RTA - Right eye not moving one side

[kalaiappu]

Dear Doctor,

On 17.10.2009, while riding a bike, my wife met with an accident. No brain damage. No fractures. But a lot of soft tissue contusion. From that day, her right eye is rotating. It is moving up, down,and towards the nose. But it is not moving to the right side. Is there any cure doctor? Pl.help me.

Thanks and Regards,
Kalaivanan,
46E,Trichy Main Road,
(upstairs to Ulagayee Bank)
Dadagapatty,
Salem - Tamilnadu 636006,
India.
Ph:[phone]
      [phone]

[JohnHaganMD]

The most common cause of this is congenital esotrophia. It does not respond to patching and surgery is generally done between ages 6 months and 1 year.

Other causes are far less likely but would require a real in person exam to diagnose.    Be sure she is seeing an ophthalmologist that does pediatric strabismus surgery

JCH MD

[Ryannorah]

Hai doctor,
This is regarding my previous post..we have done the squint surgery for my daughter when she was one year old..The doctor purposefully overcorrected her left eye in which the sugery hav done coz the eye muscles in her ear side was too tight.. now its almost two months over..still her left eye is not straight..we r continug the patching..but oly slight change..How long we hav to wait..

[Ryannorah]

This is regarding my previous post..we have done the squint surgery for my daughter when she was one year old..The doctor purposefully overcorrected her left eye in which the sugery hav done coz the eye muscles in her ear side was too tight.. now its almost two months over..still her left eye is not straight..we r continug the patching..but oly slight change..How long we hav to wait.. This is regarding my previous post..we have done the squint surgery for my daughter when she was one year old..The doctor purposefully overcorrected her left eye in which the sugery hav done coz the eye muscles in her ear side was too tight.. now its almost two months over..still her left eye is not straight..we r continug the patching..but oly slight change..How long we hav to wait to get it straight..can you plz send ur mail id so that i can send you the medical reports..we r worried too much..
Thanking you

[JohnHaganMD]

Your child will need to be followed by the eye surgeon until she is an adult and even then she will need a yearly exam and her eyes may change throughout her life.  There is no way to predict how the eye will move in the next week or the next month or the next year. So the answer is neither your eye surgeon nor me can give you a definitive answer.

Also we cannot communicate with people by e mail or review individual records as this is prohibited by MedHelp.org

[Ryannorah]

Hai sir,
My three month old baby girl have an eye problem noticed within two weeks...her right eye is not moving to her nose side...Doctor suggested us patching for two months from her second month onwards and then review...my question is doctor is it curable through patching alone or surgery needed..if its curable through patching how long we have to wait..

Thanking you

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

The problem is called strabismus (eye muscle problem). It is highly unlikely that it was caused by birth injury. About one out of 50 infants have eye muscle problems. The eye muscles are well protected from forceps and other instruments used in childbirth.

However some people prefer to think that they were born perfect and the "doctor did it".

Having said that she needs to see an Eye MD ophthalmologist that specializes in pediatric ophthalmology (often called a pediatric ophthalmologist). One connected with a medical school would be ideal.  Exercises and glasses don't help this type of problem.

TARUN: You have traumatic strabismus likely a 4th or 6th cranial nerve injury. These are very difficult to fix. See the same type of ophthalmologist I recommended for Diklu above.

JCH MD

[tarun_abhishek]

Sir/Madam

             im a 24 yr old boy.met with an accident.had some injuries on my head.but my right eye is not moving from up and down.it  got stuck at 1 place..if i try to do so.i get some pains..please help me out..

                                             thank you,
                                            
                                                tarun.

[diklu]

Sir/Madam,

I m 22 years old boy from India..
i have girl frd to whom i wanna marriage but there is a eye problem in her left eye n i wanna solve it soon...

She is 21 years old..
as per she told me,  when she born, at that time by doctor's mistake she got pressure on near left eye muscles while delivery...since that time she had problem with her left eye..
it did not move properly... still she had operation it when she was 18years old....but still her left eye is not moving properly at left side...
it just moved half( right to the center...not to left)...
she can see everything but not lest side of left eye due to its not moving properly...

after her operation there is some positive changing like now her eye is not going up side when she try to she left side by left eye...but now still its not moving when see towards left...its (left eye while seeing left side)just steady at center while her right eye completely move left side, but its not happen same with left eye...
y?
sir/mam, is there any solution?
any exercise?
any operation solution?
and how would it cost?
n also not having problem with it after operation? or any risk?
or if any???

i dont explain any more sir...i m just feel bad while seeing her...
i love her much. n want marry with only her..
i haven't any problem with this but may be my family member will not accept this..n i don't want any problem happened with her after marriage by my family... so doctor pls help me...
suggest me...
i m so hopeful.. 2 u..

pls answer me same also at "hardik_4789***@****"

i ll b very thankfull to you..
if u hav any question regarding this pls mail me i ll tell u more detail...

thank you very much again
God help us..i trust in God's miracle...

Hardik Patel
From Gujarat (INDIA)
[phone]
hardik_4789***@****  
  

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

Good luck
JCH MD

[kalaiappu]

Dear Doctor,

Thanks for your valuable comments. Will do as advised, and will keep you posted about the developments.

Thanks and regards,
kalaiappu

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

Your wife may have a blow out of the orbital floor, may have a traumatic ocular muscle paresis. She should see an ophthalmologist, ideally a eye muscle (strabismus) subspecialist. A medical school would be a good place to go.

JCH MD