... have been wearing prism glasses for distance and close up work since with mixed results. I had blood work, a MRI and a CAT scan. The final diagnosis seems to be 4th nerve palsy of unknown origin. ... (4 replies)
... with a 4th nerve palsy in my left eye. I believe I have had the condition all my life, as I have noticed the intermittent double vision for as long as I can remember. ... (1 replies)
... I have 4th nerve palsy (aka double vision) and would appreciate hearing from anyone who has experience with this eye condition. What can help with this condition? Surgery? Prisms? Are there contact lenses with prisms? What is a good diagnostic test?
Thank you for your attention to this concern. (3 replies)
... opthamologist with "4th Nerve Palsy". ... (1 replies)
... I'm watching for may signs of MG----but can't say I appear to have them. Am seekeing a third opionin ( or is it a 4th?? ) in a few weeks in LA.
Double vision is a nightmare---unless you have it, you can't imagine.
Have you tried prism glasses? (4 replies)
... Thanks Torre. I take it you believe that not all, or even the greater majority of PO's would recommend surgery for a 9 yo with congenital 4NP?
Our dilemma is that we are concerned about negative outcomes from surgery, that is making the somewhat tolerable condition worse. I can't help thinking that the more mild the symptoms are, the greater the chance (however small)... (4 replies)
... th cranial nerve palsey and has been recommended for surgery by the ped opthalmologist. ... (4 replies)
Odd the prisms would only work in the beginning. Maybe try a new prescription. They have worked well for me, unless I am laying horizonally --especially if I am very tired, at end of the day.
Yes--I have some drooping of the eye lid--same side: left.
Worse in the AM.
I have probably concluded this is age related--not MG or related to the diplopia. But who knows. (4 replies)
... Yes I've tried the prisms but they only worked for a short time! Has your eyelid ever drooped or sagged? I wish u good luck in your hunt for the right answer though! :) keep me posted (4 replies)
... Well I too have that wonderful double vision, mines always been there for the past 10yrs and it's never gone away, I've had numerous tests done and they've came back fine exept a tensilon test! That was positive for myasthenia gravis but that test was ran 8yrs ago and the AcH blood test was neg. Have your doctors ran these? I wouldnt let them rule out MG too quickly! Many... (4 replies)
... and after reviewing all the info I had compiled thus far from my previous visits to different doctors he narrowed it down to a 4th nerve palsy. ... (6 replies)
... Hi Beemer,
Thank you so much for your reply. It helps so much.
When I cover my right eye and just use the left eye, no I do not have the double vision. But when I look out of both eyes, I do have the double vision. The vision from the left eye is lower. It is probably a muscle problem (4th nerve palsy). Is yours a muscle problem?
The ground-in prism did not work... (8 replies)
... i was in a car accident about 4 years ago. i disconnected a few muscles that controled my eye and was diagnosed with a severe case of bilateral 4th nerve palsy. i had surgery over three years ago to reconnect the muscles. to this day i still occaisonally see double, blurry, and suffer from severe headaches. ... (4 replies)
... I am 24 years old and i was diagnosed with a severe case of bilateral 4th nerve palsy about 4 years ago following a car wreck. i had the corrective surgery over 3 years ago now. i am still dealing with quite alot of symptoms though. ... (0 replies)
... New poster here. Just wanted to share my situation with ya'll. I'm in my late 20's, and have had vertical strabismus for as long as I can remember. The cause is 4th nerve palsy in the right eye, resulting in weakening of the superior oblique muscle, and overaction of the inferior oblique in the same eye. ... (21 replies)
... Hi, I am 71 yrs. old and have been having the same problem. It is the Superior Oblique Muscle in my right eye and the 4th cranial nerve goes to that muscle. I have had no trauma. I have been going to a pediatric eye doctor and she doesn't know what is causing the double vision. ... (6 replies)
... I am a 45 yo female who has had a history of diplopia for 10weeks in past with a diagnosis of 4th cranial nerve palsy with a ton of tests with no known etiology with episodes off and on. I also have been told I have Trigeminal neuralgia. ... (1 replies)
... I figure my problem is a version of binocular double vision because when I close either way everything close up (most importantly how I see my nose) appears perfectly normal, it's only when both eyes are open they I always see the two sides of my nose as 'two distinctly separate shadow images'. (4 replies)
... e., etc. I try to get around in the house without the glasses with the prism because when I take them off my eyes feel like they are crossed. I was so hoping the 4th cranial nerve would heal itself by now but hasn't yet. The first MRI was requested by my ear doctor to rule out tumors and aneurysms and it was negative. ... (4 replies)
I've had a form of binocular double vision for almost eight years (convergence insufficiency I suppose) and what's most frustrating is how I always perceive the two sides of my nose in front of me as "2 distinctly separate shadowy images" (I always see the left side of my nose as a "shadow" on the right side of my visual field and the right side of my nose as a... (4 replies)