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Medical Forum / General / Vision / June 2006

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Simon Dean - 10 Jun 2006 07:13 GMT
You guys ignoring me, or is there a fundamental flaw with my posts? Are
they so unanswerable?

Cheers
Simon
acemanvx@yahoo.com - 10 Jun 2006 09:13 GMT
> You guys ignoring me, or is there a fundamental flaw with my posts? Are
> they so unanswerable?
>
> Cheers
> Simon

what was the question? Ill answer
Simon Dean - 10 Jun 2006 11:48 GMT
>>You guys ignoring me, or is there a fundamental flaw with my posts? Are
>>they so unanswerable?
[quoted text clipped - 3 lines]
>
> what was the question? Ill answer

Not sure of the question to be honest. More experiences. Looking for
peoples thoughts.

First of all, History:

*** HISTORY ***
Put simply, this is in relation to a problem I experienced only at work
where text would "jump" out of the page at me. It would be grey and
disorientating, not really blurry to be honest, but I said it was akin
to being under the cycloplegic drops.

I went back for another eye test at the hospital. Worth 4 Dot Tests
reveals five dots again, same as last time. Apparently my left eye is
higher than the right, they mention an "ET" (Exo/Eso Tropia?), and I was
told I have a 4th Nerve Palsy, such that when I scan an object going to
the top right field of my vision, my left eye ends up moving higher as
it pans to the right.

I was told however that this, and the results of Worth 4 Dot, Bagolini,
Maddox, Lees etc, do not explain my symptoms, and to steer clear of
PRISM glasses as Im not suffering from double vision.

The doctor is instead however going to check me for things like
Migraine, an MRI on the back of my head, my optic nerve, my field of
vision, and he wants me to go to an endocrinologist to try and check out
my little theory that I don't actually suffer from hypothyroidism, but
hyperparathyroidism, as he says hyperparas can affect the optic nerve.

*** QUESTION ***
In terms of all this, Im just seeking some thoughts. Maybe a little
explanation, perhaps this strikes a chord with somebody, or if it gives
anybody any ideas into what's going on, or other questions I can ask my
doctor.

*** FURTHER THOUGHTS ***
The doctor questionned me on my ability to switch between light and dark
environments. I thought I was pretty good and stated so.

However I've noticed, after say watching TV in a darkened room, if I
switch the TV off, I become left eye dominant. My left eye can make out
more light than my right eye, therefore more shapes and lines. ie, I can
make out the shelving in my wardrobe or the lamp shade on the light.

However during the day, I feel I am more right eye dominant, in that, if
I close my left eye only, my picture in my vision stays put (although I
do lose a slight field of vision on the left, as expected). However if I
close my right eye, the image has a tendency to move, I think down and
to the right. When I sit behind a pair of pinhole glasses, I find that
my left eye feels extremely weak and I just want to use my right eye for
seeing.

When staring at one of the lights in the doctors office, I find I can
see things like the filament of the bulb in my right eye, where as it's
just a solid white light in my left, and yet I have 20/20 in both eyes.

*** FURTHER QUESTION ***
Given everything, is it still wise to steer clear of prism glasses? I am
concerned about the apparent weakness in my left eye and am thinking
that it might "give up" if it's no use. Under the various tests at the
hospital, I do find it hard to see with "both" eyes together. I usuaully
end up flipping between the left and right a few times before settling
down. I was just wondering whether prism glasses might align my eye
better and make me feel like I can see with both eyes rather than
feeling lke one eye is giving up!

Cheers
Simon
acemanvx@yahoo.com - 10 Jun 2006 14:09 GMT
> >>You guys ignoring me, or is there a fundamental flaw with my posts? Are
> >>they so unanswerable?
[quoted text clipped - 71 lines]
> Cheers
> Simon

Ask your doctor if reading glasses may help for reading and computer
work. Id also consider natural vision improvement, it can solve most
problems :)
Simon Dean - 10 Jun 2006 15:06 GMT
> Ask your doctor if reading glasses may help for reading and computer
> work. Id also consider natural vision improvement, it can solve most
> problems :)

I thank you for your response, but...

My optician does not believe I need glasses. My the doctor has ruled out
needing prism glasses, and as I could read the charts, I doubt my doctor
would recommend any glasses.

Since he found no problems with my eyes, I think my doctor believes my
issue is more neurological in order.

But I shall certainly raise these questions I have with him.

Thanks
simon
otisbrown@pa.net - 10 Jun 2006 15:24 GMT
Dear Ace,

I think that Simon and declared that all vision-improvement
work is off-limits for himself.  Perhaps someone SHOULD
give him a lens -- as a placebo.  When a person desired
to shoot himself in the foot -- you stand back
and let him do it.

Best,

Otis

Simon> Then she went out and bought back a W.H. Bates book. I
immediately
shouted "Quack, Quack" and ran away! Then she insisted on telling me
that Bates was right, palming is effective, and you notice how you
still
see light after you close your eyes? Thats because your eyes aren't
rested, and like everything your eyes need to rest.

> > >>You guys ignoring me, or is there a fundamental flaw with my posts? Are
> > >>they so unanswerable?
> > >>
> > >>Cheers
> > >>Simon

+++++++++

Ace> Ask your doctor if reading glasses may help for reading and
computer
> work. Id also consider natural vision improvement, it can solve most
> problems :)
Simon Dean - 10 Jun 2006 16:12 GMT
> Dear Ace,
>
[quoted text clipped - 3 lines]
> to shoot himself in the foot -- you stand back
> and let him do it.

Wrong. I declared that Bates is off limits. Any vision improvement work
offered by my Doctor will be gladly accepted though. Though, my doctor
said there was nothing wrong, and I reiterate, seems to think the issue
is more neurological in nature, or even down to some medicines or an
underlying medical condition, which, Im sure even you can appreciate,
wouldn't be curable, by palming.
Neil Brooks - 10 Jun 2006 16:31 GMT
>Dear Ace,
>
[quoted text clipped - 3 lines]
>to shoot himself in the foot -- you stand back
>and let him do it.

Careful, Otis.  Your medication is wearing off and you're sounding an
AWFUL LOT like an absolute idiot again.
Dr Judy - 11 Jun 2006 17:59 GMT
> >>You guys ignoring me, or is there a fundamental flaw with my posts? Are
> >>they so unanswerable?

You didn't seem to be asking a question, just posting your exam
results.

We can answer general questions about various eye disorders, but you
have a number of symptoms that do not fit an obvious pattern and are
under investigation by specialists.  A usenet forum is not a place to
get an individual diagnosis; we would need to examine you personally to
offer opinions.  Rely upon your doctors, listen to their advice.

Dr Judy
Simon Dean - 11 Jun 2006 18:57 GMT
>>>>You guys ignoring me, or is there a fundamental flaw with my posts? Are
>>>>they so unanswerable?
>
> You didn't seem to be asking a question, just posting your exam
> results.

Sorry. My manner is a bit informal. I don't really know the questions I
need to ask. Im not a professional. I post my thoughts and observations
and experiences, and hope someone can point me in the right direction.

Or provide me with a bit more background.

> We can answer general questions about various eye disorders, but you
> have a number of symptoms that do not fit an obvious pattern and are
> under investigation by specialists.  A usenet forum is not a place to
> get an individual diagnosis; we would need to examine you personally to
> offer opinions.  Rely upon your doctors, listen to their advice.

I do. I just hate waiting. So any thoughts on any of experiences thus
far to allow me to do some research, or indeed think of other things
that I might not have noticed before to tell my doctor would be greatly
appreciated.

Whatever advice I get on the internet, I always treat it with a pinch of
salt until verified with a doctor. Too many crackpots about. But
sometimes other peoples experiences, observations, and thoughts on what
I mention, sometimes can be the catalyst to mention to the doctor, to
have him think about another thing...

An example, my eye doctor wants to refer me to an endo to check out a
possibility of  hyperparathyroidism. I'd have never thought about that
if it wasn't for my sister mentioning it to me after I ruptured a
quadriceps tendon.

If you could share your thoughts on this mismatch of symptoms, I'd be
grateful. I take it by this that with a 4th Nerve Palsy, oddly aligned
eyes etc, I should be experiencing something else? And this odd vision
problem I reported back in October, is something else entirely??? Im not
going to twist your arm though.

Thanks for the reply though Dr. Judy...

Cya
Simon
Dr Judy - 12 Jun 2006 13:57 GMT
> If you could share your thoughts on this mismatch of symptoms, I'd be
> grateful. I take it by this that with a 4th Nerve Palsy, oddly aligned
> eyes etc, I should be experiencing something else? And this odd vision
> problem I reported back in October, is something else entirely??? Im not
> going to twist your arm though.

Not necessarily something else, but a new 4th nerve Palsy is not a
diagnosis in itself, it likley is a symptom of an underlying condition.
 The endo and neuro consults are looking for the undelying cause.

As to prism and vision therapy, they are unlikely to help with a new
4th nerve palsy.

Dr Judy
Simon Dean - 12 Jun 2006 19:50 GMT
>>If you could share your thoughts on this mismatch of symptoms, I'd be
>>grateful. I take it by this that with a 4th Nerve Palsy, oddly aligned
[quoted text clipped - 10 lines]
>
> Dr Judy

So far, out of everything I've said (future neurological and duture
endocrinological consultations aside), is there anything that could
explain that odd blurry vision, text jumping out issue I had back in
October? It's still sort of there at the moment, but just lurking under
the surface  (so no problem at the moment).

I find myself trying to look at things, and ask myself if I see them in
double or not. I don't believe I do, butthe more time I spend thinking
about it, the more I sense that something doesn't feel natural. It's
hard to explain. It's like, I don't know, maybe, I know I can see one
image, but Im aware I can see two as well! I don't believe I do see
double, but Im just not sure of myself anymore! I should stop obsessing
shouldn't I? But then when you get to the doctors appointment, they ask
you various questions that you have to answer.

One thing I was doing differently prior to October of last year, was I
had the pair of glasses made up to fix the slight hyperopia and
astigmatism. I know the glasses move things, but they magnify and
sharpen everything up. they still do. Here was the prescription:

Right +0.50 Sph, -0.75 Cyl, 135 Axis
Left +0.75 Sph, -0.50 Cyl, 35 Axis

But Im sure I read somewhere that starting to wear glasses, can cause
decompensating of various eye alignment issues.

By the sounds of what the doc said, it doesn't seem like I have diplopoa
(otherwise I'd most likely be in prism or under vision therapy or
something).

But the doc, by the sounds of it, doesn't think it is any kind of
diplopa (otherwise I'd most likely be in prisms or under vision therapy
or something).

Thanks Dr. Judy!

Cya
Simon
Dr Judy - 12 Jun 2006 20:23 GMT
snip

> So far, out of everything I've said (future neurological and duture
> endocrinological consultations aside), is there anything that could
> explain that odd blurry vision, text jumping out issue I had back in
> October? It's still sort of there at the moment, but just lurking under
> the surface  (so no problem at the moment).

A 4th nerve palsy may cause "jumpy" vision is some fields of gaze and
possibly blur as the system tries to compensate.  Neurological problems
could cause various abnormal appearances.

snip

> But Im sure I read somewhere that starting to wear glasses, can cause
> decompensating of various eye alignment issues.

Unlikely, unless you get a new strong hyperopic correction and have a
large exophoria.

> By the sounds of what the doc said, it doesn't seem like I have diplopoa
> (otherwise I'd most likely be in prism or under vision therapy or
> something).

4th nerve palsy will cause eye misalignment and some diplopia in some
fields of gaze, ie looking in some directions you are aligned, looking
in other directions you are not.  Often you learn to turn your head
instead of your eyes which eliminates the problem.  Because the
diplopia, if present, is not of the same amount or disappears with
changing position of gaze, prism therapy is of little benefit.

Dr Judy
Simon Dean - 12 Jun 2006 21:52 GMT
> snip
>
[quoted text clipped - 7 lines]
> possibly blur as the system tries to compensate.  Neurological problems
> could cause various abnormal appearances.

Jumpy in my case means sort of, magnified. Stationary, but just really
in my face and disorientating, like looking at a hand under cycloplegic
drops!

>>By the sounds of what the doc said, it doesn't seem like I have diplopoa
>>(otherwise I'd most likely be in prism or under vision therapy or
[quoted text clipped - 6 lines]
> diplopia, if present, is not of the same amount or disappears with
> changing position of gaze, prism therapy is of little benefit.

They did mention I turned my head slightly to the right.

Is it possible to have such a small diplopia that things would appear
blurry and/or jumpy? Though Im thinking myself, that just doesn't seem
right either!

I must say, this is beginning to sound a bit scary. The prospect of this
eye alignment issue, where prisms wouldn't do any good. To me, it would
seem either that a) It will come and go in the future, and/or b) Im
doing a pretty good job of unconciously correcting the phenomena.

I know Im jumping the gun, but Im a little concerned about the future,
about, what will happen if this thing comes back, or I can't correct it
myself? Do I have to live with it? Prisms and Vision therapy won't help?

So what to do?

I realise I have to wait for all the results of my tests, which will
take a goo six months I would guess.

Thanks again for replying.

Simon
Neil Brooks - 10 Jun 2006 16:30 GMT
>> You guys ignoring me, or is there a fundamental flaw with my posts? Are
>> they so unanswerable?
[quoted text clipped - 3 lines]
>
>what was the question? Ill answer

The only way to make this "Classic Ace" post better would have been to
say, "I didn't CATCH the question, but--that notwithstanding--HERE is
my answer."
 
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