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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hi, I Am A Male, 24 Y.o Who Has Experienced

Hi, I am a male, 24 y.o who has experienced visual asymmetrical eye-changes for the last 4 years, but it seems to be slowly progressing. I suspect (but not certainly sure) that I may suffer from leftsided exophthalmos (bulging eyeball) or maybe a rightsided enophthalmos (sunken eyeball). In pictures, while keeping my head straight, tilting back and looking straight up, a difference of about 2 millimeter is clearly visible, where the left eye seems to be set further out than the right eye. And this is also noticable in pictures taken from just above my eyebrows. But the problematic thing is that I allready have an eye exam done back in 2013 (while I still suspected exo/enopthalmos which I told my opthalmologist), but the measurements then taken with an exopthalmometer was negative, or, as the opthalmologist put it in the medical records; "Patient has 1mm wider palpebrar fissure on the left then on the right". I accepted the opthalmologist's answer back then, believing that no eye-asymmetry was present. But lately I have come to question this eye exam, because in the pictures there is an obvious difference between the eyes, as previously stated, and my pupils doesn't allways want to line up on a horizontal axis. I have also a history of different strange eye-related symptoms dating back to as far as 2003-2004, when I was twelve years old (bilateral eye-floaters, migraine, "foggy vision" etc) and in 2013-2014 I experienced some strange symptoms in my eyes that became constant, before disappearing after a couple of days again (different sized pupils that responded poorly to light, some minor vertical twitching in only the right eye, for which I was told was called nystagmus). I do not have these symptoms right now though.

I did a follow-up and had a new eye exam done 2013-07-23, and that opthalmologist did not measure with an exophthalmometer, but took notice that I instead had mild exophoria (eyes slightly deviating outward when looking at far-away objects).

I have come to think that the difference between the eyeballs may be the cause for the experienced exophoria, but I am not entirely sure. I have asked my opthalmologists to further investigate if my eyes show signs of early onset exophthalmos or enophthalmos, but they do not want to co-operate, and think my worries are exaggerated, and make up excuses like; "You know that everyone is slightly asymmetrical". Pictures from when I was younger doesn't really show any eye-related asymmetry either, so my suspicions is that something may have caused the eyes to look the way they now look (and maybe also possibly affected my mild exophoria).

As I have read and understand, both exophthalmos and enopthalmos could possibly worsen over time to actually severely affect the vision.

But what do you think? Am I exaggerating? Should I just keep a further lookout for any changes? I need your honest opinions here.

/Regards, Simon

Mon, 4 May 2015
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Hi, I Am A Male, 24 Y.o Who Has Experienced