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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Solution For Voluntary Closing Of Eyes Even After A Cataract Surgery?

My husband underwent cataract surgery around one and a half months ago. We went to the Ophthalmologist for the following complaints... slight double vision/ his left eyelids closing voluntarily etc. Doctor suggested cataract surgery. Even after the surgery the voluntary closing of the eyelid is not gone. It has become slightly more. What should be done( Doctor prescribed Botox. But then decided at the last minute that since there is no twitching of the eyes, botox is not necessary. What should we do doctor?
THis is an ophthalmologic question.. General physician should not answer this
Wed, 2 Apr 2014
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Ophthalmologist 's  Response
Hello
It seems from the history that your husband is having complaints of double vision and voluntarily closing of eyelids.
These complaints suggest problems affecting the muscles of the eyelids and extraoucular muscles. Cataract surgery has got no relation to this.
The first is to find out whether there is any limitation of extra ocular movements, whether the diplopia increases in any gaze and whether it is unilateral or bilateral...
Botox is indicated for twitching of eye lids or blepharospasm, hence your doctor is correct in saying that botox is not required.
The probable problem in your husbands case is nerve palsy affecting the muscles of eyes.
Hence he requires evaluation by a neurophthalmologist or neurologist and treatment accordingly.


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What Is The Solution For Voluntary Closing Of Eyes Even After A Cataract Surgery?

Hello It seems from the history that your husband is having complaints of double vision and voluntarily closing of eyelids. These complaints suggest problems affecting the muscles of the eyelids and extraoucular muscles. Cataract surgery has got no relation to this. The first is to find out whether there is any limitation of extra ocular movements, whether the diplopia increases in any gaze and whether it is unilateral or bilateral... Botox is indicated for twitching of eye lids or blepharospasm, hence your doctor is correct in saying that botox is not required. The probable problem in your husbands case is nerve palsy affecting the muscles of eyes. Hence he requires evaluation by a neurophthalmologist or neurologist and treatment accordingly. Thank you