muscle control and pupil size

[Coppers]

Since birth I have had trouble with my right eye being lazy and wanted to slide off to the side, but this has been controlled by glasses.  Lately I have been waking at night to find the room "flexing", that is kind of moving in my vision.  It continues when my eyes are closed, but is more of a wavering field.  I am also finding that I have a secondary imaging.  In example if I wave a hand in front of my face and try to follow it with my eyes there is a second hand just behind the first...Special Effects watch out.  Everything is also bright and sharp like with an allergy attack when the optic nerve is effected.  This had me very worried, but last night it dawned on me that the double imaging could be caused by my lazy eye.  I then attempted (that is the word for it) to follow a finger with my eyes.  I found that my eyes no longer functioned together properly.  One eye will follow the eye until it nears the middle (the second eye not moving), then the eyes will cross sharply and I get two fingers, both very clear.  As the eye move across the nose and out the second eye takes over and the first eye no longer moves.  I am told that the tracking on the left eye is not smooth and that the eye jerks.  The pupil on the right eye is larger then the pupil on the left eye after my eyes have been closed for a while.  Also the pupil on the right eye is very slow to react to light after I have been sleeping for a couple of hours.  I am scheduled to see an eye doctor and my family doctor.  I am hoping that this is not going to be like a car (not acting up when I go in).  I have been getting blind areas in my right eye for years.  Again this happens after my eyes have been closed for awhile.  It is not happening when I see an eye doctor so he has refused to except that it happens.  At least the muscle control issue will be present.  That is even happening with my glasses on.

Any advice,

Thank you


This discussion is related to Uneven Pupil Dilation.

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

So are you being referred to a neurologist or neuroophthalmologist.

JCH MD

[Coppers]

Well I saw the ophthalmologist today.  My eye sight has suddenly gotten much, much worse.  He is able to correct the vision, but not able to make the eyes stay in line and work together.  He said that when he tried to correct the eye that slides away with a lens adjustment it would just slide further away.  He stated that he can even see the eye ( the right one) quivering on the inside.  He states that there is either a medical, or more than likely, a neurological cause to the behavior of the eyes and that I need to find the cause soon.  He guessed at two possible causes, diabetes or migraines.

Rose

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

That's a weird constellation of symptoms that does not bring a single disease to mind. If you are going to see an optometrist I think you would do much better to see an Eye MD ophthalmologist and if possible a neuroophthalmologist. Find one near you at www.aao.org

JCH MD