Graphics help Ophthalmologist recognize torsion

photo of faucets to simulate torsionIt is difficult to comprehend what another person sees. I tried to verbally explain to my doctors that one eye was rotated or twisted, but now I’ve found a way to show them.

One of the first things I noticed, soon after my first surgery, was how funny the shower faucet looked with my left eye. So a couple months ago I took a photo of the shower faucet, duplicated it, and rotated one to show what I see. Then I made a couple of other graphics to explain further. I published these here at Eyes Apart in my August 15, 2006 post.photo of hairspray can to simulate torsion

I scheduled an appointment with my Strabismus Surgeon (Ophthalmologist) for October 13, 2006. The Orthoptist did an exam first. The final test was with a pair of glasses that were opaque with 2 red lines. She would mix the lines up and my job was to line them up parallel. She did this several times and said that I was consistent every time I lined them up. She then turned the glasses over and showed me the front. The line on the right lens in the front was vertical (appeared to me to be 12:00pm to 6:00pm). The left lens was rotated what appeared to me about 1:00pm to 7:00pm.

My surgeon, Dr. Michael Brodsky (see link update at bottom), as well as the Orthoptist said the photos were an excellent idea and very helpful in knowing what to look for. Both confirmed that the graphics and test results were entirely consistent with torsion.

graphic of picture frames to simulate torsionDr. Brodsky said I still have some horizontal as well as slight vertical strabismus, but that the horizontal angle is much less now. He believes the horizontal and vertical strabismus are such small angles now that my brain can easily adjust to them. But according to Dr. Brodsky, the torsion is a major problem, and impossible for my brain to put together. He says that it is easily corrected, though!

He will do surgery to recess the inferior rectus muscle on my left eye only. He explained that this will allow my eye to rotate back to where it should be. In many ways this has been like a nightmare for me. I have not been able to explain to anyone what my vision has been like since the surgery. I am so thankful that Dr. Brodsky was able to understand what is going on, and knows exactly how to fix it!

My surgery is scheduled for December 7, 2006, pending insurance approval. I can’t think of a better Christmas gift than to get my vision fixed!

Update: My surgery was rescheduled to January 4, 2007. See my April 12, 2007 post for an update on my surgery. Dr. Brodsky was at UAMS when I had my surgery at Jones Eye Institute linked above, but now he is at Mayo Clinic.

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5 thoughts on “Graphics help Ophthalmologist recognize torsion”

  1. hello, I was t-boned, diagnosed with 4th cranial nerve palsey, I am frightened that my vision may get worse, is this inevitable if I delay any procedure

  2. I had strabismus surgery on 11/6/2013 (horizontal)-lateral and medial rectus muscles, and have had torsional problems ever since. The image is slanted slightly upward on the right hand side about 20 degrees also. I asked my surgeon and he had no answers, but I hope to go to a specialist in a few weeks. My doc diagnosted me with the superior oblique palsy also like some above me have commented, but it never caused a problem before the surgery, so why is it causing issues now?

  3. Kim, I hope the specialist will be able to help figure it out and know what to do about it. Eye surgery requires great precision, but everyone’s eyes are different in the way they tend to turn as they heal. Some people’s eyes turn more outward or more inward than expected as the muscles heal. Or in my case and yours they can rotate. In my case I think was to a large degree because I had to be awakened during the surgery because I was not able to breathe under the IV sedation. I had undiagnosed sleep apnea (it has since been diagnosed), and they woke me up just as he was finishing my right eye. It turned out fine. He was trying to hurry on the left eye because they couldn’t give me any more sedation. The hurrying may have made it more difficult for him to get the precision needed for an optimal outcome. When he did a second surgery to correct the torsion he was able to get it much better, though there is still a slight torsion.

    You may want to join our Eyes Apart email support group at Yahoo. Click the purple button at the top of the page to check it out. There have been some there with palsies and it may be that someone there will be able to help. You can also access the archives, though I have found them much harder to find things since Yahoo changed the layout of the site.

    Hope this helps,
    Lois

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