Visual disturbances

I have had a chronic problem with absolutely no resolution and no apparent cause. About 3 years ago I had some friends tell me they saw on of my eyes twitching every now and then. I had one girlfriend who sincerely thought I had a lazy eye. Since then I have seen 4 optometrists and 3 opthalmologists. The optometrists say I have near perfect vision, aside from a slight astigmatism in my left eye. They tell me from a technical stand point I should see with near perfection and any prescription would be redundant. From my visits to the opthalmologist I have gathered similar results. All three said there is nothing wrong with my eyes, and that my eyes work exceptionally well. One well respected strabismus specialist said the appearance of strabismus was from facial asymmetry. I have had many people mention that one of my eye drifts every now and then and then twitches back into focus. Many times when reading small print in a newspaper or in a textbook I have had the sensation of going cross eyed while I am reading. If I go an entire day without wearing my glasses I get very tired, I get headaches, I can hardly see a thing. I get tunnel vision and I feel like I lose my depth perception. I get the feeling that there is something right infront of my nose. This sensation is always experienced on the inside of my left eye. Some days I can distinctly feel that my left eye is bulging significantly more out of it's socket that my right eye and is accompanied by a headache. My right eye socket also feels like a lopsided ellipse while my right eye socket feels like a more perfect ellipse. The left eye usually bulges when I get a bad headache and causes my vision to be poor and causes me to see double. When the headache subsides the eye recedes and I feel better. When I rotate my head from side to side I can sense I twitch in my eyes. My eyesight is better when I tilt my head to the right and I feel my relaxed reading in that position. PLEASE HELP ME.

[Sandy Feldman, MD, MS]

Dear Fauste,

I would recommend that you undergo a complete eye examination by an eyeMD specializing in neuro-ophthalmology.  A complete eye examination including a extraocular motility and refraction both before and after dilation may be helpful.

Dr. Feldman

Sandy T. Feldman, M.D., M.S.
ClearView Eye and Laser Medical Center
San Diego, California