third nerve palsy of right eye due to internal carotid artery aneurysm

[sandy951]

respected sir ,
i am dr.sandeep from india , my mother is suffering from third nerve palsy due to internal carotid artery aneurysm of rt eye ,, her age is 50yrs , she undergoes surgery for aneurysm , firstly she got for drooping of rt eye , later on investigations she diagnosed as a case of aneurysm and we did clipping for the aneurysm , but the problem of drooping is still persisting ,, will rt eye recover completely ? will the rt eye work as previously in co-ordination with left eye ? wiil the eye open completely ? what should be management for this ? will diplopia can occur ? plz waiting for ur reply

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

Not at all likely that anything can be done to make it dramatically better or normal. You could bundle your records and see an oculoplastic surgeon and/or neuro-ophthalmologist at a different medical center or go to a world famous eye center like Bascom Palmer in Miami, Mayo clinic, etc.

JCH MD

[smelly73]

Hi i have had ptosis in right eye for 16years now. When i first got it i had pains in chest pain in arm and my face dropped and eyelid. Few weeks later face came back eyelid was still same. After years the eyelid completely closed, i have now had two operations and my eye opens only slightly now, i have the double vision and the eye moves different to the other, sometimes it is closed. Causes headaches trying to keep it open. I have scans tests , lumber puncture angiagram and glass lenses, needles in hand and eyes, nothing found. I was discharged from doctors 10years now.. But i would like to know if anything else can be done.
Thanks
Kelly

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

At this point an examination is needed to answer your questions.  The goal is to give your coordinated vision in both eyes and no double vision.

JCH MD

[sandy951]

thanks for reply
  as per ur suggestion ,, i will see eye md for the same ,, but wiil the eye can see in co ordination with the left eye ? what will happen if we undergoes strabismus surgery ,, ?

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

As you know a third nerve palsy consists of droopy eyelid (ptosis), dilated pupil (mydriasis) and double vision with the involved eye moved outward toward the ear.

These problems can be permanent even if the aneurysm is clipped.

She should see a Eye MD ideally a strabismus (eye muscle) specialist. If improvement is not seen over 4-9 months she may need lid and eye muscle surgery.

JCH MD