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Dr Dansingani
Dr Dansingani, Ophthalmic Surgeon
Category: Eye
Satisfied Customers: 15
Experience:  BA, MA (Cambridge) MB,BS (London) FRCOphth (London)
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I am experiencing a serious problem making accurate contact

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I am experiencing a serious problem making accurate contact with a golf ball when everything else appears norma. i am 63, wear reading glasses and feel like I am in excellent health.

The problem started about two weeks ago. It disappered yesterday and returned this morning. I cancelled my golf game when I could not make accurate contact with one ball on the driving range. I noticed when in my car that when I attempt to move my finger to a specific spot on the dash as I moved my finger toward the spot it would always end up about 1 inch below the desiganted spot--no matter how slow I moved my finger or focused on the spot.

I noticed about two hours later I could hit the spot with my finger every time. I immediately went to a golf simulator and hit several ball perfectly. I returned to the driving range and could hit every ball accurately. So--there seems to be a direct correllation between being able to move my finger to a desired spot and hitting the ball accurately.
You seem to have described symptoms that are transient and that have now resolved. The following questions may help to work out a diagnosis:

Are you experiencing double vision?
When you look at a singular object, do you see two images of it?
If so, are the images side-by-side or vertically separated?

Is there any other form of unsteadiness, eg standing/walking/balance?
Are you experiencing any tremor?

Do you have diabetes, hypertension or high cholesterol?

Do you smoke?
Customer: replied 8 years ago.
As far as I know I do not have any of the symptoms you mentioned. Other than the one I mentioned everything seems to be normal.

I have plenty of stamina and I am very active.

When the conditioned existed I can tell you I absolutely could not make accurate contact with the golf ball. The first time I had problems it seem to exist for at least two full weeks. It suddenly disappeared yesterday, reappeared this morning and then disappeared two hours later. since this morning I have re-tried the eye coordination exercise and it has been normal.

While I had the problem I did not recognize any other abnormality.
It sounds like the source of your difficulties is neurological.

The two main questions are:
1. which part of the nervous system is involved?
2. what type of disorder or process is causative?

It is difficult to answer #1 without examining you neurologically. As for #2, there are different types of processes that cause neurol symptoms (eg infection, immunological, circulatory). Different processes are are more common in different age groups.

If this had been one isolated episode followed by complete recovery, it may have been inocuous, but given the duration and fluctuating nature of your symptoms I think it would be appropriate to get yourself checked out by a neurologist (or family physician).
Possible diagnoses could include:

1. Stroke
More common in older patients. Does not usually cause fluctuating symptoms like yours, unless it is caused by vasculitis (inflamed blood vessels). However, vasculitis would also cause other symptoms such as lethargy, muscle aches, jaw ache, and is uncommon under the age of 50.

2. Infection (eg encephalitis)
Can occur as part of a generalised viral illness (eg flu, or Lyme disease) - but again, this would give you other symptoms such as headache or neck ache.

3. Inflammatory neurological problems. More common in temperate and colder climates (not in the tropics).

3. Latent strabismus (misalignment of the eyes) which you are able to control most of the time, but which you lose control over when tired or stressed. This could cause the symptoms you describe but would likely give you double-vision.

If you are getting double vision, I would suggest an ophthalmologist for a squint assessment. If there is not double vision, perhaps a neurologist is more appropriate.

I hope this is helpful. If so, kindly click 'accept.' Best wishes.
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