Eye Professionals, questions about Prism Glasses and Strabismus, help please!?!


Question: Eye Professionals, questions about Prism Glasses and Strabismus, help please!?
Hello everyone, I am a 28 year old woman who has suffered with strabismus for quite some time now. I had surgery at age 5 that stuck all the way until i was about age 20. Now at age 28 my left eye turns out a bit, some days are worse then others. Anyway I have an eye appt. to see a Doctor about possibly using a prism to help with the appearance of my eyes and was wondering if anyone knew the success rate of it? I cannot seem to find much info on the internet.


Now, I know these are the kinds of questions my doc is going to be able to answer as well, so please dont respond and tell me that is who I need to be asking, I am just asking for any other experience regarding this. This is one of many options that i am exploring to help me overcome this problem that has literally ruined my life. I gave up my wedding and my friends because I refuse to go out. I have given up professional gain as well because of all of the stares too.

I am not against surgery, I just cannot afford it and I do not have insurance. Please answer if you can help and have a blessed 2011!

Answers:

Hey,

Sorry to hear about the distress this has caused you. Can I ask a few questions:

Do you ever notice that your eyes are aligned and that you don't have double vision and it seems to get worse when you're tired?

When you were a child, did you eye turn in?

If you are able to align your eyes for some part of the day, this means that the two images from your eyes are fused together, giving you single vision. The ability to fuse the images is provided by your eye muscles. When the eye muscles get tired, fusion stops and can cause the eyes to become misaligned (in your case, the eye points outwards). Prisms can give some relief to your muscles by doing some of the hard work for them which will allow your eyes to maintain their alignment for longer periods of time.

There are also other options instead of surgery, such a botox injection in the muscles to aid the balancing effect and align the eyes.

Your doctor will have all the answers as you mentioned, but there are a lot of options for you and utilizing prism is a very good method. The prognosis for you seems good especially as you had 'straight' eyes for almost 15 years.

Hope this helps and don't worry, I'm sure things will work out just fine.

Optometrist



just to add to the other 2 excellent answers:

prism moves the image. prism does not align your EYES. it mostly moves the IMAGE to match an UNALIGNED eye.

if you can keep it together most of the time, you're probably asking for trouble going for MORE surgery (didn't know if you were really considering that or not). part-time prism is probably a good idea to alleviate some symptoms

presbyopia (early 40's) can be a really, really frustrating time for strab patients, so be prepared for that possibility.

optometrist
http://myeyepod.blogspot.com/



Just to support what Dane has said from my own experience. The prism in my glasses makes a real difference when my eyes are tired. Like you some days worse than others and computer screens don't help. I also find that if it gets really bad it pays to use only my distance vision for a couple of days, but I like hill walking so a couple of days off and outside is an option.



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