Horners Syndrome

[LynnOnGull]

My daughter had ETS surgery in August 2014.  She developed Horner's Syndrome immediately in her left eye.  It has slowly gotten better.  It took a good year for the right pupil to not look blown and now the pupils are much closer in size.  She still sees a little droopiness in her lid but that has improved too. How long can we remain hopeful for a full recovery?  She is in the movie industry and this has made her quite depressed.  We have read that sometimes it has taken up to 3 years for it to fade away.  I would appreciate any insight you can give us or any case histories that we could identify with.  Thanks.

[JohnHaganMD]

Best of luck. You could discuss with your ophthalmologist trying neosynephrine 2.5% to dilate the pupil and elevate the lid. The 2.5% will likely be too strong but a compounding pharmacist could dilute to 1% or 0.5% and it might be helpful

[LynnOnGull]

Thank you so much for the response.  My daughter's surgery was for palmar hyperhidrosis.  They cauterized a nerve at the T3 level.  Her surgeon said some electric current must have traveled up her nerves and damaged the stellate ganglion.  He was 98% sure it would heal but we are losing hope for a complete recovery because of how long it is taking.  She does look so much better though.  Again, thank you.

[JohnHaganMD]

Answered on your other posting

[JohnHaganMD]

I do not have any personal experience with patients having this type of surgery. If the surgery was done in the neck area for a facial problem it could be permanent.