Doctor insights on:
Vertical Heterophoria Treatment
Vertical eye turn: An intermittent vertical eye turn in a child may represent a benign condition such as a congenital 4th nerve palsy. This can also be seen in adults. Closed head trauma may also be a cause and be in the patient's history. Although a vertical heterophoria may be longstanding and benign, it should always be evaluated by a qualified eye physician to rule out any underlying neurological conditions. ...Read more
Alignment =surgery: Persistent alignment issues will often require delicate surgery on the muscles that move the eyeball have your eye dr refer you to someone who has completed the training doing thei special eye surgery. They are often affiliated with children's hospitals or medical schools. ...Read more
Diagnosis: Strabismus can be caused by refractive needs, muscle paralysis, pathology, or an intrinsic defect in the muscular coordination system of the brain between the two eyes. A diagnosis of which type must be made, and then the treatments vary: eyeglasses, patching, surgery. If it is pathologic such as a tumor or cataract, this must be addressed first. ...Read more
Unlikely: Vision therapy supposedly improves the efficiency of vision but cannot in any circumstance improve eye position which is what is dysfunctional in strabismus. Vision therapy is untested, unproven and generally a big waste of time and money. Check with an ophthalmologist who is a specialist in strabismus in your area (frequently pediatric ophthalmologists) for the best information on your eyes. ...Read more
It may never cure: Strabismus can occasionally be improved by vision therapy, but more often requires multiple treatments, including glasses and even surgery. Even once the strabismus has improved, it can return years later, especially if the original treatment was begun at an older age, or did not completely treat it. ...Read more
I have strabismus.... one of my eyes go out occasionally and I am able to get them back aligned but it gives me headaches. Therapy or Surgery?
Depends on the type.: There are many causes for strabismus and management is different for children and for adults. Treatments include observation, patching, glasses, medication, and surgery, depending on the cause, severity, and type of strabismus. Eye patching in children should only be done under the guidance of your eye doctor, as patching can cause amblyopia (lazy eye). ...Read more
Yes and no: If you are refering to lining the eyes up so they point in the same direction, that might be possible with a skilled eye muscle surgery. The other issue is will it work. If the brain decided to shut off the input from that eye(ambliopia), the ability to regain that lost input deminishes with time. A discussion with your eye dr can give you guidance. ...Read more
Glasses, sometimes: You can break down crossed eyes into 2 basic types. One type can be fixed with glasses and one type requires surgery. If your child has the type that can only be corrected with surgery, don't be afraid of this procedure. However, i always believe a second opinion is in order prior to make this decision. That opinion should be with a pediatric ophthalmologist, frequently found in larger cities. ...Read more
See your eye doctor: Any type of double vision is a reason to see an ophthalmologist. There is really no home remedy type treatment. Double vision can be a sign of serious problems and needs to be addressed quickly. ...Read more
The edge of my front teeth are translucent and have small vertical lines. I hate how they look. How do I get rid of them? Would a topical treatment help?
Translucent with line: Teeth that are thin on their edges, especially from bruxism & wearing away of incisal enamel may appear translucent. The lines you mention are probably surface enamel imperfections we call craze lines. Craze lines generally do not pose any great risk and can be left. However, if you are unhappy with translucency & craze lines, discuss options with your own dentist. Bonding, veneers, crowns? ...Read more
I had an undisplaced vertical talus body fracture. It went undiagnosed for 5 months. The tibotalar joint was notinvolved. A patch of sclerosis is showing in the talar dome. What is the treatment option?
Ct scan showing non united verticle talus body fracture & patchy sclerosis in talar dome. 5 month post iinjury. Treatment option??
Surgery: You may need surgery for a nonunited talar body fracture after 5 months of injury. The surgery involves being asleep, screws, possible bone grafting or bone healing augmentation, and soft tissue dissection. You'll probably be in a cast, nonweightbearing for another 2-3 months. I hope this helps! ...Read more
I have strabismus, how good is botox to fix it and what are the disadvantages of using this treatment knowing I had an eye muscle surgery 6 yrs ago?
It works not forever: Botox works but not forever. The progress of Botox injection is amazing. Ask your doctor about duration and the need to repeat over a lifetime. ...Read more
Salvage chemotherapy is aggressive chemotherapy that is used when other treatment methods have been tried and failed, This is rather radical treatment and has high side effects. It is an attempt to control the cancer when nothing else will. Low response rate.
Best wishes in this regard. ...Read more
It depends on the nature of the drug-diabetics for example are on life long therapy and adjust
however if you are talking about cancer therapy that is different entirely. The therapy for cancer is not benign and can and does casue problems. Group therapy is one of the better ways to cope and most areas have groups that meet regualry fpor this there are as well a number of books on this. ...Read more