double vision after
surgery?  What are some of the other side affects related to muscle
surgery?  I would love to have my old self confidence back but is it
worth the risk?  Somebody Help!!!
William Stacy - 12 Oct 2005 04:58 GMT
If glasses and contacts always straightened your eyes up until age 33, I
can't think of a reason they still couldn't, and I also can't think of a
reason for you to have gone thru muscle surgery!  What happened?  Who
convinced you to have EOM surgery when glasses/contacts had always
corrected it?  And yes, you can get double vision from EOM surgery.
But, oh well, you had it, so now what?  The surgery makes it all very
difficult to figure out, but you can start by telling us what your
acuities are (best corrected), and what is your most recent CYCLOPLEGIC
refraction result (or manifest, if they didn't do a cyclo)?  Also, did
any of your glasses have prism?  And what were those Rxs (glasses AND
contacts) that kept you straight?  Surely you have them or can obtain
the numbers from wherever you got those glasses and contacts...

Also, what is your "regular doctor"?  Is he/she a glaucoma specialist,
or what?  Obviously you need to attend to the glaucoma problem or
non-problem right away.  No emergency, but it does need attention... If
I were you, I'd request copies of the entire files from all your
previous eye docs. Do not take no for an answer.  They belong to YOU.

w.stacy, o.d.

p.s. when requesting files, be a little cagey.  Ask if they have any
records on you first, verify what years they have.  Then request the
copies in writing, referencing the dates you know they have, so they
can't easily wiggle out of it.

> My name is Susan, I am 41.  I have had strabismus since I was 3.  My
> eyeglasses and contacts always straightened my lazy eye until I turned
[quoted text clipped - 13 lines]
> surgery?  I would love to have my old self confidence back but is it
> worth the risk?  Somebody Help!!!
 
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