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Sent to August 22, 2006 3:14 a.m.

My daughter has a problem with her left eye. I don't know what it is exactly but she says she cannot see anything, not even a blackout. Her left eye does not follow her right eye, but if she looks at a finger closely the eyes come straight. When she was little my son threw a teddy bear at her eye and the nose part that was hard hit her eye. We took her to the doctor and they told us that a nerve had died or something familiar. But what they never told us was if we can operate her. Then years later I took her to a doctor in the Dominican Republic and they told us they could operate to straighten the eye but it might go back to how it was again. But how could they tell without testing it? I would like to know if there is a chance of operating my daughter at least to straighten her eyes but if there is a chance she could see again, even better.
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August 22, 2006 3:28 a.m. (14 minutes and 3 seconds later)

Hi

They can operate to straighten they eye but the vision will be lost for ever.

For how long has her eye not been straight?

AI

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Answer
August 22, 2006 3:46 a.m. (18 minutes and 0 seconds later)

It sounds like your daughter has third nerve palsy.

Third nerve palsy causes loss of movement of the eye up, down, and in as well as a drooping upper eyelid. In a complete palsy, the pupil is enlarged, and the ability of the eye to focus close-up is impaired.

In complete third nerve palsy the eye is usually deviated outward and sometimes downward and the pupil may be enlarged and does not react normally to light.

Usually the patient complains of double vision unless the drooping eyelid covers the pupil.

Children with third nerve palsy in one eye develop amblyopia which is decreased vision caused by a failure of the brain to use the input from one eye. Amblyopia can be treated by patching the normal eye.

Unfortunately, there is no method to correct the weakness.
Surgery can be done to raise the eyelid and on the eye muscles to realign the eyes so that the eyes appear straight when your daughter looks straight ahead. If the third nerve palsy is complete, poor movement of the eye up, down and in will remain.

Visually stimulating activities can be helpful while a patch is worn.



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