1. Many cases of 6th nerve paralysis/paresis are "idiopathic" that means a cause cannot be found. Studies done after death in cases like this often show very tiny strokes in the brain stem
2. Ask for a referral to a strabismus Eye MD (often called a pediatric ophthalmologist)
JC HMD
Thank you so much for the reply.
I am already seeing a neuro-ophthalmologist, should I ask for a referral to a strabismus Eye MD as well?
At this point my neuro-ophthalmologist just suggested that I wait and come back to see him in a few weeks, and mentioned that sometimes these conditions might come and go in a few months. And my neurologist said that my tests are quite unremarkable as well, and doubt that further blood tests / lumbar puncture would yield other tell tale signs.
And since the double vision can be avoided by wearing an eye patch, is it a good idea to do so? Could doing so make my condition worse or prevent my vision from recovering?
I just started a new job on Monday and I want to decide whether I should continue doing so and learn to work with one eye (in case the condition is long term) or just take some time off and wait for the condition to get better / stable enough for operation and then resume to work afterward.
Thanks again for your advice.
/Wearing a patch is a bad idea as it causes contraction of the eye muscles plus eliminates the fusion reflex that will try and align the eyes. Only patch if you have to as for driving.
Discuss with your neuroophthal Many cases improve over 4-6 months, if not better then further improvement unlikely
JC ND
Thank you so much for your professional input Dr. Hagan.
I will discuss with my neuroophthal. But I could probably do without working for a few months for now as I don't want to make the condition unrecoverable / worse.
Working is not likely to affect your recovery one way or another. Good luck
JCH MD
I also was diagnosed with the same condition about two years ago. After 4-5 months it got better and I was back to about 97% normal. However within the past 3 months it seems to have came back not as bad as once before when I had to hold my head to the side just to see straight but bad enough for my neck to start cramping again as I try align my sight in the best position to see what I'm focusing on. In my case I too never had any injury and went through MRI's blood work but no spinal tap. So far medically my doctor said there is nothing he can do, it might get worst or better but will be something I have to live with for the rest of my life. For me its hard to except and cant help to feel like they are missing something. Anyhow I was looking online to see if anyone else had the same thing and found a possible cure. I will say that when I workout consistently it seems like it helps. If you're still struggling with your condition maybe that will help you out also.