Seyma is a delightful young woman from Turkey who contacted our office through the Internet. She had two eye muscle surgeries, one at age 5 and another at age 7. The second surgery kept her eyes cosmetically aligned for awhile, but when her eye began to drift in yet again, she undertook vision therapy. Her brain had never learned to work in concert with her eyes, and she was getting frustrated with her double vision. At age 24 and resolute, she decided to travel to the U.S. and spend whatever time it took here to improve her strabismus.
Seyma arrived at our office on Monday afternoon, and I was pleased to see that although the inward turn of her left eye was quite noticeable cosmetically, we were able to achieve good overlap of the two images she was seeing with 6 prism diopters in the vertical direction, and between 10^ and 14^ in the horizontal direction (base out). This meant that we could prescribe some prism to immediately get her brain much closer to alignment, and through that conduct some aggressive vision therapy to restore single vision. Intractable diplopia is a condition, thankfully rare, where the brain is stubborn about allowing both eyes to share a common visual direction and see singly. I mentioned to my associate, Dr. Montenare, and our Resident, Dr. Kress, that our goal was to restore Seyma to tractable diplopia, and ideally – no diplopia at all. I met with Seyma and her mother this morning, and wrote a prescription for prism to be incorporated in her current Rx. which had power for astigmatism in both eyes, and a moderate amount of nearsightedness in the left eye. We’ll be sharing our journey as we proceed.