Hello and thanks for your question. It sounds as though you may be having double vision in that one eye that has had numerous surgeries for a detached retina. I would imagine that even strabismus surgery and prisms in your glasses still do not completely resolve your double vision and that you may be symptomatic from the double vision.
Is that correct? If so, are you looking for more/other options to treat this?
If not, what is your specific question that I can help you with?
He is noting that you have a little bit of eye crossing in after the strabismus surgery, but he believes that because the vision in your poor eye is so poor and likely not to improve that your symptoms of double vision may actually resolve, but that the exercises would likely help. I think, though, that you are in the right place. The doctors at Wilmer are usually very good!
Does that help? Does this information help address your concerns? Does this make sense? Do you have any other concerns that I haven't addressed?
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Just one more question i did have cataract surgery on that eye it seems when double got worse is when my one surgeon kept operating on hopes to restore vision and all it did was get little more periferal vision clearer and made the diplopia worse well from what i have told you what percentage do you give me of this clearing up?
It sounds as though the cataract surgery was done to allow more light in and clearer vision of whatever visual potential the retina has/had. I do not expect that having had cataract surgery will make the double vision any better or worse from here on out, but at least it will give you a clear window through which to get the best visual potential from your retina that you can get. Does that make sense?
You are correct in that the improved vision from the cataract surgery may actually worsen the double vision because now the peripheral vision, which is likely intact from the retinal detachment surgeries is improved and you are having increased competition from the peripheral vision in one eye and the vision in the other eye. Knowing this, I would actually give you a 60-65% chance that through exercises and improvement in your alignment that has happened since surgery that you will improve to the point of no double vision. Now please know that is a very rough estimate and that there is no way of accurately being able to provide these odds with any degree of absolute certainty, but the signs and symptoms you've described for me thus far lead me to believe that you have a little better chance than 50/50 at being asymptomatic from the double vision.