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Eye Care (Expert Forum)
Binocular diplopia after transplants
Answered by
John C Hagan III, MD, FACS - Ophthalmology
Discover Vision Centers
Kansas City - MO
Our Ask A Doctor Ophthalmology Forum is where you can post your question and receive a personal answer from physicians affiliated with the American Academy of Ophthalmology.
Binocular diplopia after transplants
by MelKap, Mar 25, 2008 04:45PM
Hello,
I am so happy to have found this site. I received two cornea transplants due to severe keratoconus. The left transplant was done March 29th 2006 and the right was done May 8th 2007. Since the eyes have healed, I am now experiencing binocular biplopia. It is very frustrating to say the least. I have a very high astigmatism in both eye, and have recently undergone incision laser surgery to correct this. My right eye still needs PRK and we are waiting to see the outcome of the left incision surgery (which was done a week ago) to see if PRK is needed on this eye as well. I have double vision with the eyes on their own as well, but I know that this is due to the high astigmatism. My doctor is confused about the binocular diplopia and suggested that perhaps the problem is muscle related. I am 28 years old and never experienced double vision before (except in the later stages of keratoconus) plus I had muscles testing done in 2005 before the first transplant and everything came back normal. I petrified that no one will be able to figure out why this happening and I will be left this way. It is impossible to work, or drive, or function, really. I am not wearing any correction at the moment because the right can't be corrected without the PRK (the surface of the cornea is irregular) and the left cornea is still swollen from the incision surgery done last week. Could the fact that I am unable to be sufficiently corrected also be a contributing factor? My doctors are trying to keep me out of hard lenses (which perhaps could help) because I had my transplants so young and they want to preserve the integrity of the corneas for as long as possible, so I am sort of stuck. Please, any advice you could give me will be greatly appreciated. I am at my wits end. Thank you so much.
Melanie
I am so happy to have found this site. I received two cornea transplants due to severe keratoconus. The left transplant was done March 29th 2006 and the right was done May 8th 2007. Since the eyes have healed, I am now experiencing binocular biplopia. It is very frustrating to say the least. I have a very high astigmatism in both eye, and have recently undergone incision laser surgery to correct this. My right eye still needs PRK and we are waiting to see the outcome of the left incision surgery (which was done a week ago) to see if PRK is needed on this eye as well. I have double vision with the eyes on their own as well, but I know that this is due to the high astigmatism. My doctor is confused about the binocular diplopia and suggested that perhaps the problem is muscle related. I am 28 years old and never experienced double vision before (except in the later stages of keratoconus) plus I had muscles testing done in 2005 before the first transplant and everything came back normal. I petrified that no one will be able to figure out why this happening and I will be left this way. It is impossible to work, or drive, or function, really. I am not wearing any correction at the moment because the right can't be corrected without the PRK (the surface of the cornea is irregular) and the left cornea is still swollen from the incision surgery done last week. Could the fact that I am unable to be sufficiently corrected also be a contributing factor? My doctors are trying to keep me out of hard lenses (which perhaps could help) because I had my transplants so young and they want to preserve the integrity of the corneas for as long as possible, so I am sort of stuck. Please, any advice you could give me will be greatly appreciated. I am at my wits end. Thank you so much.
Melanie
Doctor's Answer
by John C Hagan III, MD, FACS, Mar 25, 2008 08:37PM
, Mar 25, 2008 08:37PM
Melanie your problem is not usual and can usually be helped. You need the services of a good cornea specialist (you probably already have one) and a strabismus specialist. Between the two types of Eye MDs I believe you will be able to be helped a great deal.
JCH III MD
JCH III MD
Thanks
JLCH III MD