How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. James Your Own Question

Dr. James
Dr. James, Board Certified Ophthalmologist
Category: Eye
Satisfied Customers: 2282
Experience:  Eye Physician and Surgeon
20222826
Type Your Eye Question Here...
Dr. James is online now
A new question is answered every 9 seconds

My daughter is a type i diabetic since she was one year old.

Resolved Question:

My daughter is a type i diabetic since she was one year old. she is 28 and developed optic neuritis, (she works with animals) she has had this now for 6 mos and both eyes are affected. Where is the best doctor, hospital to take her? thank you
Submitted: 3 years ago.
Category: Eye
Expert:  Dr. James replied 3 years ago.

Dr. James : Hello.
Dr. James : Where do you live?
Customer:

san francisco bay area

Customer:

do you have any suggestions?

Dr. James : Yes, you have many being in the bay area.
Dr. James :

Hello?

Customer:

which is the best?

Dr. James :

is the optic neuritis related to the diabetes?

Customer:

Is there an eye clinic in us that specializes in optic neuritis?

Dr. James :

UCSF is a well respected place with a good ophthalmology department.

Dr. James :

Dr. Hoyt is there. Not sure if he actively seeing patients, but he wrote the textbook in neuro-ophthalmology

Customer:

the doctors were quick to say that it was but the onset was loss of vision over night. they tested for cat scratch, toxo neg did a spinal (2mos later) neg cultures bacterial and viral. at this point the rt was recovering but the left optic nerve showed swelling. we have see a opthalmologist /neurologist, neurolgist, retinal specialist etc. she has had four laser procedures to stop micro bleeds. the weirdness of this is her eyes were fine last year. the pictures showed just a few red dots and the optice nerves were clean visually. my daughter has seenthe same opthamologist since she was ten. she is veryfamiliar with my daughters eyes . this is really scary . she just had a PSVEP and it was abn in both eyes .

Dr. James :

It sounds like a difficult diagnostic dilemma.

Dr. James :

The testing she's had is right on and extensive.

Dr. James :

It is always good to get a second opinion.

Customer:

yes it is. the easy answer is diabetes, but she is never easy, forgot to mention that she has a pituitary adenoma ( its shrinking )

Dr. James :

The adenoma can cause an optic neuropathy as well.

Dr. James :

I'm sure she's had a MRI of the brain and orbits already.

Customer:

It can? is there atreatment?

Dr. James :

Depends on what the adenoma is composed of. The most common is a prolactin secreting adenoma and can be treated with a medicine called bromocriptine.

Customer:

Yes she has had several over the past 8 years , the most recent showed no evidence of MS lesions, and the tumor is shrinking

Dr. James :

It can also be treated surgically.

Customer:

she had been on dostinex for 8+ years. just recently was told to stop taking it

Customer:

It is less than 10mm

Dr. James :

Good. Less than 10mm is classified as a microadenoma.

Dr. James :

Certainly, a neuro-ophthalmologist is the best doctor to try to tie everything together.

Customer:

thanks so much .any other reccomendations?

Dr. James :

None other. I wish her the best.

Customer:

would steroids be helpful?

Dr. James :

Since it is 6 months out already, may be less effective. Typical optic neuritis usually gets better by it self in 1-2 months.

Dr. James :

The steroids may complicate her diabetes management as well.

Customer:

thank you and good night dr james

Dr. James, Board Certified Ophthalmologist
Category: Eye
Satisfied Customers: 2282
Experience: Eye Physician and Surgeon
Dr. James and other Eye Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex Los Angeles, CA
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP Hesperia, CA
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin Kernersville, NC
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther Woodstock, NY
  • Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know. Robin Elkton, Maryland
 
 
 

Meet The Experts:

 
 
 
  • Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    2903
    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
< Last | Next >
  • http://ww2.justanswer.com/uploads/DoctorDanB/2010-6-7_6228_just_answer_profile_picture_60_pixels.jpg Dr. Dan B.'s Avatar

    Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    2903
    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
  • http://ww2.justanswer.com/uploads/anupamadesai/2010-04-13_122313_Dr._A.S.Desai_new_photo.jpg Dr. A.S. Desai's Avatar

    Dr. A.S. Desai

    Ophthalmologist

    Satisfied Customers:

    1903
    MS Ophthalmology with 11 years of surgical expereince
  • http://ww2.justanswer.com/uploads/gsokoye/2009-10-28_181751_Dr._Stan.JPG Dr. Stan's Avatar

    Dr. Stan

    Ophthalmologist

    Satisfied Customers:

    895
    Johns Hopkins Fellowship Trained, Certified and Licensed Medical Physician and Surgeon
  • http://ww2.justanswer.com/uploads/eyemd/2009-04-07_180315_pic.jpg Dr. Stevens's Avatar

    Dr. Stevens

    Ophthalmologist

    Satisfied Customers:

    629
    Board Certified Ophthalmologist
  • http://ww2.justanswer.com/uploads/CO/CorneaDoc/2012-2-18_0390_photo6.64x64.jpg Dr. Susan's Avatar

    Dr. Susan

    Ophthalmologist

    Satisfied Customers:

    217
    Board Certified & Fellowship trained eye surgeon.
  • http://ww2.justanswer.com/uploads/neuph94/2009-10-11_164729_gif_pic.GIF Dr. JP's Avatar

    Dr. JP

    Ophthalmology, Oculoplastic Surgery

    Satisfied Customers:

    28
    Harvard Medical School, Massachussetts Eye and Ear
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjcufyksv/2012-3-13_44825_crop3.64x64.jpg Dr-Trace's Avatar

    Dr-Trace

    Board Certified Ophthalmologist

    Satisfied Customers:

    26
    Board Certified in General Ophthalmology
 
 
 
Chat Now With An Eye Doctor
Dr. James
Dr. James
Eye Doctor
2282 Satisfied Customers
Eye Physician and Surgeon