PRE OP TESTING TO DETERMINE DIPOPLIA

Hi, Would like to know what specific pre op testing will predict dipoplia after strabismus surgery in teenagers.  I have heard that  Prism Testing is not 100% accurate and that Synotophore assessment can give you a more accurate indication?  After seeking another opinion we have been told that my son will now have permanent double vision.   His surgery was undertaken this year in Jan.  His double vision is spaced out and he also has torsion.  I am very concerned for his future.  Is there anything that can be done to fix this double vision and torsion apart from wearing glasses which shades one eye. Thanks

[JodieJ]

I suggest that you get an additional opinion (or perhaps more than one) from a top strabismus specialist.  For a $25 fee, you can search the data base at www Castleconnolly com, which lists 90 American strabismus surgeons who have been nominated by other doctors as someone they would refer a family member to.  Although this list undoubtedly omits many talented strabismus surgeons, all of the doctors included are experienced, board-certified, and respected by their peers.  Many of the doctors have awesome credentials, particularly those included in the "Top Doctors in America" publication.

I'm not an eye care professional.  To the best of my knowledge, there is no way to predict diplopia after strabismus surgery with absolute certainty.

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

Jodie J as usually is right on the money. Surgery would be great if you could predict who would have trouble and who wouldn't. Doesn't work that way. Double vision is always a potential problem.

Getting a second opinion  is a good idea.

JCH<Md

[EyeQuest]

Hi Jodie, thanks so much for your response.  Unfortunately im not from USA. I was told though with my second opinion that with proper testing and taking into account my son's status prior to surgery double vision could have been predicted or there could have been a high risk of it occuring.  

[JodieJ]

I'm not sure that second-guessing what might/should have been predicted before surgery will be helpful to you.  As Dr. Hagan implies, surgery always involves some degree of risk.  Seek another opinion from the best strabismus specialist available.