Fourth Nerve (Superior Oblique) Palsy
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Fourth Nerve (Superior Oblique) Palsy
I seem to have developed this condition over time....
Fourth Nerve (Superior Oblique) Palsy — AAPOS
Now maybe I have had it for a long time.....now that I have been diagnosed I think perhaps I have...... will be having surgery for it later next Month, and was wondering what implications there are to a medical?
Both Eyes are 110% vision perfect, even at 40+ I can rattle off the lowest / smallest line on an eye chart no worries! But the head tilt, right eye delay / laziness......?? Corrective muscle surgery is scheduled for 21 Feb., sure hope the guy knows how and where to cut and reattached various muscles to make me 'aligned' again!
Fourth Nerve (Superior Oblique) Palsy — AAPOS
Now maybe I have had it for a long time.....now that I have been diagnosed I think perhaps I have...... will be having surgery for it later next Month, and was wondering what implications there are to a medical?
Both Eyes are 110% vision perfect, even at 40+ I can rattle off the lowest / smallest line on an eye chart no worries! But the head tilt, right eye delay / laziness......?? Corrective muscle surgery is scheduled for 21 Feb., sure hope the guy knows how and where to cut and reattached various muscles to make me 'aligned' again!
Was diagnosed with the same condition 11 years ago. Post op. I am within 1 diopter of where I need to be and that's how your surgeon should leave you. No more head tilt, with restricted downward movement of the eye but within limits. Originally I lost my medical but got my UK CAA medical back afterwards, and now have an Australian Class I. I never had diplopia (double vision) and it will take you a while to adjust after surgery.
Feel free to drop me a pm if you want to talk about it.
Feel free to drop me a pm if you want to talk about it.
Last edited by Capt Chambo; 6th Feb 2013 at 20:59. Reason: Editorial
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Thanks Capt. Chambo for the kind words....very much so! I'm being admitted tomorrow morning, around about 13 hours from now...Very anxious indeed!, (naturally) eyesight has always 20/20 +, but so many little things make me realise I've had this for ages! .... Like closing the right eye in a rapid move of head form right to left, if I do it with BOTH eyes open, the right is left way behind!, one millisecond blink fixes it.....and picking up a glass to drink the right closes, or sees nothing until the glass moves away again (Unless I close my left eye then the right sees everything perfectly!
I can understand how a surgeon removes appendix, or sets a broken arm, or an eye guy removes a cataract....how an Ophthalmologist measures eye deflections to determine where to cut and re-attach eye muscles on the sclera, is , well, I hope he gets it right, I'm sure he's the best I can get..a lecturing professor at the University of Queensland....thanks again for the advice on a while adjusting...I'll let you know how it all goes....
I can understand how a surgeon removes appendix, or sets a broken arm, or an eye guy removes a cataract....how an Ophthalmologist measures eye deflections to determine where to cut and re-attach eye muscles on the sclera, is , well, I hope he gets it right, I'm sure he's the best I can get..a lecturing professor at the University of Queensland....thanks again for the advice on a while adjusting...I'll let you know how it all goes....
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Inferior oblique Myectomy
Was what was in fact required.....
Here.....
Recovering well I think.....Taking some getting used to the brain processing images, all a bit scary
Here.....
Recovering well I think.....Taking some getting used to the brain processing images, all a bit scary
Hope the recovery is going well. Looks like you had a slightly different operation to the one that I required, I had a modified Harado-Ito with a slight adjustment on the non-affected eye.
Post Op. I took a while to regain depth perception, so no driving, and I walked like a man who had taken too much ale! That disappeared after about a week, i continued to struggle with depth perception for a while longer particularly when looking up quickly! Having carried my head at an angle for the previous 6-7 years it took a while for my neck muscles to adjust to now carrying my head level, and 11 years on I still have a very slight tendency to tilt my head.
3 months post op. I regained my UK CAA class I with no restrictions except that I now needed glasses for reading, and I was required to see the CAA's ophthalmologist after a further year as a follow up. I have subsequently passed Asian and Australian Class I medicals. I still do not have full down gaze mobility in the eye, but that was to be expected and I retain 1 diopter up, (having been 23) in the affected eye.
Good luck.
Post Op. I took a while to regain depth perception, so no driving, and I walked like a man who had taken too much ale! That disappeared after about a week, i continued to struggle with depth perception for a while longer particularly when looking up quickly! Having carried my head at an angle for the previous 6-7 years it took a while for my neck muscles to adjust to now carrying my head level, and 11 years on I still have a very slight tendency to tilt my head.
3 months post op. I regained my UK CAA class I with no restrictions except that I now needed glasses for reading, and I was required to see the CAA's ophthalmologist after a further year as a follow up. I have subsequently passed Asian and Australian Class I medicals. I still do not have full down gaze mobility in the eye, but that was to be expected and I retain 1 diopter up, (having been 23) in the affected eye.
Good luck.
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Thanks Capt Chambo......I really have appreciated your contributions!!! My depth perception seems OK, I have been doing some driving.....not sure if the head tilt is 100% just yet, though it felt just right on Sunday morning, if I only look out of the operated eye I still pick up a 'Vertigo' like feeling, absent as soom as both eyes operate, and never present in the 'Good Eye'.....but still I have a month to settle down....and we'll see how it pans put from there, after I've seen the Ophtho on 21 March.....
