Hi. I'm Dr. Rick and I have two decades of ophthalmology experience. I'm online and happy to answer your question today.
Let me answer your questions in order:
1. With your continued diplopia and CT suspicion of IR muscle entrapment, it does seem like surgical repair is the way to go.
2. This is what oculoplastic surgeons were invented for. They will do an excellent job :)
3. That is different from patient to patient. I would not let cosmetic issues hold you back from surgery.....you do not want double vision
for the rest of your life.
4. Full recovery, once again, varies from person to person, but you should be back to normal in about 6 weeks and be able to return to your regular activities and job after 24 to 48 hours post-op.
5. Let me check my crystal ball. Darn. It's broken...again. :)
So. All kidding aside, if your IR is entrapped you may have problems for the rest of your life without surgical repair. As such, although on doctor can tell you if you will eventually look and be able to function as normally as you used to, in my opinion, from what you have posted, surgical repair seems like the correct choice.
Whew! That was a lot of typing...I'm gonna have to go rest my fingers for a bit now ;)
Does this make sense to you?
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Thanks in advance,
Dr. Rick MD FACS