Eye injury, diplopia

Sports Injury - 4 wks ago today,  softball hit to eye, and had surgery to install 3 titanium plates (broken jaw, maxillia; and bones to  side of eye, zygomatic?) also broken nose, caved in sinus cavity (titanium mesh) and then rebuild the entire floor of the orbit with mesh -- the facial reconstruction surgeon said it was the largest piece of mesh he had put in an orbital floor for this type of injury

After the injury, and also after the surgery -- besides the eye problems of traumatic iritis from f floating cellular matter (broken blood vessel, pigment from the iris)  and the pupil is still not responding -- dialated -- and a cataract forming, I have pain and diplopia when looking up, or anything above about the middle of the eye.  There is no entrapment of the muscle -- the hole was large enough that there was nothing left to entrap any muscle - and a CT scan confirmed that there is no entrapment now after the repair.

I get the feeling that none of my doctors has ever treated something like this and as a result there are no answers regarding how to treat

How do I go about finding a physician that has treated something like this? what do I search for and what do I ask?  I have one appt. in 2+ weeks for a ped opthalmologist -- seems like a long time.  Is this a problem to wait that long?

Also looking for any experience, wondering if this could be a permanent condition or if there is hope of recovery (I realize everyone's different)

thank you

ghm, Omaha

[John C Hagan III, MD, FACS, FAAO]

You need to see an Eye MD strabismus specialist. Your eye may not be moving right because there is damage to the nerves that move the eye but more likely the muscles may have been injured and undergoing scar formation and traction.  You need a test called a forced duction test to determine whether  this is a nerve or muscle problem.

Find an strabismus specialist (pediatric ophthalmologist) at www.aao.org or ask your MDs to refer you. The sooner the better.

JCH MD

[dolphin251270]

i have a nephew in egypt that has blood in his pupil after an injury with another injury this was so called treated by an egyptian doctor but has returned what can this be ?

[John C Hagan III, MD, FACS, FAAO]

answered elsewhere
JCH MD