This question was answered on Wed 23, Dec 2009 08:33pm by Dr. Srivastava

Ocular problem/condition. One eye moves to the right whereas the other is straight. Does not happen all the time, but is noticable at times. (right eye, 59 yr old female in good health);. & years ago, I had an opthomologist tell us that this rare, but is

    
Asked by robsaia (Female; 59; good, does not smoke, rarely drinks; Relevant drugs:nothing other than sometimes valium as she has dental problems for many years. It has nothing to do with eye, as the eye problem predates it ) on Wed 23, Dec 2009 07:04pm

Ocular problem/condition. One eye moves to the right whereas the other is straight. They do not always look straight ahead, in other words. Does not happen all the time, but is noticable at times. (right eye, 59 yr old female in good health);. & years ago, I had an opthomologist tell us that this rare, but is not uncommon. The condition, I believe, starts with the letter "A" but I cannot remember the name. No blurred vision. Sometimes it is more noticeable under certain meds, but does not seem to hurt her vision - just strange looking although its not a big thing to me. Can meds aggregate this condition; I was told by one eye doc that it does not. Is it serious, especially with age? Are there "exercises" for this? Any other info would be helpful, namely the name of the condition. THANKS

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Answer by Dr. Srivastava  on Wed 23, Dec 2009 08:33pm:

Hello, We are glad to have you on this site. When two eyes are unable to co-ordinate their movements then such condition is called strabismus. Outward movement of an eye upon focusing on an object is called extropia or lateral strabismus. Ambylopia is another term where we have visual disturbance affecting only one eye. In strabismus, the imperfectly aligned eyes cause cross eyed or malaligned eyes and faulty depth perceptions. The cause of strabismus is attributed to problem with external eye muscles movement and problem in brain where it may face trouble fusing the two images from both the eyes and rarely a tumor may hamper its ability to process the visual images. Many times, strabismus could be an indication of problem with a cranial nerve such as oculomotor, trochlear and abducens nerves (depending upon movement of eye). It is commonly seen since childhood (but not always) and easily correctable through glasses. Depending upon prevalence it can be either constant strabismus or intermittent. Intermittent strabismus may occur in episodic phases with periods of normal co-ordination. Depending upon severity it may produce double vision and treatment modalities may range from simple eyeglasses to strabismus surgery. In her case, certain medicines seem to aggravate the symptoms then you need to get all medicines evaluated by an ophthalmologist to rule out any such effects. There could be possibility of such events with CNS depressant medicines or muscle relaxants which may hamper in eye muscle co-ordination. Intermittent strabismus can be corrected with eye patches, special eye glasses, and vision therapy exercises (which can be explained and demonstrated by ophthalmologist). For proper treatment a coordinated approach of orthoptist and ophthalmologist may be helpful in this case. Hope this helps. Do keep us posted in case of any further doubts. Take care.

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Comment by Dr Bhupinder K, MD on Wed 23, Dec 2009 11:39pm:
Hello, The condition of strabismus has been very well explained by Dr Anurag. One thing that is important is that vision loss due to amblyopia preventable or reversible with intervention but that depends on the maturity of visual connections, the length of deprivation, and at what age the therapy is begun. The different modes of treatment include occlusion therapy, penalization therapy, optical blurring through contact lenses or elevated bifocal segments and surgical care. In addition to the treatment option explained by Dr Anurag, you can discuss these treatment options also with your eye specialist. Hope it helps. Take care and please do keep us posted in case you have any additional doubts. Kind regards.

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