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Medical Forum / General / Vision / February 2008

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strabismus in later life

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andy - 20 Feb 2008 18:46 GMT
I am 63 and i am petrified for my future.I have had strabismus in my
left eye that goes out since i was 3. I have had 3 eye surgeries on
the left eye at 6, 16 and 21. Now the eye is back out. I have glaucoma
(using drops),dry macular degeneration and cataracts in both eyes. I
am noticing slight changes. I have been finding for the last 8 months
that I cannot go anywhere that has a lot of space, like a mall or
store, without taking gravol before I go the gravol seems to help me
keep my balance and i use a cane all the time now. I am also noticing
that when I play bingo I am fine if the game is simple like playing
for a line, but if its 2 lines or anything else my eyes don't seem to
focus on the fact that I have 2 lines covered, the brain or my eyes
don't seem to register this and I have missed a few bingos. it's not a
life shattering event, but it cuts into my social activities. I have
only what the doctors call candle vision in the left eye. at the
moment i do see out of the right okay but i am terribly worried about
the future, since if something starts happening to the right eye i
don't have the left eye to fall back on. when i am tired i get double
vision, and i can no longer play arcade games on the computer because
that activity pulls on the muscles of the left eye. i no longer work
and i stopped driving over 8 years ago. does anybody have any ideas or
is there a medical person who can give me an idea what i am likely
facing. the doctors here don't tell me much. any input would be
appreciated. thanks.
Andy
MsBraimy - 21 Feb 2008 18:04 GMT
>I am 63 and i am petrified for my future.I have had strabismus in my
>left eye that goes out since i was 3. I have had 3 eye surgeries on
[quoted text clipped - 5 lines]
>appreciated. thanks.
>Andy

I am sorry Andy that the doctors who treat you don't tell you much.  It seems
to be the general attitude:  The patient must be dumb anyway and has no need
to know much (because obviously s/he won't understand it).  Too bad, and I
share your frustration.

Signature

MsBrainy

gregcjones1@gmail.com - 21 Feb 2008 22:01 GMT
> >I am 63 and i am petrified for my future.I have had strabismus in my
> >left eye that goes out since i was 3. I have had 3 eye surgeries on
[quoted text clipped - 15 lines]
>
> Message posted via MedKB.comhttp://www.medkb.com/Uwe/Forums.aspx/vision/200802/1

yes, generic insult of doctors very useful.
otisbrown@embarqmail.com - 22 Feb 2008 15:30 GMT
Dear Ms. Brainy,

Subject:  Your thoughtful observations.

There is a second-opinion here -- with respect to intermittant
strabismus.

That second-opinion is so-called "vision training", and the like.

Thus your suggestion is well-taken.  It is always a good idea to
discuss
BOTH these options with the parent/child BEFORE any operation.

I do agree, hoever, that "vision-training" is frustrating for both the
parent and child.

Do not let people who post your critisms of you -- get you down.  That
is par-for-the-course here on sci.med.vision.

Otis

On Feb 21, 5:01 pm, gregcjon...@gmail.com wrote:

> > >I am 63 and i am petrified for my future.I have had strabismus in my
> > >left eye that goes out since i was 3. I have had 3 eye surgeries on
[quoted text clipped - 19 lines]
>
> - Show quoted text -
MsBrainy - 22 Feb 2008 16:35 GMT
Otis Dear,

When will you learn how to read?

>Dear Ms. Brainy,
>
[quoted text clipped - 24 lines]
>>
>> - Show quoted text -

Signature

MsBrainy

David Robins, MD - 22 Feb 2008 23:13 GMT
On 2/20/08 10:46 AM, in article
c1a618f7-b54e-4cc9-bf62-7bb85b6fad07@o77g2000hsf.googlegroups.com, "andy"
<alaforet1@cogeco.ca> wrote:

> I am 63 and i am petrified for my future.I have had strabismus in my
> left eye that goes out since i was 3. I have had 3 eye surgeries on
[quoted text clipped - 13 lines]
> the future, since if something starts happening to the right eye i
> don't have the left eye to fall back on.

That is part of the purpose to try patching when young, to at least have the
amblyopic eye as a "spare tire". However, if the treatment at that young age
did not help, then it is not a useful second eye.

Glaucoma and macular degeneration oth have their consequences, but slowly,
and with good care of the only good eye, most will not go blind.

Cataracts do not cause blindness, but surgery occasionally can if there are
complications, but the worst ones are very uncommon. I prefer to recommend
not doing cataract surgery on the only good eye until the vision is bad
enough that you feel you don't have much to lose at that point. Meaning, if
you can do what you have to with the vision you have, leave it alone. Don't
get pushed into cataract surgery just because they see a cataract. Realize
also that having glaucoma may sometimes complicate the course of cataract
recovery.

> when i am tired i get double
> vision, and i can no longer play arcade games on the computer because
[quoted text clipped - 4 lines]
> appreciated. thanks.
> Andy

If the almost useless eye is giving you all these symptoms, I usually
recommend blurring it more (frosted tape on the glasses) or even a dark
patch, in order to preserve some sanity. Assuming the better eye has
reasonable vision, the problems about seeing 2 lines and feeling pulling,
and being unable to work MAY go away if you use just the good eye. Using
that eye will not "wear it out" any faster, either, so don't worry. You
alsop should be wearing polycarbonate (almost unbreakable) lenses at all
times for eye protection - esp around the house, where most eye injuries
occur.


David Robins, MD
Board certified Ophthalmologist
Pediatric ophthalmology and adult strabismus subspecialty

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