Results 1 to 6 of 6

Thread: Sagging Eye Syndrome

  1. #1
    One eye sees, the other feels. OptiBoard Gold Supporter
    Join Date
    Jul 2002
    Location
    Wauwatosa Wi
    Occupation
    Dispensing Optician
    Posts
    4,892

    Sagging Eye Syndrome

    Sagging eye syndrome (SES), first described by Rutar and Demer in 2009, is a cause of acquired, small-angle horizontal and vertical strabismus that most often occurs in elderly patients [1].
    My client was post-IOL with subsequent diplopia, diagnosed as 4th nerve palsy (CT not MRI due to metal in ear) and was referred to a surgeon. Second opinion from neuro-ophthalmologist found Sagging Eye Syndrome. Rx'd spectacle lenses with 6 PD vertical.

    https://webeye.ophth.uiowa.edu/eyefo...agging-eye.htm
    Roberts Optical Ltd.
    Wauwatosa Wi.
    www.roberts-optical.com
    ~~~~~~~~~~~~~~~~~~
    Science is a way of trying not to fool yourself. - Richard P. Feynman

  2. #2
    What's up? drk's Avatar
    Join Date
    Mar 2004
    Location
    Ohio
    Occupation
    Optometrist
    Posts
    7,734
    That's a new one for me. That's a killer case presentation. Smart dudes. (I have to laugh at the term "prisms", when the correct term is "prism", but that's nitpicky.)

    With that much vertical, how did you apply it?

    What material?
    Last edited by drk; 09-27-2019 at 08:34 AM.

  3. #3
    One eye sees, the other feels. OptiBoard Gold Supporter
    Join Date
    Jul 2002
    Location
    Wauwatosa Wi
    Occupation
    Dispensing Optician
    Posts
    4,892
    Quote Originally Posted by drk View Post
    That's a new one for me. That's a killer case presentation. Smart dudes. (I have to laugh at the term "prisms", when the correct term is "prism", but that's nitpicky.)

    With that much vertical, how did you apply it?

    What material?
    Spread the word.

    The the prism was 6 ∆ total- very manageable when split. I used Trivex in a progressive (Physio traditionally surfaced). As expected, the pupil heights were unequal at 22/19, 2mm for the prism (confirmed with a handheld 6 ∆) and 1mm for a higher rt eye.

    Robert
    Roberts Optical Ltd.
    Wauwatosa Wi.
    www.roberts-optical.com
    ~~~~~~~~~~~~~~~~~~
    Science is a way of trying not to fool yourself. - Richard P. Feynman

  4. #4
    Master OptiBoarder optical24/7's Avatar
    Join Date
    May 2006
    Location
    Tx.
    Occupation
    Dispensing Optician
    Posts
    5,352
    New for me too, though, I've probably had one or two over the years and didn't know their particular case had a name other than "diplopia".

  5. #5
    What's up? drk's Avatar
    Join Date
    Mar 2004
    Location
    Ohio
    Occupation
    Optometrist
    Posts
    7,734
    I actually did post your case on an optometry site, and it was appreciated.

    Hey, I like the Trivex. I like Physio. Curious: did you do Physio over, say, Comfort2 because of the horizon-sparing in a potentially optically-challenged Rx?

  6. #6
    One eye sees, the other feels. OptiBoard Gold Supporter
    Join Date
    Jul 2002
    Location
    Wauwatosa Wi
    Occupation
    Dispensing Optician
    Posts
    4,892
    Quote Originally Posted by drk View Post
    I actually did post your case on an optometry site, and it was appreciated.
    Cool. Southern Wisconsin is loaded with medical/research MDs and PHDs with the Medical College in Wauwatosa, and UW Hospitals in Madison.

    Hey, I like the Trivex. I like Physio. Curious: did you do Physio over, say, Comfort2 because of the horizon-sparing in a potentially optically-challenged Rx?
    1) The Comfort2/New Comfort isn't available in Trivex.

    1a) Higher Abbe was required for the strong prism value.
    1b) Best possible impact resistance and lightest weight (compared to 1.60 refractive index material)

    2) Client was not an avid reader, using OTCs for near. I selected a semi-finished PAL design that has a bias towards a more generous (horizon) distance zone.

    Best regards,

    Robert Martellaro
    Roberts Optical Ltd.
    Wauwatosa Wi.
    www.roberts-optical.com
    ~~~~~~~~~~~~~~~~~~
    Science is a way of trying not to fool yourself. - Richard P. Feynman

Thread Information

Users Browsing this Thread

There are currently 1 users browsing this thread. (0 members and 1 guests)

Similar Threads

  1. Raynaud's syndrome in nose
    By Goldensummer in forum General Optics and Eyecare Discussion Forum
    Replies: 9
    Last Post: 03-05-2015, 07:57 PM
  2. Eyewear for 16 month old with Down syndrome
    By Ory in forum General Optics and Eyecare Discussion Forum
    Replies: 13
    Last Post: 03-05-2012, 03:05 PM
  3. Wagner Stickler Syndrome with photophobia
    By Uncle Fester in forum General Optics and Eyecare Discussion Forum
    Replies: 5
    Last Post: 04-13-2007, 10:17 AM
  4. Computer Vision Syndrome
    By macularry in forum General Optics and Eyecare Discussion Forum
    Replies: 34
    Last Post: 01-19-2007, 11:12 PM
  5. Carpal Tunnel Syndrome
    By Cindy Hamlin in forum Just Conversation
    Replies: 5
    Last Post: 12-06-2001, 04:34 PM

Bookmarks

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
OptiBoard is proudly sponsored by:
Younger Optics and Vision Equipment