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 four year old has one eye higher than the other. Is this

Resolved Question:

My four year old has one eye higher than the other. Is this normal or should we be concerned? Thanks.
Submitted: 2 years ago.
Category: Eye
Expert:  Dr. James replied 2 years ago.

Dr. James :

Hello.

Dr. James :

is it the eye or eyelid that is uneven?

Customer:

Her eye is higher.

Customer:

Her eye is higher

Dr. James :

when did this first appear?

Customer:

we went for a routine first visit to an optometrist today and he said that we should look at pictures

Customer:

to see if there have been changes it is hard to tell in the last year and we don't have access to pictures earlier right now

Customer:

he suggested it can be a sign of a tumour but that is very rare

Dr. James :

did the optometrist refer your daughter to an ophthalmologist?

Customer:

no

Customer:

we are going to re visit him tomorrow with the pictures

Dr. James :

what was the optometrist's diagnosis?

Customer:

he had no diagnosis but did indicate that rarely it is a sign of a tumour and to watch for changes

Dr. James :

misaligned eyes can occur in childen. in most cases the misaligned eyes are crossed inwards or outwards toward the ear.

Dr. James :

vertical misalignment with one eye higher or lower is is not as common.

Dr. James :

I'd recommend your child be evaluated by a pediatric ophthalmologist.

Dr. James :

you can ask for a referral from the optometrist.

Customer:

what could cause vertical misalignment?

Dr. James :

do you notice the vertical misalignment?

Customer:

I didn't until he pointed it out

Dr. James :

is it there all the time or only sometimes?

Customer:

all the time

Dr. James :

most common cause is a weakness of one of the eye muscles, (superior oblique muscle).

Customer:

In toronto, it could take quite a while to see an opthamologist so I am trying not to be

Customer:

too freaked out by the "tumour" option

Dr. James :

sudden changes in eye alignment could be due to problems with the brain, but i agree with your optometrist that this is rare.

Customer:

would a weak muscle issue be evident in pics of her at all ages or would it change

Dr. James :

it can vary, but usually present most of the time.

Dr. James :

unfortunately, pictures can be deceiving since the angles can be different with each picture.

Customer:

what steps would an opthomologist take

Dr. James :

a detail eye exam.

Dr. James :

the difference being that a pediatric ophthalmologist would have more experience.

Customer:

do you know any good paediatric opthamologists in toronto or buffalo NY?

Dr. James :

unfortunately, I do not.

Customer:

thanks for your expertise

Dr. James :

your optometrist would be the best resource for a referral.

Dr. James :

you're welcome.

Customer:

good night

Dr. James :

good night.

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
1908 Satisfied Customers
Eye Physician and Surgeon