Comments on: Drugs for strabismus and amblyopia: Connecting our eyes again http://www.eyesapart.com/2007/09/14/drugs-for-strabismus/ ...crossed eyes, lazy eye, amblyopia, wall eyes, squint, tropia, double vision, turned, floating, wandering, wayward, or drifting eyes. Sun, 05 Feb 2012 16:33:07 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: susan http://www.eyesapart.com/2007/09/14/drugs-for-strabismus/comment-page-1/#comment-21850 susan Mon, 04 Aug 2008 20:22:40 +0000 http://www.eyesapart.com/2007/09/14/drugs-for-strabismus/#comment-21850 Is there an exam code that might get ins coverage for the condition of convergence problems[ older adult amblyopic]. i'm seeing an od, and have a genl exam code for first exam vist/92004. it was an extensive visit[ 2 + hrs for $250.] w/ lots of specific testing. also got the diagnostic codes of 367.0 and 367.4. I like her, and think the vision training they offer could be good, but think they are a smidge provincial insurance-wise. they have gone the route of not doing any of the insurance; i understand the hair pulling paperwork as a retired chiro myself.., but i think i might be able to get some ins consideration w/ appropriate codes. anyone have any experience? Is there an exam code that might get ins coverage for the condition of convergence problems[ older adult amblyopic]. i’m seeing an od, and have a genl exam code for first exam vist/92004. it was an extensive visit[ 2 + hrs for $250.] w/ lots of specific testing. also got the diagnostic codes of 367.0 and 367.4. I like her, and think the vision training they offer could be good, but think they are a smidge provincial insurance-wise. they have gone the route of not doing any of the insurance; i understand the hair pulling paperwork as a retired chiro myself.., but i think i might be able to get some ins consideration w/ appropriate codes. anyone have any experience?

]]> By: Lois (admin) http://www.eyesapart.com/2007/09/14/drugs-for-strabismus/comment-page-1/#comment-9462 Lois (admin) Sat, 15 Sep 2007 03:53:38 +0000 http://www.eyesapart.com/2007/09/14/drugs-for-strabismus/#comment-9462 From "Gail" by way of Lois (admin) <blockquote>That's really fascinating about the connections between amblyopia and dopamine. I found one study where after L-dopa, acuity increased specifically in the amblyopic eye of test subjects, not the other eye, nor the eyes of normal-vision subjects, but the visual cortex associated with the amblyopic eye was *less* active with increased acuity after L-dopa--maybe it's less work when the eyes are working better together? It's just amazing to me that a centrally acting agent could affect how the eyes function together.... but I guess when you think about it, it's such a brain thing to begin with. </blockquote> Gail shared this link where she found the information above: <a href="http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=ShowDetailView&TermToSearch=15956940&ordinalpos=3&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum" target="links" rel="nofollow">The effects of L-dopa on the functional magnetic resonance imaging response of patients with amblyopia: a pilot study.</a> Gail also wrote: "Interesting about your experiences with sudafed. My husband takes it whenever he feels a migraine, even an occular migraine coming on & that almost always stops it cold, but he's never encountered anyone else it works in that way for." [Lois's note: Sudafed has helped my headaches also...sometimes. Other times my headaches have been best helped with Tylenol, Motrin, or Excedrin Migraine, and sometimes I've been best helped with triptans (Rx meds like Imitrex or Maxalt.) I'm not sure why one works best one time and it requires a different med another time. I'm learning that my problem is not totally related to my eyes, but also to some TMJ from a previous accident, so perhaps that explains it.] From “Gail” by way of Lois (admin)

That’s really fascinating about the connections between amblyopia and dopamine. I found one study where after L-dopa, acuity increased specifically in the amblyopic eye of test subjects, not the other eye, nor the eyes of normal-vision subjects, but the visual cortex associated with the amblyopic eye was *less* active with increased acuity after L-dopa–maybe it’s less work when the eyes are working better together? It’s just amazing to me that a centrally acting agent could affect how the eyes function together…. but I guess when you think about it, it’s such a brain thing to begin with.

Gail shared this link where she found the information above: The effects of L-dopa on the functional magnetic resonance imaging response of patients with amblyopia: a pilot study.

Gail also wrote: “Interesting about your experiences with sudafed. My husband takes it whenever he feels a migraine, even an occular migraine coming on & that almost always stops it cold, but he’s never encountered anyone else it works in that way for.”

[Lois's note: Sudafed has helped my headaches also...sometimes. Other times my headaches have been best helped with Tylenol, Motrin, or Excedrin Migraine, and sometimes I've been best helped with triptans (Rx meds like Imitrex or Maxalt.) I'm not sure why one works best one time and it requires a different med another time. I'm learning that my problem is not totally related to my eyes, but also to some TMJ from a previous accident, so perhaps that explains it.]

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