Post muscle correction problem

[hmunster]

Hello, I am 59 yo.This is somewhat involved-muscle damage sustained during retinal reattachment surgery of right eye.  My right eye produces an image located up and to the right of my good eye (left).
I was told that the amount of the lateral deviation was small enough- that when the vertical deviation was corrected, I should be able to see a single image. I had inferior muscle recession of 3.5mm performed over a year ago.  Eventhough the pediatric ophthalmologist says the eye is aligned (with minimal vertical and horizontal deviation), I still see the image through my right eye (bad eye) up and to the left.
Shouldn't the vertical deviation have been eliminated by the inferior rectus recession?  I guess what I am asking is this-if the eye is aligned (and visually they are, and also when he does the quick cover, uncover test, they are), why is the image offset vertically?  The visual acuity for the good eye is 20/25 corrected and for the bad eye about 20/60 corrected.
Thank you for any insight.

[John C Hagan III, MD, FACS]

This is answered elsewhere, asked twice.
JCH MD

[hmunster]

Dr. Hagan-I cannot find the answer (I cannot find the second post)>
Would you please help me?
Thank you.

[John C Hagan III, MD, FACS]

Strabismus surgery does not cure or lock the eyes in a certain position like setting a spotlight in one place. It moves the eye close enought together to allow "fusion" mechanism to control the eyes. Fusion is dynamic and can get better/worse or vary from day to day or week to week. Some people have trouble fusing when sick, ill, on medications, tired, in bright light, etcs.

I suggest you discuss this in more detail next visit to your strabismus surgeon.

JCH MD

[vivew]

hello, im33 mother of two, and having been suffering with my eyes for over 10 years, and it seems each time ive been diagnosed wrong.  

ive has brain scans - nothing
ive been using prisms, - no longer work, im frustrated,

i have the same syptoms (symptoms) as the irish drummer boy

right eye is the problem,

looking on is fine looking to left is fine, but looking to the right i have side by side double vision,  i shut this eye if im driving and stuff, like that.

this seems to last for around six months and then my eye goes fine,
i wold appreciate any advice, my doctors are sick of me im sure, again no head traum, or anything like that.

p[lease please help

viv.  

[John C Hagan III, MD, FACS]

You need to see an Eye MD that specializes in strabismus (eye muscle problems) they are also called pediatric ophthalmologists. In the USA find one at www.aao.org   elsewhere you will need to do your own research to find one.

JCH MD