i wear prisms and...?

Question

Last year, I developed strabismus out of nowhere. I am 24 ( i was 23 when this happened) After so many tests done, it was concluded that my eyes might've been messed up by a bleeding of a bening cyst beneath the hypothalamus or an angioma right below the cyst. Some doctors said that it might had damaged the 6th par on my left side (??) and that's was caused the strabismus.

Now, my left eye is the only one that will move by itself but only when i try to look to my right or straight ahead of me.

Wearing prisms has helped but Im starting to feel like Im having issues with my vision again (btw, im nearsighted badly!!!! R-4.25 L-4.75)

So what choices do I have regarding recuperation? Is surgery ever possible on me? And what kind?

Answer 1

Only general comments, I'm afraid, as so much depends on individual findings in these cases.

Surgery is not often a route of choice with incomitant (different angles in different directions) strabismus.
Improving the angle for one direction of gaze could make it worse for another. There are exceptions to this.

The lateral rectus muscle is more often affected than others because its nerve (6th cranial nerve) has a long route which includes passing over a sharp ridge of bone.

Recuperation can occur, and finding that current prisms are not helping could mean they are now too strong!
It's far from certain, and things can also get worse.

Assuming any general health/intracranial conditions are being looked after the remaining issue is principally eyestrain and double-vision.

While prisms work, they are the obvious way to go.
Very thick prisms can sometimes be made with Fresnel lenses but these, whle cosmetically better, are not very optically efficient.

Beyond this, if double-vision is troublesome it may be a functional improvement to block the vision (patch), one eye at least when faced with lots of reading etc.
The main options here:
A pair of glasses with one eye frosted or blacked out
*purely for use in private* to see if that improves comfort.
If this proves useful, a clear contact lens can be made with a black pupil, to deliver a similar effect without announcing its presence.

Half tongue in cheek, there's always the "To Hell with it" mode:
A contact lens in one eye, a really stylish eyepatch over the other, and a domineering look!

Optometrist, retired.

Answer 2

There are not any contacts with prisms. you are able to get strabismus surgical procedure which will attempt to perfect the alignment of your eyes and with slightly of success settle on your want for prisms. After that, you are able to properly have the means to placed on contacts, once you've a refractive blunders, or no longer something in any respect in case you position on the glasses only for the prisms. Prisms also reason some distortion reckoning on how reliable they're. distinct hues are bent distinct quantity by utilizing prisms (it is why you word a rainbow once you shine a white gentle via a prism) which may reason the aspects of issues to be blurred quite. removing the want for prisms may also strengthen your eyesight. you are able to pass see an ophthalmologist who will have the means to debate the risks and advantages of this surgical procedure. An optometrist can no longer carry out surgical procedure and could only refer you to an ophthalmologist.

Answer 3

Have you had treatment for the cyst? If pressure can be taken off the 6th nerve, function may be restored.

Surgery will not help with a nerve problem, prisms help some but do not make up for the lack of movement.

Anyway, the answer to this question really depends upon the individual facts of your particular case and is best asked of your doctors.