Issues post pterygium surgery

I had pterygirum surgery 1 year ago. There was no grafting, just used mitomycin. I was told to wear a patch for about 2 weeks. Trying to look out of that eye during the 2 weeks I was seeing double vision horribly. Looking at a computer screen had a 3D look to it. After the 2 weeks I still have the problem, but was told to keep the patch off. Eventually my vision improved, but I have the following to problems that I'm looking for help on:
1. My eyelid now droops on the eye that had surgery (right eye). It is often, especially when fatigued, riding the top of my pupil to the point where I can see my eyelid. My surgeon told me that it was probably like that before, and I just hadn't noticed. I stopped going to him at that point. This was one of many such comments he made to this being unrelated to the surgery. I stopped going to him, because it was simply not the case.
2. I've began to get headaches again. It feels like my eyes are out of balance. My vision in the right eye is not quit as crisp in my right eye. My headaches affect the muscles above my right ear.  Before my surgery I had no issues with these type of headaches.  

Does anyone know what is causing the 2 issues I described? Did my surgery go wrong? Is there something I can do to make the head aches (especially when working on a computer) go away?

[Michael J Kutryb, MD]

The ptosis or droopy eyelid could be due to age, or years of squinting from sunlight, possibly made worse after surgery from all the patching and closing of the eye. The speculum used to keep the eye open for surgery can sometimes worsen the ptosis especially if there was a pre-existing tendency in the patient.  If it is truly drooping then you should see an ophthalmologist that is an oculoplastic surgeon.  Regarding your blurred or double vision, you should have a complete exam with an ophthalmologist to try to discover the cause.  You could possible have irregular astigmatism related to the pterygium and sometimes changed by the surgery.  A corneal topopgraphy test would be very helpful.  At present you may still have some eye irritation especially with the return of a pterygium again. You could have some chronic irritation issues for one reason or another. Obviously your surgery did not go perfectly well.  I would get a second opinion with a surgeon that specializes in pterygium surgery.

Michael Kutryb, MD