Eye Care Forum
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Avatar universal

nerve 4 palsy

Hi all. here is my question. had blunt force trauma to the right side of my face 3 weeks ago. from the instant the accident happened I have had double vision. stacked and crooked to the right.  I have seen 3 eye doctors today was #4 an neuro eye specialist. diagnosis nerve 4 palsy. Damage to the never for the muscle that is causing the issue. Great #1 I can now have surgery to fix my broken Le fort injury and there is a fracture to the optic floor as well. according to the lady I saw today neither injury is the root cause of the double vision. The trauma to my face/eye cause the nerve injury. she wants to take a wait and see approach to the injury right now. just use a patch and then a prism on a set of glasses for straight ahead correction. Any thing else I can due to try to speed up the process. I'm a 44 year old male in excellent health I don't even wear glasses now.  Any help would greatly be appreciated.
2 Responses
1573381 tn?1296151159
Assuming they are correct and there is no muscle entrapment and the imbalance is not caused by the floor fraction, I don't know of anything you can do to speed up recovery.  With a traumatic fourth nerve palsy, we tend to take a wait and see if it heals approach.

Avatar universal
No Muscle entrapment. the specalist I awsaid its strictly a nerve issue. waiting on theface surgery so that I can get onwth my life and start to heal correctly. tonight marks 3 week since injury. I'll be resetting the healing clock after the surgery.sadly and then add to the heal time wait and see on the nerve
Didn't find the answer you were looking for?
Ask a question
Popular Resources
Find out how beta-blocker eye drops show promising results for acute migraine relief.
Eye whitening, iris color change, and eyeball "bling." Eye expert Dr. John Hagan warns of the dangers from these unnecessary surgeries.
Eye expert John Hagan, MD, FACS, FAAO discusses factors to consider and discuss with your eye care team before embarking on cataract surgery.
Is treating glaucoma with marijuana all hype, or can hemp actually help?
Protect against the leading cause of blindness in older adults
Got dry eyes? Eye drops aren't the only option! Ophthalmologist John C. Hagan III, MD explains other possible treatments.