Doctor insights on:
Remedies For Aberrant Ocular Movements
What are treatment options for an 11 year old who exhibits facial tics such as eye blinking andd mouth opening?
Sudden onset?: If the tics have a sudden onset, then pandas needs to be considered particularly if they started after an illness. Stressful psychosocial events can trigger a tic in a susceptible individual. Developmental or benign tics usually start around 7 yo, so this is a bit late. Please get a thorough evaluation by a well trained doctor in this area. There are many effective treatment options once DX made. ...Read moreSee 2 more doctor answers
Is the medication gabapention effective for nystagmus (infantile..congenital) I have optic nerve hypoplasia OD..and my other eye has nystagmus.
Dr. Prescribed several eye drops including atropine for pain caused by increased eye pressure but i've heard atropine is not good for glaucoma.
Different type: Glaucoma of the classic type (open angle) requires medication and sometimes surgery. Glaucoma termed "acute" is due to an anatomical issue in the eye which can be precipitated by pupillary dilators such as atropine. Your eye doctor has no doubt ruled this out as a possibility so that Atropine in your case would be safe to use. ...Read moreSee 1 more doctor answer
Good lid hygiene: The most common and yet effective treatment for blepharitis is daily lid scrubs followed by hot compresses. Some people will add a small amount of baby shampoo but often is not necessary. Ocular surface disease can be from different causes: dry eye, meibomian gland dysfunction, poor lid/globe relationship, blepharitis, etc. Each will require different treatment. ...Read more
Not likely: Eyelid muscle action depends upon the interaction of the neuromuscular connections in the lids. Fluorometholone is a steroid anti-inflammatory used topically and is effective for immune based inflammation of the eye surface and sometimes the eye interior. It will not penetrate the lid skin to reach the neuromuscular bundles and so will have no effect on twitching, etc ...Read more
What is the importance of pressing near the eye (punctal occlusion) after taking eye drops for glaucoma? Instructions for 0.5% timolol include "punctal occlusion." is this a standard instruction for anyone using timolol? Or might it have been written by
Yes : Punctal occlusion increases ocular penetration and reduces systemic absorption which can be a concern in certain individuals sensitive to beta blockers. Closing the eye gently for 5 minutes accomplishes the same thing as puntal occlusion and is more comfortable to perform. ...Read moreSee 5 more doctor answers
See your neurologist: Parkinson's disease affects voluntary muscle movement in any part of the body. If the eyelid is not lifting unless you do so with your fingers, this is called ptosis. It may be associated with parkinson's but can also occur on its own. Treatment may include surgical repair. If the lid is forcefully shut and cannot be easily lifted, this is a spasm which may need different treatment. ...Read moreSee 1 more doctor answer
No: Astigmatism is caused by an irregularity in the cornea or lens of the eye which causes images to be out of focus. Imagine having slush on your window or a ding in the glass-changing the thickness of the glass won't let you see any better. Astigmatism is not correctable by any muscle manipulation. See a good optometrist to determine if contact lenses or special glasses can improve your vision. ...Read moreSee 1 more doctor answer
Have a retinal disattachment 8 yrs ago....now no eye vision....suggest some further treatment or solution....my eye black colour is fading down?
See ophthalmologist: It seems as if you have no vision in this eye despite attempts to repair the detachment. If there was trauma at the time, the eye can degenerate. We consider intervention for eyes that look bad or are hurting. See your ophthalmologist to assess your current situation and you should be seen regularly to protect the remaining eye. ...Read more
What neurological disorder causes rapid eye blinking especially under stress as well as head movements?
Motor Tics: Motor tics are common and this is related to stress and it is one of the common movement disorders, motor tic commonly presents as eye blinking, gesturing of the face, head movement, shoulder thrusting and other sudden limb or trunk movement. Tics are involuntary but it can suppressed and aggrevated by stress also they are waxing and waning in occurrence. ...Read more
Blur eyes-both causes imbalance, mild to severe migraines in frontal to occipital or grey sight. Daily. Prescribed glasses no help. No meds. Cause?
Imbalance: It all may be related to the headaches . I would see a physician and get a definitive diagnosis ...Read more
Dx - optic nerve hyperemia. Blurred vision in left eye for more than a year. Possible causes? Can be from use of Zaditor (ketotifen) for allergies?
Ophthalmologist : Make sure you see an ophthalmologist for evaluation. You may have congenital blurring of optic disc, disc drusen, hypoplasia, but with the blurred vision, I'd be worried about something different. A year-long history without worsening is not typical of inflammatory optic neuritis. Compression of nerve by tumor? Zaditor™ is not the cause. See an ophthalmologist. ...Read more
I am 28 year old with minor squint eyes , is there remedy for squint eye or any kind of excercise?
Depends: Are you seeing double? Do you have to occlude one eye? If this is something that started in childhood, then one eye is suppressed and doubling will not occur. If it is of recent onset, then you should see an ophthalmologist to see what has changed - particularly if there is redness, pain or swelling or the vision has changed. ...Read more
Many options : Lumigan (and less so Betagan) is a commonly used glaucoma drop. There are other glaucoma drop options, and a relatively benign SLT laser treatment that can also be used to improve glaucoma control. Recommendation options are best made by your eye MD based on your specific situation. ...Read more
Diagnosed with meniere's disease for 3 years. I periodically have the standard symptoms. Is there any treatment to relieve aural fulness?
Standard Therapy: Standard therapy for meniere''s is your best bet. Low or nonfluctuating sodium diet, daily diuretic, allergy evaluation and treatment if present. There is no one medication that will treat the aural fullness of meniere's disease, it is best controlled by controlling the disease in general. If you've had an increase in attacks, consider transtympanic steroid treatment. ...Read more
Using travatan for glaucoma in 1 eye. Is it alright to treat other eye without glaucoma to avoid possibility of having 2 different eye colors?
Sometimes: Travatan is in a class of eye drops that can occasionally darken the iris color. Many glaucoma with a genetic component are bilateral and asymmetric. So in those cases it is reasonable to treat both. But with your ophthalmologist's approval. If its a truly unilateral glaucoma, a different medicine can be considered. ...Read moreSee 1 more doctor answer
Can migraine or vestibular migraine cause intermittent downbeat nystagmus in all directions of gaze?
Yes: Yes, and the problem is likely to have strong psychological cause. I suggest a review of the website www.stii.us. If what you learn there makes sense to you, look (on the website) for a clinician near you who is familiar with the method called Subliminal Therapy to determine if the problem is psychogenic. ...Read more
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