Surgical Treatment for Acquired Third Nerve Palsey

As a child, I suffered a head injury, and developed third nerve palsy of my right eye. My pupils are different sizes, and my eyelid droops. I have migraines frequently, and the affected eye is lazy, it turns outward. I can control it if I am thinking about it and focusing, but for the most part, I only use my left eye. I was never treated with eye patches or any kind of therapy. I am now 22, and up to this point, have been told there is nothing surgical that can be done. I would like to find out if any surgery is available, whether that be to correct the entire problem, or the lazy eye itself.

[Sandra M Brown, MD]

It is very likely that there are surgical options that would make it easier for you to control your eye and keep it straight.  Go to www.aapos.org to find an Eye-MD who specializes in adult strabismus near you.  Once you get the eye straightened, additional surgery on the lid may level out the appearance.  Nothing will fix the pupil diameter permanently.