Thursday, April 14, 2011

Pre-Op appointment

Today was our pre-op appointment with the pediatric ophthalmologist that will be doing our son's surgery for 4CNP - 4th Cranial Nerve Palsy.  His left eye is affected and they will be moving one of the bottom muscles that control the placement of the eye to another spot on the eye to help it align properly.  Right now, his eyes are not aligned, which causes him to tilt his head to the right to compensate....when he doesn't tilt his head, he has double vision.  So, the tilt eliminates the double vision.  If the surgery is successful, then it will also eliminate the double vision.
The appointment today was quick.  The doctor just needed to check him again to make sure that his original measurement was still accurate.  Basically there are three approaches to the condition.  One is to move the muscle just a short distance, the other is a medium distance, and the third option is to remove the muscle completely.  As you can see, these are mild, moderate and severe approaches to the issue.  Based on his measurements, our son will need the moderate approach.  They never start with the severe approach and only use it when nothing else has worked and there is still a major issue.  So, our doctor feels that the alignment issue is moderate and that surgical strategy should work best for our son.  I am confident in his measurements and skill.  He does this surgery over 10 times a week!  So, I know our son is in good hands. 
I will update next week after the surgery.  We also have a pre-op appointment with our pediatrician for his pre-op physical assessment.  This is where we were in January and got stopped when the pediatrician deemed his cold too severe to proceed.  It was inconvenient to reschedule, but it really was best for him...he was pretty sick.  This time around he appears to have seasonal allergies, so he is sneezing and congested, but not the same as a cold.  So, we should be good to go next week! 

No comments:

Post a Comment