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. Rick Your Own Question

Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 7746
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
Type Your Eye Question Here...
Dr. Rick is online now
A new question is answered every 9 seconds

hello, the muscles in my left eye are weak and i have been

Customer Question

hello, the muscles in my left eye are weak and i have been to many opticians and tried prisms etc to try and correct this as for my job i need to change my focus instantly from looking at a tv screen to pressing the correct button on a live spreadsheet and the delay is causing my job to be so hard.
Submitted: 2 years ago.
Category: Eye
Expert:  Dr. Rick replied 2 years ago.

Dr. Rick :

Hi. I'm online and happy to answer your question today.

Dr. Rick :

Prisms can, in some cases, control a problem with muscle imbalance however, as you seem to be experiencing, in some patients there a tendency for the need to have ever increasing strengths of prisms. This is called "eating prism".

JACUSTOMER-ld3ydck9- :

Who is the best person for me to see about this as my normal optician has not found an answer to the solution and I have had to buy new frames, so many new lenses and my job is self employed and costing me so much money :(

JACUSTOMER-ld3ydck9- :

would bifocals work?

Dr. Rick :

When this occurs it is frequently necessary to have a second evaluation of the situation and the best person to do this would be a pediatric ophthalmologist. But, you say, I am 35 years old....not a child. This is true, however, pediatric ophthalmologists are the experts on muscle imbalance and treat adults with this condition. Of course, you wouldn't be allowed to play with all the cool toys in the waiting room :o)

Dr. Rick :

It would depend on what area is most imbalanced with your muscles. From what you have told me you seem to have problems with distance vision and bifocals would not help with this.

Dr. Rick :

You may, after it is all said and done, need a combination of eye muscle surgery and glasses. You should strongly "suggest" to your optician and/or GP that they refer you to a pediatric ophthalmology expert.

Dr. Rick :

Does this make sense to you?

JACUSTOMER-ld3ydck9- :

i am at work now and when i have the laptop close to me and the tv screen close to me i cannot focus properly, when i put the tv screen further back but the laptop still close to me i cannot focus quick enough between the 2 and when i push the laptop back in front of the tv screen i cannot read the spreadsheet on the laptop properly

Dr. Rick :

Ok. You may have a convergence issue. This may be able to be helped by bifocals but it seems like your optician has been trying all sorts of things with prisms/glasses etc.....I think it is time for you to switch horses and get a fresh evaluation/opinion from a medical doctor who is the true expert on your issues.

Dr. Rick :

I know getting in to see an expert consultant in the UK system can be like pulling teeth but, in the long run, I believe this is your next best step.

JACUSTOMER-ld3ydck9- :

My optician said about bi focals but said it would be expensive and did not want to try that with me

Dr. Rick :

I am in the USA and, as such, can not refer patients in the UK system.

JACUSTOMER-ld3ydck9- :

oh I see, damn I was hoping you were in the UK/.

Dr. Rick :

I think your optician is in over his head and doesn't know what to do next.

Dr. Rick :

Greeting from Northern Wisconsin, USA

Dr. Rick :

It's weird how on the internet we can be half a world apart and it is as if you were down the street from me.....

Dr. Rick :

still there?

JACUSTOMER-ld3ydck9- :

yes i am still here

JACUSTOMER-ld3ydck9- :

confused.com

JACUSTOMER-ld3ydck9- :

:(

Dr. Rick :

Ya. I know. I wish I had an easy answer for you.......but strabismus is hard to fix using chat as my only tool.....but now, at least, you have some idea of where to go next

Dr. Rick :

I'd hold off on buying expensive bifocal for now and wait to see what the eye MD has to say.

JACUSTOMER-ld3ydck9- :

I have asked my optician to refer me to a specialist eye hospital over here. I thought it would be a lot more simple to do than this. what are bifocals exactly?

Dr. Rick :

What do you think?

Dr. Rick :

Bifocals are glasses that old farts like me use to see up close. They are also used in children and some adults with specific types of muscle imbalance. Here's a good article on them:

Dr. Rick :

http://en.wikipedia.org/wiki/Bifocals

JACUSTOMER-ld3ydck9- :

can i have a prism in a bifocal lense?

Dr. Rick :

Yes.

Dr. Rick :

Is there anything else you would like to ask me this morning....actually, I think it is afternoon on your part of the Planet right now :)

JACUSTOMER-ld3ydck9- :

No i think i need to try and find a specialist over here, i just presumed there was a lens i could get to help me :( I do not want eye surgery

JACUSTOMER-ld3ydck9- :

yes it is 310pm here.

Dr. Rick :

Since you are in the Future perhaps you could check the stock market and give me some investment tips lol!

Dr. Rick :

I see you have stepped out of chat.

Dr. Rick :

And, now, the obligatory word from our sponsors: :o)

I hope that this information was helpful for you. Please, allow me get credit for my time and effort in assisting you and press the YES button for this assist. I will be glad to answer additional questions until you are satisfied. Thank you very much.

Positive Feedback and/or Bonus is welcomed and appreciated.

Expert:  Dr. Rick replied 2 years ago.
What Happens Now?

Your chat has ended, but you can still work with your Expert to get an answer to your question if you have not yet received one.

Come back to this page at any time to see additional information from your Expert.  You will also receive an email when your question is updated.  If you want to send a message to your Expert, use the box below.

If you have already received a satisfactory answer to your question, click the Accept button above.  Experts are credited for each accepted answer they provide.
Expert:  Dr. Rick replied 2 years ago.
Let me know if there are there any other concerns or issues you would like to discuss on this topic.
Expert:  Dr. Rick replied 2 years ago.
I can understand you not wanting to go through eye muscle surgery. After a consultation with a pediatric ophthalmologist you should have a better idea of what ALL your options are, surgical and non-surgical alike.

I wish you the best of luck. If you have a chance, drop me a note on this thread and let me know how things turn out. Have a good day.

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