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eyes
Mar 26, 2005 3:40:44 GMT -5
Post by samanthajosmom_12 on Mar 26, 2005 3:40:44 GMT -5
eyes! samantha has one eye that is rolling in . her pupil on her left eye is rolling into her like she might be crossing her eye. is anyone aware of this problem or what can be down of this problem? sue
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eyes
Mar 26, 2005 11:47:21 GMT -5
Post by Becky on Mar 26, 2005 11:47:21 GMT -5
Justin just had surgery Tuesday due to his eyes rolling in and they started to where they would stay crossed, they surgery went real good if you want to email me Ill tell you more. Becky
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eyes
Mar 26, 2005 20:53:04 GMT -5
Post by samanthajosmom_12 on Mar 26, 2005 20:53:04 GMT -5
thank you for your reply. samanthajosmom_12@yahoo.com
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eyes
Mar 28, 2005 10:39:50 GMT -5
Post by wrblack on Mar 28, 2005 10:39:50 GMT -5
Uh oh, here I go playing ophthalmologist again, totally unqualified, danger, danger. Sounds like strabismus to me. And now for some of my link mania: www.aapos.org<<Treatment Options Strabismus can be treated in various ways. Depending on the individual case, treatment options include: Glasses Prisms Patch Botox injection Surgery >> www.aapos.org/FindOphthalmologist.htm(To find a good kiddie eye doctor) www.aao.org/aao/education/hybrid.cfm?ss=fic_pediatric_strabismus&prod=Preferred%20Practice%20Pattern<<CARE PROCESS PATIENT OUTCOME CRITERIA Outcome criteria can vary for each patient, depending on the patient's age, strabismic deviation, status of binocular vision, and medical condition. In general, outcome criteria include the following: Re-establishing ocular alignment Promoting binocular vision Promoting stereopsis Restoring normal oculofacial relationships DIAGNOSIS The purpose of the comprehensive strabismus evaluation is to make the diagnosis, establish baseline status, and determine appropriate initial therapeutic action. The possibility of restrictive, paralytic, or other neurologic causes (especially head trauma or increased intracranial pressure) for the strabismus should be considered. Because binocular vision can be lost rapidly by a young child, resulting in suppression and anomalous retinal correspondence, prompt diagnosis and treatment are essential.55, 65 Patients with an increased risk for esotropia should undergo early examination by an ophthalmologist (see Pediatric Eye Evaluations PPP66). >> And then, if you've the stomach for it, here's a description with illustrations of the muscle surgery: www.eyemdlink.com/EyeProcedure.asp?EyeProcedureID=59I know, I know, WTMI (way too much information). And not even anywhere near sure of my amateur diagnosis. Find a good pediatric ophthalmologist and listen to him or her. Strabismus is highly treatable. And I think it is very important to take good care of our kids' eyes. I think most of them rely a lot on visual information. -- Best wishes for you and Samantha, Bob
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eyes
Mar 28, 2005 11:46:15 GMT -5
Post by Becky on Mar 28, 2005 11:46:15 GMT -5
Strabismus is the surgery Justin just had last week. He has worn glasses since he was 4 months and now he doesnt have to wear them anymore and we did the patch and eye drops and nothing worked so we did they surgery and man what a diifernce it has made. OK Bob where were you when I posted about it, LOL You always have so much info, thanks Becky
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eyes
Mar 29, 2005 9:30:17 GMT -5
Post by farmyardgurl on Mar 29, 2005 9:30:17 GMT -5
Hi Dr.Bob (LOL),
just wondering if you have any links to info on pupils of different sizes along with strabismus?? just started a week ago and am looking for info.
Farmyardgurl
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eyes
Mar 29, 2005 11:02:05 GMT -5
Post by wrblack on Mar 29, 2005 11:02:05 GMT -5
Well, amateur ophthalmology can get one in over his foolish, old, bald, head rather quickly. Technical, medical term for pupils of different size is anisocoria. I do not know what if any correlation it might have with strabismus. My son Charlie's pupil in left eye is larger than pupil in right eye. His irises are also slightly different shades of brown, right eye a bit darker than left. Charlie's left pupil is bigger than right because his left eye is bigger than right due to secondary or aphakic glaucoma. I think the difference in color is due to the intra-ocular lens implant in his stronger, better right eye. I know of kids who have had cataract surgery and came out with different size, shaped pupils, some shaped like a cat's eye and some like a keyhole. An unfortunate but not terribly serious complication unless there is pupillary capture that is interfering with vision. Anisocoria can have lots of causes, some insignificant and others life threatening. I'd be worried about glaucoma because I'm kind of conditioned to worry about glaucoma. I can give you a couple of links, but would urge you to use with caution. It's probably nothing serious but you can scare yourself silly on the internet. www.emedicine.com/emerg/topic29.htmwww.eyeweb.org/anisocoria.htmMight be a good idea to check with a real ophthalmologist. Maybe you've already got a good pediatric ophthalmologist to deal with the strabismus. But I'll repeat that link to find a good kiddie eye doc, www.aapos.org/FindOphthalmologist.htmBest wishes, Bob
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eyes
Mar 29, 2005 11:11:06 GMT -5
Post by farmyardgurl on Mar 29, 2005 11:11:06 GMT -5
thanks bob, i'll check them out. the eye with the smaller pupil isn't dialating as fast as the other one and is definitly smaller when it's dilated. this is a new thing for my daughter, the strabismus isn't though, she had surgery for it approx 6 years ago and it's just returning.
thanks, farmyardgurl
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Mar 30, 2005 11:16:57 GMT -5
Post by momofrussell on Mar 30, 2005 11:16:57 GMT -5
Russell was one of those children who had a "keyhole" or elongated pupil after cataract surgery. It was also pulled up SO high that he did not use his left eye well, if at all. He had to have his pupil reconstructed and pulled down. He still doesn't use his eye too well but it did help out alot to get it reconstructed. Bob... oh info Bob... you did quite well on your Strabismis info.. don't forget that even though it can clearly be Strabismis... it can also be Amblyopia which is a "lazy eye" that can also turn into Strabismis. So there are two ways an eye can turn in. Most cases is clearly Strabismis... but for Russell.. .he has Amblyopia AND Strabismis. Amblyopia is more of a "brain" thing... if the eye wasn't used properly at birth due to things like cataracts.. and Strabismis is more muscle and happens later on. Or from Amblyopia. A.
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Mar 31, 2005 21:15:26 GMT -5
Post by farmyardgurl on Mar 31, 2005 21:15:26 GMT -5
again another question.....we saw the paed this morning and see the eye surgeon next week. the paed thinks that Horner's syndrome needs to be ruled out by the eye surgeon because she has two symptoms of it. But here's the thing, all day today her pupil has been normal. a week of not opening to the same size as the other, and slow dilation, and wham, it's normal again. does Horner's syndrome act like that? what other kinds of things can do this to pupils?
farmyardgurl
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Mar 31, 2005 21:44:21 GMT -5
Post by momofrussell on Mar 31, 2005 21:44:21 GMT -5
Well, I am not familiar with what else might do that to the pupil. I was reading about Horner's Syndrome and I have to say, I have never heard anything about it. If that is a remote possibiltiy, I would let the doc rule it out first. Good luck! And keep us posted. I am interested in hearing more on this.... A.
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Mar 31, 2005 22:00:29 GMT -5
Post by wrblack on Mar 31, 2005 22:00:29 GMT -5
Dunno. But I'd think the symptoms would not suddenly go away if there were Horner's or any other nerve or CNS involvement. Maybe there was just some inflammation of the muscle that controls the pupil. And that was self limited and resolved. Still a good thing to have this checked out by good eye doc. But, if it ain't broke, don't fix it. JMHO, Bob
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Apr 1, 2005 1:14:33 GMT -5
Post by farmyardgurl on Apr 1, 2005 1:14:33 GMT -5
Turns out I was wrong, the pupil did the same thing this eve a few times, was slow to react to light and was smaller than the other one. darned. thought maybe the prob had left. guess we'll see what the eye doc says.
farmyardgurl
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Apr 1, 2005 22:03:22 GMT -5
Post by donnita on Apr 1, 2005 22:03:22 GMT -5
Sue, does Samantha wear glasses?
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Apr 3, 2005 19:00:20 GMT -5
Post by samanthajosmom_12 on Apr 3, 2005 19:00:20 GMT -5
samantha does not wear glasses yet. sue
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