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Eye Care (Expert Forum)
Follow up care after DX of Horner's syndrome
Our Ask A Doctor Ophthalmology Forum is where you can post your question and receive a personal answer from physicians affiliated with the American Academy of Ophthalmology.
Follow up care after DX of Horner's syndrome
by SJS__0, Aug 06, 1999 12:00AM
Posted by SJS on August 06, 1999 at 12:45:03
I was diagnosed as having Horner's syndrome two months ago by my HMO's opthalmologist. This condition was confirmed by the use of cocaine eye drops. I was seen because I noticed that my pupils were unequal in size. I also have other classic symptoms such as a drooping eyelid and receding eye on the affected side. All are subtle but, nonetheless, still apparent.
I have researched this condition and am now concerned that I haven't been referred for a neurological work up, scans or X-rays. How rare is Horner's syndrome? Since it could be caused by a malignant turmor, shouldn't I be concerned that my large HMO hasn't been more timely in following up this diagnosis?
Posted by HFHS MD-JL on August 07, 1999 at 12:42:04
Horner's syndrome is not that uncommon. Besides the cocaine testing there is testing that can be done with a drug called paradrine and this will help define where the nerve damage is. Unless there is an obvious reason for this such as neck injury or previous neck or brain surgery, then some tests are usually done including a ct scan of the head and possible chest xray. Again some of this depends on what the paradrine test shows. This drug is not readily available. Most neuro-ophthalmologists can get there hands on this. Good luck.
This information was provided for educational puposes only.
HFHS MD-JL
