Tosis and starburst optic nerve

[lorilee66]

I actually have a 2-for-1 question.  I recently recieved treatment for CSR with Visudine and PDT.  I have noticed no improvement in my vision as a result of that surgery.  What I have noticed is tosis in the eye that I had the surgery in.  I look like a cyclops in my opinion.  I have had tosis in that eye before when I am extremly tired or have a headache.  The lid stays droopy all the time and people love to comment about it...like I don't already know!!! Anything I can do about it???

Question #2 is about the other eye, my left one.  I have had measurable vision of only 5/100 since I was 13 (I am now 41) and evidence of CSR in that eye as well.  But I was told that I have a starburst optic nerve in that eye and I have no idea what that is.  My doctor is very good but is very busy and has little time for explanations.  If you could tell me what that is I would be very grateful!

[Michael J Kutryb, MD]

Maybe he means "morning glory disc"???  I'm sorry but I am not familiar with the term starburst optic disc.  I'm really curious about the Visudine treatment for central serous.  I have never seen any patients have that type of treatment for CSR around here in Florida, at least.  I wonder, if you are in Canada or UK possibly.  The droopy lid may be related to postoperative eyedrops or you are squinting the eye due to light sensitivity after the injection.  I'm sorry but the ptosis is another whole problem that you need to talk over with your ophthalmologist.  Don't be afraid to ask your very busy and very good doctor your questions.  Just call the office.

Michael Kutryb, MD

[lorilee66]

I checked, and indeed you are right, it is morning glory, not starburst.  (That what is happening to lights when I look at them.....whoops)  I am getting a lot of terminology thrown at me and it is hard to remember.

I saw my doctor yesterday.  He did not do the repeat angiography as I thought.  We are going to wait a month to do one.  But he spoke of repeating the Visudyne and PDT surgery.  I was not aware that it's not a standard treatment and I do live in North America, North Carolina in fact. One thing I mentioned, and he did not address is the fact that since the surgery, I have a problem with images "ghosting".  Not right away, but if I focus on an object for more than a second or two, a second , ghostlier image appears to the right and down a bit. He is not concerned about the droopy lid.

If Visudyne and PDT is not a standard treatment, what is??  Thank you so much for your help!!!