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Kris-NYKKris-NY Posts: 2,207
edited 06/11/2012 - 8:46 AM in Back Surgery and Neck Surgery
Hi Everyone

Today I have an appointment with a neuro-opthamologist. I never knew there was such a thing. But as my vision is getting worse from the Horner's Syndrome my neurologist finally mentioned this specialty. (Horners is when something irritates the C3 nerve which controls the eye movement and dialation. This nerve goes down your neck and then back up to your head)

From the little that I can find about this he is a neurologist and an opthamologist. He specializes in the treatment of eye conditions that come from neuro problems. They sent me paperwork and said to expect the visit to last 3-4 hours. Yikes. Also I cannot drive home since they will dialate my eyes so this will cost me about $70 for cabs there and back. Grrrr

I know that not many have this particular problem but I wanted to share the info on this specialty just in case. I was a bit annoyed because there are tests that should have been done when this first happened...not 7 months later.

More later.


  • Good luck Kris, my NS never mentioned touching my c3 nerve root, nor did my optomologist give me any more information.... My vision is spotty in the horners eye (I think I told you that).

    I am anxious for you. Let me know what you find out.

  • Well I learned a few new things. First he confirmed the Horner's diagnosis. He did a very thorough eye exam on both eyes. Then he used cocaine eye drops which tests whether the nerves in my eye are reactive - the right eye wasn't. Then he dialated them to the size of dinner plates - lol - so he could check the nerve.

    Apparently there are a few ways this can happen. He thought there was a slight chance that it came from the accident but more likely happened during surgery. While it could have been a surgery boo-boo it can also have something to do with the arteries.

    So now I am having a MRI or the brain and the neck. Also a MRA of the brain and neck. xrays of the upper chest and some blood tests. There is no treatment for Horner's but he wants to make sure there is nothing else going on and he wants to watch for progression of the blurred vision.

    I liked this guy alot. He explained what was going on and has a game plan. We talked about my other problems briefly and he believes that the physiatrist should be directing care and not the neurologist. He also suggested that I speak with the spine specialist in their practice to try to get a clear understanding of all of the issues in my back and shoulders.

    All in all a great day. I knew there was no reversal but at least now I have someone who is experienced in this particular problem.
  • Well I had the MRI and MRA of the brain and they didn't find anything ..... :))( :))( :))( ....actually didn't get any results yet but I was dying to use that line.

    I also had the chest xray today. Not sure exactly what that was for. All I got out of it was to check the top of my lungs. But I got a call from my neurologist who was a bit perturbed. I had included him in the test results since he has all of my records and is the one doing the disability forms. He agreed that it was good that the neuro-opt ordered these tests but told me he knows why it happened. THis was where his being perturbed was great. He told me that this happened at T1 which is where my surgery was. WHen I asked it this was a "normal" complication he stopped talking. Silence is golden!!

    So by next week I will know if there is anything else going on. Also should know if there is a reason for the blurred vision. Stay tuned.
  • Thanks for sharing!

  • I have been under the care of Neuro-Opthalmologists for 26 years . However ,the 2 best that have treated me are located in NYC ,one in Brooklyn and one in Manhattan .

    I would highly recommend both physicians
  • Kris,
    It's been awhile but what was your outcome regarding homers syndrome? Has it subsided somewhat or are you still dealing with the blurred vision, droopy eye.

    I am 3 weeks post op acdf and have droopy left eye. Incision was made on the left portion of neck. I also seem to have a sweating problem on the left side of face and forehead but can't really fully confirm that yet as have not been too active. Vision is fine but pupils are ever so slightly different in dim room.
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