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Neurological Causes of Ptosis: Myasthenia Gravis, Horner's Syndrome, and Third Nerve Palsy 

Amiya Prasad, M.D.
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29 сен 2024

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Комментарии : 100   
@lillyrocks2011
@lillyrocks2011 Год назад
Hi! I'd like to know if could be possible to have myasthenia gravis and Horner syndrome? Together? I'm in Mexico and here's extremely difficult because is unknown and most doctors don't have the knowledge about these conditions. Thank you! 🙏🏽
@candywhite7149
@candywhite7149 2 года назад
2 weeks ago, I had my Ptosis repair . My vision is way better, my headache are gone and I look awake-- not tired.
@AmiyaPrasadMD
@AmiyaPrasadMD 2 года назад
I'm glad it worked out well for you, candy white
@tnpsc4453
@tnpsc4453 2 года назад
@@AmiyaPrasadMD sir i have deeper sunker eye and tear through lines. I lost my fat a year ago. Then my face looks like older. My age is 28.but Upper cheek is sunker and under eyes are sunker. What should i do?. Is there Any home remedy ?
@AmiyaPrasadMD
@AmiyaPrasadMD 2 года назад
Hi @TNPSC , An examination is needed before I can recommend treatment. Other than possibly returning to your previous weight, there are no home remedies that can create facial volume for your hollow areas. You can refer to these videos on the different ways hollowness under the eyes, and the upper cheeks are treated in younger people: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-VzzsbNDlaHQ.html ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-C1pxoU7e1SE.html
@tnpsc4453
@tnpsc4453 2 года назад
@@AmiyaPrasadMD thankyou sir Cheek lift excercise does work really?
@AmiyaPrasadMD
@AmiyaPrasadMD 2 года назад
Hi@@tnpsc4453, Exercising your cheeks won't create volume under the eyes, or in the cheeks. I hope this clarifies things for you.
@rupan6308
@rupan6308 2 года назад
Sir what are the advancement that can happen in comming years in hair restoration industry. People with weak donor area are frustrating. Recently i read an article in google hair cloning is comming it can multiply grafts. So it will be useful for poor donor area people right..? And also about some injections which will regrow new hair follicles. Is that true sir.. Will anything comes in the next 10 years.. Can we expect anything sir
@AmiyaPrasadMD
@AmiyaPrasadMD 2 года назад
Hi Rupan, Hair cloning has yet to reach a breakthough, even if research has been ongoing for several years. Hair follicles cannot be regrown as they are basically tiny organs. You can refer to this videos about a hair transplant alternative that thickens existing thinning hair, and stimulates hair growth from follicles that are still viable, but currently dormant and not growing hair; and overcoming the limitations of even multiple hair transplants: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-Zi6Bxog9_SE.html ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-hBeBbCXPHFA.html ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-at-pzX0TEB4.html
@Narcoleptinsomniac
@Narcoleptinsomniac 22 дня назад
Thankyou, I’ve been chronically ill from birth due to De Morsier’s Syndrome (septo-optic dysplasia) which has only recently been diagnosed via MRI, along with a lot of other creeping diseases, and I’ve in passing suspected Myasthenia Gravis, so this video has given me something I can take pubmed documents to my doctor to take things more seriously.
@AmiyaPrasadMD
@AmiyaPrasadMD 18 дней назад
Sorry to hear about your health issues, @Narcoleptinsomniac. I'm glad you found the video informative. I hope you get better soon.
@geemanz7806
@geemanz7806 2 месяца назад
I have a third nerve palsy,can i get your clinic number or an email,so that we can speak more about it please.
@AmiyaPrasadMD
@AmiyaPrasadMD 2 месяца назад
Hi @geemanz7806, I actually don't treat third nerve palsy as it's a neurological condition, so you can seek a local neurologist for treatment. As a specialty eyelid surgeon, I treat people with eyelid ptosis due to stretched, detached, o weakened muscles of the upper eyelids. I hope this clarifies things for you.
@alfiyatamboli482
@alfiyatamboli482 2 месяца назад
Ur hospital adress? My boy suffers ptosis on his left eye he is 3 year old
@AmiyaPrasadMD
@AmiyaPrasadMD 2 месяца назад
Hi @alfiyatamboli482, Sorry to hear about your son's problem. I suggest you seek a pediatric ophthalmologist who specialized in, and performs congenital ptosis correction surgery on children. I actually don't operate on children. I hope this helps you.
@alfiyatamboli482
@alfiyatamboli482 2 месяца назад
Ur hospital adress?
@Moi_81
@Moi_81 2 года назад
My eyes have been changing in weird ways. Saw one doctor to get help, dude was extremely cruel.
@AmiyaPrasadMD
@AmiyaPrasadMD 2 года назад
Hi Mian Muhammad Nadeem, The amount of shedding would depend on how the injector performs the treatment, how often it is performed, and of course individual factors in your personal case. I suggest you meet with your prospective doctor, and also have the cause of your hair loss properly diagnosed as there could be other treatments available to you, such as DHT-blockers if male pattern hair loss is confirmed in your case. I hope this helps you.
@englishwithmr.mohamedmahmo4477
@englishwithmr.mohamedmahmo4477 2 месяца назад
Dr i have Marcus Gunn jaw winking syndrome What is the the best solution for this?
@AmiyaPrasadMD
@AmiyaPrasadMD 2 месяца назад
Hi @englishwithmr.mohamedmahmo4477, Sorry to hear about your problem. There is a range in manifestation of Marcus Gunn jaw winking, so there isn't a single treatment that applies to every case. You do need to see an experienced doctor to determine the severity, and treatment can be determined from there. I hope this clarifies things for you.
@englishwithmr.mohamedmahmo4477
@englishwithmr.mohamedmahmo4477 2 месяца назад
@@AmiyaPrasadMD after the surgery Does the eyelash move naturally or remain stable?
@AmiyaPrasadMD
@AmiyaPrasadMD 2 месяца назад
Hi@@englishwithmr.mohamedmahmo4477, Surgery may not be the best course of action, and an examination is needed to assess severity before stability of the eyelashes is determined. If you want definite answers, a physical examination is needed. i hope this clarifies things for you.
@terryblaze1839
@terryblaze1839 Год назад
I have bad ugly ptosis in right eye gue to injury...I'm in England UK and bin to many hospitals and surgeons who say they can't fix it....even asked them to take the eye out and fit phrosohetic eye and they say no...????..it's bad and painful and closeing up and now crossed
@AmiyaPrasadMD
@AmiyaPrasadMD Год назад
Hi Terry Blaze, Sorry to hear about your problem. I would have to examine your right eyelid, and right eye anatomy to determine what can be done for your case. Without an examination, I can't say for sure if something can be done to help you.
@terryblaze1839
@terryblaze1839 Год назад
Not that bad sir....but it needs lifting a half inch from the brown.... childhood accident...good vision ..but left is not good...
@AmiyaPrasadMD
@AmiyaPrasadMD Год назад
Hi@@terryblaze1839, You need to have an examination with an experienced oculoplastic/ oculofacial plastic surgeon, like myself who specializes in eyelid ptosis correction, and eyelid reconstruction. Our offices are in New York if you are considering a consultation.
@anum3702
@anum3702 2 года назад
Dr. Contact lens usage or Lasik...which is better
@AmiyaPrasadMD
@AmiyaPrasadMD 2 года назад
Hi Anu m, That's for you to decide. As you can see in my videos, I wear glasses.
@BeenaKaKitchen
@BeenaKaKitchen 10 месяцев назад
My mrv report says.. non visualization of transverve sinus in brain.. and right eyelid is droopy... is it due to blockage in transverse sinus?? Dr reply plz
@AmiyaPrasadMD
@AmiyaPrasadMD 10 месяцев назад
Hi @beenyshobbies9965, I suggest you discuss your full results with the doctor who ordered your tests, as this is just a portion of your results. I hope this helps you.
@aprilcloyce7426
@aprilcloyce7426 2 года назад
Thank you. I had vivace radio frequency microneedling she went around my eye with a high heat. The eye that hurt more and was more red during procedure was injured After procedure my jaw was tight tongue felt weird my eyebrow went down I have a bulge on inner eyelid ophthalmologist said I have brow prolapse also have fat loss dent on inner eye. It’s been 7 months and my eyelid is still droopy have a pain in my ear and temple. I can hear my heartbeat in my ear on the side that was injured. Cosmetic dermatologist told me esthetician injured my nerves on my temple where I have fat loss dent. I had an mri they said I have trigeneral neuralgia. Seen an ocular surgeon and he won’t fix my eye because he says it only 1mm of droopiness . I hate taking pics because looks like I have a lazy eyelid. I don’t know if I need eyelid lift or a brow lift. Was told not to do anything to my eye for at least a yr. It’s been 7 months and my eye still looks ugly I have no idea how to fix the dent of fat loss on inner eye there’s a dent into my nose. Was told its risky to inject filler or prf.
@AmiyaPrasadMD
@AmiyaPrasadMD 2 года назад
Hi april Cloyce, Sorry to hear what happened to you, but I would have to assess your eye area myself before I can determine procedures that may help with your current appearance.
@aprilcloyce7426
@aprilcloyce7426 2 года назад
@@AmiyaPrasadMD ty I saved the contact info you sent me one day I will make an appointment go to NY. We appreciate your skill knowledge you have helping people ty
@AmiyaPrasadMD
@AmiyaPrasadMD 2 года назад
You're welcome,@@aprilcloyce7426. I hope to meet you sometime soon.
@nutansharma6217
@nutansharma6217 19 дней назад
​@@AmiyaPrasadMDsir i m from india...want to share my reports wirh u as i hv ptotis
@susandeche2937
@susandeche2937 8 месяцев назад
My daughter had zero positive myasthenia gravis and has had ptosis for 8-10 years can she be helped? We are from Kenya how can we go about this?
@AmiyaPrasadMD
@AmiyaPrasadMD 8 месяцев назад
Hi @susandeche2937, Sorry to hear about your problem. The cause of eyelid ptosis needs to be properly diagnosed. Neurological causes can be diagnosed, and ruled out by a neurologist. Eyelid ptosis caused by a weak eyelid muscle needs diagnosis from an oculoplastic surgeon, or an ophthalmologist. You can refer to this video on how I diagnose eyelid ptosis as an oculoplastic surgeon, also trained as an ophthalmologist - ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-7gWSjQce3DQ.html
@pinkllamafriends2844
@pinkllamafriends2844 7 месяцев назад
Hello I have a quick question, I fell down on my face really hard on ice and get stitches a week later I noticed that my left eye is droopy will it will my eye go back to normal size and how long it will take to heal?
@AmiyaPrasadMD
@AmiyaPrasadMD 7 месяцев назад
Hi @pinkllamafriends2844, Sorry to hear about your injury. The droopiness in your left eye needs a proper diagnosis, as an injury to the face/eyes can injure the muscle that lifts the eyelid. You can refer to this video on how I would measure function of the upper eyelid muscle - ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-7gWSjQce3DQ.html
@lizpromontionals1022
@lizpromontionals1022 Год назад
Can this be caused by prescription Medicine ever?
@nalondovincent9751
@nalondovincent9751 Год назад
I wanted to send a picture of my eye to your fb account only to find that you were lastly active in 2009. Please, following your explanation I feel I should have a close chat with you based on my condition which I feel it's Ptosis. Which platform are you using for communicating with you?
@AmiyaPrasadMD
@AmiyaPrasadMD Год назад
Hi Nalondo Vincent, Consultations are by appointment only, and can be arranged by our offices to be done remotely on a one-on-one video call on Skype or FaceTime. Consultations do require a consultation fee, but the fee can be applied to the cost of treatment. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
@Morningcuisine
@Morningcuisine 2 года назад
Hello, can you tell about massage with overcorrection? I can’t ask my doctor, because i moved to another country! I have surgery 5 mounth ago! Please! I am in despair Sorry for my English !!!! It’s not my native language!
@AmiyaPrasadMD
@AmiyaPrasadMD 2 года назад
Hi Morning cuisine, I hope you understand that I can't recommend massage without examining your condition, as it also has the potential to undo your surgeon's work. Overcorrection is often addressed with additional surgery for the eyelids to close fully. If you are really distressed about it, I suggest you see an oculoplastic surgeon in your new country for a proper examination, and recommendations based on the examination. I hope this helps you.
@Morningcuisine
@Morningcuisine 2 года назад
@@AmiyaPrasadMD 🙏 Thank you!
@AmiyaPrasadMD
@AmiyaPrasadMD 2 года назад
You're welcome, @@Morningcuisine
@ttyjer824
@ttyjer824 2 года назад
Thanks. Hi DR. I over exfoliated my face skin more than 3 years ago and my skin color looked like burned skin sometimes ever since and skin does not look healthy at all. moisturizers didn't help. what kind of treatment do you recommend please?
@AmiyaPrasadMD
@AmiyaPrasadMD 2 года назад
Hi, I hope you understand that I would have to examine your skin first before recommending specific treatments for you. Making treatment recommendations without basis may harm your skin. If you can't see us for an examination, I suggest you consult with a local dermatologist who can examine your skin, and make recommendations based on their examination. I hope this helps you.
@pallavipandey1875
@pallavipandey1875 2 года назад
sir i had severe acne for that i was on accutane the day i was off accutane i went for mnrf treatment which just changed my skin . i have acne scars all over my face and needle holes (2 month) . i never had that before but dr suggest . please tell me what to do ? . can i risk for laser ?
@AmiyaPrasadMD
@AmiyaPrasadMD 2 года назад
Hi Pallavi Pandey, I recommend that people be off isotretinoin/Accutane for at least a year before they have any aggressive skin treatments as isotretinoin leaves the skin very fragile. You can refer to this video about it - ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-3_s6FhEbgtI.html
@shahzodaganiyeva1355
@shahzodaganiyeva1355 Год назад
HELLO I'M SHAKHZODA I'M 28 YEARS OLD. I HAVE COMPLETE UNILATERAL CONGENITAL PTOSIS. WHEN I CHEW OR OPEN THE MOUTH, MY DOWN EYE OPENS. WHEN I'M PHOTOGRAPHED I CAN OPEN THE DOWN EYE TEMPORARY, I HAVE MARCUS HUNN'S SYNDROME. My vision is one healthy eye 0.8, the other LOWERED EYE 0.3. PLEASE TELL ME IN THIS CASE HOW EFFECTIVE IS THE OPERATION. Local doctors said that we are operating, the lowered eye opens, but when you chew, the eye continues to move. This eye closes again gradually. But we do not give a guarantee so they said. PLEASE SAY IN AMERICA DO SUCH OPERATION ALSO. AFTER THE OPERATION, MY EYE CAN WORK NORMALLY. Is there any hope for this operation?
@AmiyaPrasadMD
@AmiyaPrasadMD Год назад
Hi @shahzodaganiyeva1355, Sorry to hear about your problem. Your doctors are right that nothing can be done for your eyes drooping when you chew as it is a nerve issue, not an issue with the muscle that is treated with surgery. I would only recommend surgery if the eyelids are drooping when not chewing. I hope this clarifies things for you.
@shahzodaganiyeva1355
@shahzodaganiyeva1355 Год назад
​@@AmiyaPrasadMDHello, I'm sorry, but you misunderstood me a little. NORMALLY MY EYE IS CLOSED, WHEN I MUST OR MOUTH OPEN MY EYELD IS UP, THAT IS MY DOWN EYE IS OPENING. IT DOESN'T CLOSED.
@AmiyaPrasadMD
@AmiyaPrasadMD Год назад
Hi@@shahzodaganiyeva1355, You would need an examination for further advice as surgery does not treat the neurological cause of your condition. If you can't see us, and you've already seen doctors in your country, you can consult with a university ophthalmologist who studies these neurological conditions closely. I hope this helps you.
@mahfujahmed1515
@mahfujahmed1515 Год назад
Hey doctor My ptosis mild I'm 2time surgery But no perfect my eye
@AmiyaPrasadMD
@AmiyaPrasadMD Год назад
Hi Mahfuj Ahmed, It is common for eyelid ptosis surgery to be needed more than once in a lifetime. The levator muscle that lifts the upper eyelid is engaged thousands of times a day, every day. Also, the goal is not to get perfectly symmetrical eyelids because there is a natural difference of positioning of the eyes, as well as eyelid height due to bone structure. You can refer to these videos about them: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-4FHEWqPKZMU.html ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-1WvlL2djMZU.html
@zahrakhalid2438
@zahrakhalid2438 Год назад
Dr . How can I differentiate between 3rd nerve palsy and myasthenia gravis?
@AmiyaPrasadMD
@AmiyaPrasadMD Год назад
Hi Zahra Khalid, You need to see a neuro-ophthalmologist for an examination, and diagnosis. I hope this clarifies things for you.
@adeelaafzal2725
@adeelaafzal2725 2 года назад
My 8 yr old daughter had covid in May . Now she is having hair loss . Plz advice ?
@AmiyaPrasadMD
@AmiyaPrasadMD 2 года назад
Hi Adeela Afzal, Sorry to hear about your daughter's problem. It is likely temporary hair shedding due to the stress of Covid on the body. Hair shedding due to severe stress is called telogen effluvium, and usually does not require treatment for shed hair to grow back. However, I still suggest you see a local doctor for a proper examination and diagnosis. I hope this helps you.
@melt2947
@melt2947 2 года назад
Thankyou Dr 🙏🌝
@AmiyaPrasadMD
@AmiyaPrasadMD 2 года назад
Thank you for watching, Mel T!
@melt2947
@melt2947 2 года назад
@@AmiyaPrasadMD Dr what is your online consult fee please? I need some advice 🌝
@AmiyaPrasadMD
@AmiyaPrasadMD 2 года назад
Hi@@melt2947, You can reach out the Contact Us page of our site - prasadcosmeticsurgery.com/contact-us/
@melt2947
@melt2947 2 года назад
@@AmiyaPrasadMD Thankyou
@AmiyaPrasadMD
@AmiyaPrasadMD 2 года назад
You're welcome,@@melt2947
@sharonadesina_.
@sharonadesina_. 8 месяцев назад
what if someone has ptosis that could be caused by premature birth. Can ptosis be a likely cause of premature birth. Do you think it is necessary to perform surgery if it doesn’t affect vision (apart from wearing glasses). What if the person only wears glasses because their vision is blurry not because they feel their eyelids are hindering their sight? If that makes sense. (Glasses could run in the family) and it doesn’t cover the pupils of the eye? Do you think it’s necessary just for cosmetic reasons?
@AmiyaPrasadMD
@AmiyaPrasadMD 8 месяцев назад
Hi @sharonadesina_., Eyelid ptosis is not a cause of premature birth. Partial coverage of the pupil in infants due to ptosis can affect visual development. If ptosis mild, and is not partially covering the pupil, then ptosis won't affect vision, but there are other factors that reduce visual acuity, such as genetics, as you mention. Mild ptosis not affecting vision is not absolutely necessary to correct, and would be an elective cosmetic eyelid surgery. I hope this clarifies things for you.
@sharonadesina_.
@sharonadesina_. 8 месяцев назад
thank you for the clarification. However, in doing my research, I found that the eye develops in the last stages of pregnancy, which can affect the eye muscle of the eyelids. If this is so, could premature birth affect ptosis in the sense of growth. Because we know that premature birth can hinder many health developments.@@AmiyaPrasadMD
@AmiyaPrasadMD
@AmiyaPrasadMD 8 месяцев назад
Hi@@sharonadesina_., While it is possible for ptosis to occur due to be born prematurely, your original question was if ptosis itself could cause premature birth, which it does not. I hope this clarifies things for you.
@tarirealty
@tarirealty 9 месяцев назад
I came down with Horners syndrome 20 months ago. My right side pupil didn’t dilate, no sweat on the right side of my head, and I had a droopy eye lid on the right side. The Drs did all the testing and couldn’t find anything causing it. About 4-5 months ago the sweat came back and so did the pupil dilation, but my eye lid still droops! Will it ever heal on its own or do have to get surgery? 😢
@AmiyaPrasadMD
@AmiyaPrasadMD 9 месяцев назад
Hi @tarirealty, Sorry to hear about your problem. I would have to see your test results, as well as examine your eyelids personally in consultation to diagnose your condition, and answer your question.
@tarirealty
@tarirealty 8 месяцев назад
@@AmiyaPrasadMD why would you need to see the test results if there was nothing found? I’ve seen 3 different neurologist and they all said the same thing. Have you ever seen a patient with droopy eye lid from Horners that healed on its own after some time?
@AmiyaPrasadMD
@AmiyaPrasadMD 8 месяцев назад
Hi@@tarirealty, I would need to see test results for a proper second opinion. As an oculoplastic surgeon, I treat ptosis due to a stretched or detached levator muscle that lifts the eyelid. If ptosis is due to a neurological condition, I may refer these issues to a neurologist. Since I have not examined you, nor do I normally treat neurological causes of ptosis, I defer to the judgment and diagnoses of your neurologists who have examined your condition.
@anum3702
@anum3702 2 года назад
Getting a tattoo is bad for skin ?
@AmiyaPrasadMD
@AmiyaPrasadMD 2 года назад
Hi Anu m, As long as the tattooing is done hygienically, performed by an experienced artist, and your skin is not particularly sensitive to the trauma of tattoo needles, a tattoo should not affect your skin in negative way. I hope this clarifies things for you.
@anum3702
@anum3702 2 года назад
@@AmiyaPrasadMD dr naturally by birth I have retrogenia or receding chin which is visible in side profile only...... anything can be done
@AmiyaPrasadMD
@AmiyaPrasadMD 2 года назад
Hi@@anum3702, Yes, you can refer to this video about it - ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-dP5gLXQ9ECc.html
@yourjewel1090
@yourjewel1090 2 года назад
Sir iam 20 years old suffering from mpb. Ive started fin coz iam going through late adolscene. I will start it by next yr. Ive seen a lot of hairs falling in one time from my back area also. I ve stressed a lot from the last 2 wks. May be this is telogen effluvim. So my question is will those hairs grow back if i don't take finasterade. Do they grow back Atleast in the back area
@AmiyaPrasadMD
@AmiyaPrasadMD 2 года назад
Hi Your Jewel, Finasteride is for slowing hair thinning in men sensitive to the hormone DHT, not for preventing hair shedding. It is normal to shed 50-100 hairs a day, but the hair will grow back. Pattern hair loss happens when those hairs grow back thinner after every shed, there is a delay in regrowth, and the number of regrowth cycles become more limited. You can refer to this video about it - ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-1B1hz-mTs38.html
@TheJohn11748
@TheJohn11748 2 года назад
@@AmiyaPrasadMD hello doctor I’ve had two prior ptosis surgeries I was wondering if you would make an evaluation and if it is possible for you to see a patient under these circumstances
@AmiyaPrasadMD
@AmiyaPrasadMD 2 года назад
Hi@@TheJohn11748, Having more than one eyelid ptosis surgery in a lifetime is quite common because the levator muscle is engaged thousands of times a day, every day, so there is a lot of wear. I would need to see records of your past surgeries, as well as perform a ptosis exam. I hope this clarifies things for you.
@xKarenWalkerx
@xKarenWalkerx Год назад
If suspect Horner’s Syndrome should we see Neurologist first? Or which type of specialist?
@AmiyaPrasadMD
@AmiyaPrasadMD Год назад
Hi BigCityKid, You could see an ophthalmologist (eye surgeon) first for a diagnosis. If they diagnose a neurological cause, then they can refer you to the appropriate neurologist, or neuro-ophthalmologist. I hope this clarifies things for you.
@xKarenWalkerx
@xKarenWalkerx Год назад
@@AmiyaPrasadMD yes, thank you 🙌
@AmiyaPrasadMD
@AmiyaPrasadMD Год назад
You're welcome,@@xKarenWalkerx
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