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Double vision after macular pucker vitrectomy

I am a 43-year-old woman. I had a vitrectomy on January 18 to remove a macular pucker from my retina and for floaters left by a vitreous detachment. As my vision began to clear after surgery, I began seeing double.  I'm seeing separate images from each eye, but they are not "meshing" together when using both eyes. I do not have double vision when I cover either eye, it's only when I try to use my eyes together. Before surgery, my vision was distorted due to the macular pucker and I had an extremely large floater, but I was not seeing double.

My retina looks fine post-surgery and the retina specialist doesn't know why I have double vision. He sent me back to the optometrist who, after seeing me, said he believes my double vision is a processing problem. The optometrist said my vision was so compromised before the surgery that my brain can't put the images from each eye together. He prescribed prisms which I should be getting this week.

I'm trying to educate myself on what's happening and am finding little to none on "processing problems" such as mine. I'm also concerned there could be more at play here since I have Lyme disease and have a first degree relative with Grave's disease.

I'm not sure what to think. I'm trying learn more and figure out how I want to proceed. Any input is appreciated. Thank you.



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Avatar universal
Hi jodie thanks for your information much appreciated No I don 't think  the driving glasses were made to correct the image size he tried to get the images on top of one another with prisms but my brain would let this happen so he put some blurring in the middle of the lens .
I have another appt with him in Auckland on the 11th of sept . Idid take up the information on Dr De Wits aniseikonia inspector but he didn't seem very interested. I'm not sure what I should do now it's very frustrating .
                                                                                            Thanks again ruth
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Avatar universal
It's really hard to predict what's going to work in cases like ours.  The medical literature says that prisms don't work for double vision that is retinally-induced.  That's probably true in most cases.  There's a paper that reports great success by blurring vision with scotch satin tape.  (I tried this, and it made things much worse for me.  But it apparently does help some people--I'll send you the paper if you send me your email address in a private message.)  The type of correction that Dr. de Wit does using the Aniseikonia Inspector test results seems to work best when the main cause of the double vision is an image size difference between the eyes.  

Don't give up hope--I think you can come up with something that will work for you.
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Avatar universal
Hi jodie thanks for the offer of sending me Information that would be great.I'm not so good on the computer how do I send u a personal email.
                                                                                 Thanks ruth
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Avatar universal
Try hovering over my name and then click "send a message."
Or click my name and then click "send a message."
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Hi I tried to send a private email  with my email address but I don't think it went . Ruth solly
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Avatar universal
You need to use this site to send private messages.  Unfortunately, I need a real enail address to send an attachment, and that can't be posted publicly.
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