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Medical Forum / General / Vision / November 2005Strabismus
Hi, I am 33 yrs. old and I have had strabismus all my life. I had two surgeries before the age of five, which did not turn out well. I then had Dr Marshall Parks perform surgery around twelve years of age which turned out perfectly. For approx. fifteen years I forgot I even had the problem. They rarely deviated and when they didnit was not noticable. He was a great surgeon. Five years ago I had trouble with my left eye turning and I had a local oph. try to correct, he operated on my right eye and after the surgery I could not tell any differance, it still drifted inward. I left it alone for about four years and in April let him try again this time he operated on my left eye. Now my right eye is extremely exo and my left eye is still eso.. Prior to the surgery my right eye was fine but now it constantly drtifts in, up, and way out.. I have met wit ha second oph. who is telling me that I am farsighted and wants to put me in glasses +1.25 and perform an adjustable suture surgery. He says it will fix the right eye but that the left may still drift inward. Does anyone know a qualified surgeon in the tristate area of Richmond Virignia??????? This problem is severely affecting my work. I am a sales manager who is now finding it difficult to look people in the eye........ >Hi, I am 33 yrs. old I'm 41. >I have had strabismus all my life. Me, too. Fun, huh? >I had two >surgeries before the age of five, which did not turn out well. I've had three surgeries, but this isn't really a competition <g> >I then had Dr Marshall Parks perform surgery around twelve years of >age which turned out perfectly. For approx. fifteen years I forgot I >even had the problem. They rarely deviated and when they didnit was >not noticable. He was a great surgeon. I saw Parks less than ten years ago. While, doubtless, he's retired by now, he may still be a good contact for referrals. FWIW, he wasn't able to even diagnose my primary issue (tenacious ciliary spasm), much less treat it. I found him condescending and dismissive, though his reputation is clearly stellar for strabismus. >Five years ago I had trouble with my left eye turning and I had a local >oph. try to correct, he operated on my right eye and after the surgery [quoted text clipped - 8 lines] >surgery. He says it will fix the right eye but that the left may still >drift inward. The farsightedness shouldn't be causing EXotropia (accommodatin usually leads to an inward turn), but--with alignment issues--needs to be appropriately managed. >Does anyone know a qualified surgeon in the tristate area of Richmond >Virignia??????? David Guyton, Wilmer Eye Institute, Johns Hopkins. One of the best in the land. I saw him on several occasions. http://www.hopkinsmedicine.org/wilmer/employees/cvs/Guyton.html >This problem is severely affecting my work. I am a sales manager who >is now finding it difficult to look people in the eye. I was in customer-facing jobs for years. I know what you mean. Get hooked up with Dave Guyton. He's good. Or, fly out here to San Diego and see the guy who--IMHO--could kick /all/ their a$$es: David Granet: http://eyesite.ucsd.edu/faculty/granet.htm According to Granet (he did my #3 surgery in 1998), I actually invented the adjustable suture method <takes bow> :-) Good luck. Neil Hi Neil Thanks for all the input, its very helpful. I called Dr Guyton today and the earliest he can see me is Feb (WOW) he must be really good. I have another question that I am hoping you can help me with. Why is it that when I put +1.25 glasses on, my right eye shoots all the way into the right corner ,and with them off it is only off by a few mm.? My left eye actually straightens up with them on, and with them off it is in the right corner. Thanks again q >>Hi, I am 33 yrs. old > [quoted text clipped - 62 lines] > > Neil >q Peter- I don't know what to say to that. If you're talking Scrabble, a "Q" is worth ten points. I guess I counter with: "Z" Yours, Neil  SignatureLive simply so that others may simply live "3n5dad" <icricks@comcast.net> wrote in news:1129150149.187799.188180 @g49g2000cwa.googlegroups.com: > Does anyone know a qualified surgeon in the tristate area of Richmond > Virignia??????? Neil Miller, in Baltimore SignatureScott Reverse name to reply On 10/12/05 3:39 PM, in article Xns96EDBDBBB3008scottseidmanmindspri@130.133.1.4, "Scott Seidman" <namdiesttocs@mindspring.com> wrote: > "3n5dad" <icricks@comcast.net> wrote in news:1129150149.187799.188180 > @g49g2000cwa.googlegroups.com: [quoted text clipped - 3 lines] > > Neil Miller, in Baltimore Neil R. Miller, at the Wilmer Ophthalmologic Institute in Baltimore, is a very well-known neuro-ophthalmologist, not a strabismologist. (I knew him when I trained at Wilmer with David Guyton, a strabismologist.) > On 10/12/05 3:39 PM, in article > Xns96EDBDBBB3008scottseidmanmindspri@130.133.1.4, "Scott Seidman" [quoted text clipped - 13 lines] > (I knew him when I trained at Wilmer with David Guyton, a > strabismologist.) My mistake. He's a pretty good orbital surgeon, and I thought his practice included strabismus. SignatureScott Reverse name to reply It has been my observation that most neuro-ophthalmologists also perform strabismus surgery, which leads to turf wars in some cases, I guess. DrG On 10/17/05 7:36 AM, in article 1129559813.314054.288310@o13g2000cwo.googlegroups.com, "Dr. Leukoma" <drg@leukoma.com> wrote: > It has been my observation that most neuro-ophthalmologists also > perform strabismus surgery, which leads to turf wars in some cases, I > guess. > > DrG Tend to do some strab surgery. Some do more than others. A lot of them do do the simpler stuff. (Dr. Miller used to come around and ask Dr. Guyton about surgery to do for a specific case ( but that was when I was at Wilmer, about 20 years ago.) "Dr. Leukoma" <drg@leukoma.com> wrote in news:1129559813.314054.288310 @o13g2000cwo.googlegroups.com: > It has been my observation that most neuro-ophthalmologists also > perform strabismus surgery, which leads to turf wars in some cases, I > guess. > > DrG There are a variety of paths to neuro-ophth. You can train primarily as a neurologist, or primarily as an ophthalmologist. I only know one guy who actually did both. In any case, those who go through the ophthalmologist route tend to have more procedure-based practices. SignatureScott Reverse name to reply > In any case, those who go through the ophthalmologist route tend to have > more procedure-based practices. Yes, of course. However, my sample size is limited as there have never been more than two neuro-ophthalmologists in the city of Dallas for most of my career. They always did strabismus surgery on traumatic or acute onset strabismus, which is the type of patient they typically see following car wrecks, patients falling out of second story windows onto their heads (I had one of those), etc. DrG On 10/17/05 5:42 AM, in article Xns96F258A59F64scottseidmanmindspri@130.133.1.4, "Scott Seidman" <namdiesttocs@mindspring.com> wrote: >> On 10/12/05 3:39 PM, in article >> Xns96EDBDBBB3008scottseidmanmindspri@130.133.1.4, "Scott Seidman" [quoted text clipped - 16 lines] > My mistake. He's a pretty good orbital surgeon, and I thought his practice > included strabismus. He does do SOME strabismus (mainly the easier stuff, as far as I know) , but that is not his main expertise. For complicated strabismus, see a strabismus specialist ... |
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