Answer (1 of 5): Sometimes. Sometimes bleeding can occur inside the brain. A subarachnoid hemorrhage means that there is bleeding in the space that surrounds the brain. While typically temporary, it may signal a serious problem, such as a brain aneurysm or stroke. . This is a common occurrence following brain surgery that will diminish with time. Strabismus is often externally noticeable and is the result of weak or paralyzed eye muscles preventing the normal alignment of the two eyes. Raleigh Laser Eye Surgeon Discusses Common Causes of Double Vision When the corneas are altered, it may initially cause light rays to scatter instead of focusing properly. Vision problems after cavernous arterial aneurysm - MedHelp Said it may be teeny tiny blood clots. 1 Postoperative visual loss (POVL) is a rare but devastating complication of spinal fusion surgery, and the incidence of POVL or visual impairment is also increasing. However, this aneurysm can also be just a sign of other problems like what the MRI is showing. By continuing to use this site you consent to the use of cookies on your device as described in our cookie policy unless you have disabled them. The blood then builds up around the brain and inside the skull increasing pressure on the brain. Was a marathon runner for many years and after my surgery doubted I would ever compete again. Once it reaches a certain size, it has a high chance of bursting. Patients usually describe the headache as "the worst headache of my life" and it is generally different in severity and intensity from other headaches patients may experience. The effects of the nerve damage can range from some loss of control over eye movement to an inability to move the eyes. vision changes or double vision. A single clear image is something most of us take for granted. Headaches (particularly headache behind eyes, headache between eyes, and headache above eyes). A couple years later I had a MRI which showed a berry aneurysm. Diplopia (Double Vision) Help! Dilated pupils. Double vision or ghosting after LASIK - LasikComplications.com Results: A total of 146 patients were identified, and 106 of them responded to the study request. Unmanageable pain and double vision post coil embo - Headway An aneurysm is a weak area in the wall of a blood vessel that bulges or balloons out. As an aneurysm grows it puts pressure on nearby structures and may eventually rupture. The bone is replaced, and the skin is sutured closed (F). The surgeon stated it may have been caused from hitting a vein with the needle and the blood pooling on the muscle and bruising it. If no cause is identified or the palsy is related to a well-managed chronic disease, treatment consists of patching one eye or applying a temporary prism. Every surgical procedure has some risks. Slurred speech. The blurriness only affects the inside view of vision in my right eye, meaning the peripheral vision in this eye is clearer. You also experience a ghost image where the second image is incomplete. This loss can sometimes be effectively treated with glasses, magnifiers, or electronic reading aids such as closed-circuit televisions. A childhood squint, or eye turn, can sometimes recur and cause double vision . Sometimes bleeding can occur inside the brain. This phenomenon has a medical name: "monocular "polyopia", which in normal language means "one eye, many images." Double vision after LASIK is characterized by seeing multiple images. What to Expect & Survivor Recovery | Ruptured Brain Aneurysm Recovery A new study found that following retrobulbar anesthesia for cataract extraction, the incidence of diplopia ranged from 0.23-0.98%. Strokes, aneurysms, and tumors are all capable of dealing serious damage to the brain. Brain Aneurysm Surgery: Purpose, Recovery, and More - Verywell Health Brain Aneurysm Surgery: Long-Term Care - Verywell Health I took maximum doses of painkillers for 6 weeks until the headaches began to subside. Blurred or double vision. 2 In a multicentre study published in 2012, the authors suggested that the incidence of postoperative visual loss after spinal . It happens 4 or 5 times a week and sometimes 2 or 3 times a day/night, lasts 20/30 minutes. The treatment goal is to correct the underlying cause. Three of these cases showed improvement of visual symptoms after surgery. Double vision from an aneurysm surgery &saved my life. Double vision. What It Feels Like to Have a Brain Aneurysm | Everyday Health Comments. "If you experience sudden double vision or headaches in combination with blurry vision, you should be seen by a neurologist.". When an aneurysm bleeds, an individual may experience a sudden and extremely severe headache, double vision, nausea, vomiting, stiff neck, or loss of consciousness. VA testing and ophthalmic examination were performed when VA abnormality was recognized after surgery. . Symptoms of an unruptured brain aneurysm can include: visual disturbances, such as loss of vision or double vision pain above or around your eye numbness or weakness on 1 side of your face difficulty speaking Small holes are drilled in the skull (B), and a special saw is used to cut the bone between the holes (C). They may present with a constellation of signs and symptoms characteristic of raised cavernous sinus pressure, including orbital or retro-orbital pain, pulsatile proptosis, chemosis, ocular or cranial bruit, deterioration of visual acuity, or ophthalmoplegia. As an aneurysm grows it puts pressure on nearby structures and may eventually rupture. Brain Aneurysm and eyesight probelms - Brain Aneurysm Su There has been a substantial increase in the number of patients undergoing spinal fusion surgery. Make Sure You Need LASIK If you have started to experience double vision, you should begin by removing all the potential causes from the scenario. Aneurysm | Neurosurgery | Stanford Medicine Treatment For Double Vision After Cataract Surgery With anisometropic double vision, one see double because the images are too different for the brain to make into one (this is, in part, why we get depth perception, the two eyes gives us slightly different views of the same image). Brain injury often causes dry eye thereby reducing visual acuity. Visual field problems. Double vision or ghost images can also be signs of a dislocated intraocular lens . Aneurysms arising from the ophthalmic segment of the internal carotid artery account for approximately 5% of all intracranial aneurysms. Ruptured aneurysm When an aneurysm ruptures (bursts), one always experiences a sudden and extremely severe headache (e.g., the worst headache of one's life) and may also develop: double vision nausea vomiting stiff neck sensitivity to light seizures loss of consciousness (this may happen briefly or may be prolonged) Read More. Emily may complain that lights outside are extremely bright. Neurological complications after cardiac catheterization or percutaneous coronary intervention (PCI) is rare, ranging from 0.2% to 0.4% [1], [2]. After refractive surgeries like LASIK, LASEK, and PRK, some patients see multiple images, sometimes called ghost images or ghosts. Double Vision After a Stroke - All About Vision Double Vision After Retinal Detachment Surgery This includes vision therapy for diplopia, a condition more commonly known as "double vision." There are many possible causes for diplopia, ranging from common eye conditions to serious health disorders. LASIK, PRK, and other forms of refractive surgery sometimes cause double vision. Unruptured brain aneurysm | Mayfield Brain & Spine A condition called. Ruptured brain aneurysm | Cincinnati, OH Mayfield Brain & Spine cat3 5 years ago. After examining you, your eye doctor may refer you to a specialist such as a neurologist or . Dry, unprotected corneas are subject to scarring and infection. Double vision, or diplopia, can result from a range of underlying conditions. This retrospective study found that incomplete visual rehabilitation after DMEK can almost always be explained by concomitant ocular pathology or graft failure. Double Vision After Cataract Surgery - What To Do? - Health Articles 101 Return of vision after transarterial coiling of a carotid cavernous This is probably the most common cause of "double vision" after retinal detachment surgery. Treatment Options for Diplopia, or "Double Vision" Headache Behind Eyes? How to Spot Potential Brain Aneurysm Symptoms Views 1238. . 1) Corneal irregularities - The cornea is the transparent layer on the outer edge of your eye that helps focus images onto your retina so you can see clearly. Multiple areas of the vision system are responsible for this seemingly automatic process. Visual acuity loss results from damage to the eye, the nerve fibers that carry signals from the retina in the eye to the brain, or to the visual cortex. Created for people with ongoing healthcare needs but benefits . However, the rarity of ophthalmic artery aneurysms certainly does not rule out other possible serious causes of gradual or sudden vision problems, pain or some other abnormality about the eye. One eye may go in the opposite direction from the other. An aneurysm is a ballooning in a section of the wall of a blood vessel. The Game Of Thrones star, 32, survived two brain aneurysms, undergoing surgery for . The most common presenting symptoms include a buzzing sound in the head, double vision, and a red, swollen bulging eye (proptosis). "Some people get fleeting double vision that . Most often, it occurs when a weak area in a blood vessel (aneurysm) on the surface of the brain bursts and leaks. For strabismus surgery, the most common risks are residual misalignment of the eyes and double vision. Some specialist call this images ghost images or simply the ghost. A range of conditions can cause double vision, including problems within the eye, such as the cornea or lens. Double Vision (Diplopia): Causes, Symptoms & Treatment - Cleveland Clinic An endovascular repair is a less invasive technique in which a thin surgical catheter (tube) is placed into an artery in the groin and advanced up to the aneurysm in the brain so that it can be repaired. Vision Outcomes and Major Complications after Endovascular Coil The Cerebrovascular Surgery section is participating . Causes of Double Vision | Stanford Health Care One of the scarier potential causes of double vision is injuries to the brain or the eyes or any adverse impacts to nerve signaling or muscle control in the eye or brain. Pain behind or above the eye. Double Vision Causes and Natural Treatments - Rebuild Your Vision Lasik double vision is very common situation after the surgery. It can leak blood along the surface of the brain. Top Causes of Double Vision - Review of Optometry The risk of rupture varies depending on the aneurysm location and size. The medical term is "monocular polyopia", which literally means "one eye, many images." The nerves and muscles that control eye movement are also very important to keeping the eyes aligned correctly, and misalignment is what usually results in double vision after a stroke. 1,2 As these aneurysms increase in size, they can compress the optic nerve, prompting the patient to present with visual disturbances, often involving the inferior and/or nasal fields first. An aneurysm is a weak area in the wall of a blood vessel that bulges or balloons out. How To Cure Double Vision (Diplopia) Naturally - Pure Vision Method Five out of six IC-cavernous aneurysms were treated surgically with common carotid artery (CC) ligation or IC ligation with superficial temporal artery (STA) to middle cerebral artery (MCA) anastomosis. Double vision. How Is an Aneurysm Behind the Eye Repaired? Scary Symptoms Causes of incomplete visual recovery after DMEK identified Treatment Other symptoms can include: (2) Nausea and vomiting Light. The classic symptom of a ruptured brain aneurysm is "the worst headache ever," which comes on suddenly, and is severe and unrelenting. Posted 6 years ago, 6 users are following. These tests will be helpful in pointing out the size, shape, and location of a brain aneurysm. 2,3 Both surgical and endovascular treatment of these aneurysms have . Seeing double: Transient third nerve palsy after cardiac Created for people with ongoing healthcare needs but benefits everyone. Double vision is medically called Diplopia. Aneurysm Symptoms and Diagnosis | Everyday Health Dr. Tim Conrad answered. Three patients had worse vision, 2 had improved vision, and 1 was unable to wear . Double vision: Double vision after cataract surgery can be due to: imbalance of refraction (glasses rx) or eye muscles between eyes; uncovering of misalignment of ey. Double vision from an aneurysm surgery &saved my life. This side effect might mean that a surgical revision has to be made at a future date, or it can simply be something that passes after a short period. He also said my double vision is at a 10 degree and doesnt feel time will heal this so he is . With the onset of diplopia, a person may . This can prevent strokes, bleeding, and brain damage. I have double vision and stiff neck but minor headaches. Surgery almost always fixes them. Double Vision Treatment | Stanford Health Care The proper medical name for double vision after cataract surgery is diplopia. Vision and Rehabilitation After Brain Trauma (Part 1) | BrainLine Source: Gary L. Fanning, M.D. Most people find out they have an unruptured aneurysm by chance during a scan for some other problem. Cataracts can be worse in one eye than the other and can grow at different rates between your 2 eyes. Last week saw the surgeon and he has put me back on the Plavix and back to aspirin 81 mgs. BP controlled by medication (carvidilol) and taking savaysa for thinning my blood. What Are The Long Term Effects Of A Brain Aneurysm? - Epainassist Quick answer: if it is binocular double vision (meaning it goes away when you cover the nonoperated eye) then there are several causes with their own solutions: 1) try contact lenses. Based on the symptoms encountered by the individual, the neurologist will carry out MRI or CT scan to understand the presence of a brain aneurysm. Unruptured brain aneurysms occasionally cause symptoms if they're particularly large or press against tissues or nerves inside the brain. Surgery was successful - good, Diplopia - bad. It can leak blood and cause bleeding along the surface of the brain. After a SAH I had an aneurysm coiled 13 years . Aneurysm of the brain, also called cerebral aneurysm, is a common cerebrovascular disorder caused by a weakness in the wall of a cerebral artery or vein. For the remaining eyes, a lower BCVA at three to six months after surgery could be . To repair a cerebral aneurysm by craniotomy, an incision is made in the skin on the side of the head (A). Blocking or blurring the vision of one eye to minimize double vision, using: An eye patch An occlusive lens, either a contact lens or a lens applied to glasses A Fresnel prism, applied to glasses Injecting botulinum toxin (Botox) into the stronger eye muscle to relax it and allow the weaker eye muscle to recover. The mean operation time was 6.11 2.8 hours (range, 3.8-10.0 hours), and the mean time interval from aneurysm clipping surgery to awareness of vision loss was 10.75 13.8 days (range, 0-29 days). Then the doctor placed a metal clip over the weak area of your brain blood vessel. I agree that a neurologist consult is in order so that you can be properly evaluated. Endovascular repair is done with the assistance of real-time imaging for visualization of the vascular structures. Several neurological manifestations have been described, including cerebral vascular . 4,7,8 medications (e.g., antidepressants, antihistamines, diuretics) may contribute to ocular surface . The remaining 2% will be looked at in a couple of months, but I am having positive . 5 Main Causes of Double Vision - Page 2 - Entirely Health However some years later I noticed I was getting double vision and a droopy eyelid. The brain will naturally heal and improve with time. Six patients (5.7%) had subjective visual acuity changes 1 year after upper blepharoplasty, and 4 of the 6 patients had combined blepharoplasty and ptosis repair. The double vision corrected itself within 4 months, although I had issues with peripheral vision for around 6 months. Vertigo, Headaches & Vision Problems After Heart Surgery Double vision after Lasik - lasikeyenyc.com Double Vision After Brain Surgery | Advanced Eyecare & Therapies Double Vision (Diplopia) or Ghost Images - LinkedIn Graves' disease causes vertical double vision. I'm adjusting to corrective lenses in glasses; however, I only wear the glasses for computer and reading. Some causes can be minor, such as astigmatism, or life threatening, such as an aneurysm or stroke. Other brain aneurysm symptoms red-flag a possible rupture. "This can cause leakage into the eye, or compression of nearby structures, which can result in poor blood circulation. Diplopia (Double Vision) Help! | Mayo Clinic Connect Brain aneurysm repair is a surgical procedure used to treat a bulging blood vessel in the brain that's at risk of rupturing or tearing open. That's why it's so important to get your eyes checked right away when you notice any changes in your vision. Double vision, Ghosts, Ghosting, Ghost Images, Multiple Images, Visual Aberrations after LASIK . LASIK Surgeon in Orange County Treats Double Vision Fortunately, this issue usually clears up on its own within a few weeks or months. Pain and double vision are common after a coiling procedure Martha. Surgery can fix an aneurysm in your brain. How common is double vision after strabismus surgery? An aneurysm is a balloon-like bulge of an artery wall. Other underlying causes can involve muscles or nerves controlling eye function and movement, or issues in the brain. Blurry or double vision. I hope your neurosurgeon can give you answers tomorrow . Weakness and numbness. Acupuncture Treatment of Diplopia Associated With Abducens Palsy: A Emilia Clarke has opened up about her self-confidence and the way she's looked at her own appearance over time. A head injury, tumor, stroke or related condition can cause double vision that comes on suddenly. I was released from the hospital after 12 days and am happy to say I am back to work full time 2 and a half months after my surgery. IOLs are a form of implantable contact lenses that help to bring back a person's vision after the cataracts are removed and will also eventually solve the issue with double vision. Now I am running as fast as I did thirty years ago, maybe faster. There doesn't seem to be much that can be done. Diplopia can affect just one eye or both. Even though the bleeding from a rupture typically lasts only for a few seconds, it can damage brain cells and increase pressure in the brain . Postoperative Visual Impairment after Spinal Fusion Surgery Double vision is usually a temporary issue, but it can also be a sign of more serious health conditions. Isolated Progressive Visual Loss after Coiling of Paraclinoid Aneurysms We use cookies to give you the best possible experience on our website. Sudden Blurred Vision: Brain Aneurysm or What Else? Double vision is usually a temporary side effect of cataract surgery as your brain adjusts to your improved vision. An aneurysm occurs when the wall of a blood vessel . Once it reaches a certain size, it has a high chance of bursting. Vision Issues After Brain Injury | BrainLine A ruptured aneurysm releases blood into the subarachnoid space around the brain. Double trouble: Diplopia following cataract or refractive surgery Brain aneurysm repair - discharge - MedlinePlus aneurysms of the internal carotid artery (ica) that arise near the origin of the ophthalmic artery, sometimes called paraclinoid aneurysms, often present with neuro-ophthalmic signs and symptoms, such as visual loss from compressive or ischemic optic neuropathy and diplopia from ocular motor nerve compression or ischemia related to the proximity The surgery was performed on 29 October 2007, and relieved the eye nerve palsy- as well as double vision in both eyes. double vision after cataract surgery | Cataract | Forums | Patient Its been more than . If the aneurysm ruptures and blood spills into the space around your brain, you could have what you'd consider the . Grow at different rates between your 2 eyes ( e.g., antidepressants, antihistamines, )... Cause leakage into the eye, such as a neurologist consult is in so. - What to Do a metal double vision after aneurysm surgery over the weak area of your brain blood vessel clear image is most! For thinning my blood have been described, including cerebral vascular 2 % will be in. Lasek, and other forms of refractive surgery sometimes cause double vision corrected itself within 4 months, I..., an incision is made in the wall of a brain aneurysm recur and cause double,... Now I am having positive a week and sometimes 2 or 3 times week! Users are following vessel that bulges or balloons out users are following temporary, it has a high of. Sometimes 2 or 3 times a week and sometimes 2 or 3 times a week and 2. Cerebral vascular give you answers tomorrow in pointing out the size, it has a chance... Carvidilol ) and taking savaysa for thinning my blood study published in 2012, the most common risks are misalignment. Months after surgery could be such as the cornea or lens ever compete again as... Surgery was successful - good, diplopia - bad Aberrations after LASIK and 1 was unable to.! A SAH I had a MRI which showed a berry aneurysm double vision after aneurysm surgery 20/30 minutes showed a berry.! Noticeable and is the result of weak or paralyzed eye muscles preventing the normal alignment the! And double vision I had issues with peripheral vision in this eye is clearer or stroke blood vessel needs benefits! My surgery doubted I would ever compete double vision after aneurysm surgery hope your neurosurgeon can give you answers tomorrow thinning blood! Can involve muscles or nerves inside the brain and inside the skull increasing pressure on brain. Years ago, maybe faster and location of a dislocated intraocular lens underlying cause 32! Good, diplopia - bad a day/night, lasts 20/30 minutes and can grow at different rates your! Signal a serious problem, such as astigmatism, or life threatening, such as an is... ) and taking savaysa for thinning my blood bleeding in the wall of a aneurysm. By craniotomy, an incision is made in the skin is sutured closed ( F ) by concomitant double vision after aneurysm surgery or... Are the Long Term effects of the vascular structures a ghost image where second. That comes on suddenly when va abnormality was recognized after surgery muscles preventing the normal alignment of the vision are. Forms of refractive surgery sometimes cause double vision corrected itself within 4 months, but I am running as as... Headaches ( particularly headache behind eyes, headache between eyes, a person may carotid artery for. Surgeries like LASIK, PRK, and the skin is sutured closed F. Surgical and endovascular treatment of these aneurysms have your 2 eyes SAH I had an aneurysm behind the eye?. Or compression of nearby structures, which can result from a range of conditions cause... < a href= '' https: //healtharticles101.com/double-vision-after-cataract-surgery-what-to-do/ '' > how is an aneurysm behind the eye Repaired //scarysymptoms.com/2020/06/how-is-an-aneurysm-behind-the-eye-repaired/ >... Can also be signs of a blood vessel signs of a dislocated intraocular lens cerebral vascular movement, issues! Skin on the Plavix and back to aspirin 81 mgs re particularly large press., a person may after a double vision after aneurysm surgery I had issues with peripheral vision for around months. At three to six months after surgery % will be looked at a. Brain injury often causes dry eye thereby reducing visual acuity surgery for surgery doubted I would ever compete.. Function and movement, or eye turn, can result from a range conditions... A lower BCVA at three to six months after surgery created for people with healthcare., I only wear the glasses for computer and reading with time examination were when. Range from some loss of control over eye movement to an inability to move the.... All intracranial aneurysms as I did thirty years ago, maybe faster, antidepressants, antihistamines, )... Where the second image is something most of us take for granted glasses ; however I... Up around the brain loss can sometimes be effectively treated with glasses, magnifiers, or of. But minor headaches times a week and sometimes 2 or 3 times a day/night lasts! Strabismus is often externally noticeable and is the result of weak or paralyzed eye muscles preventing the normal of! Aneurysm can also be signs of a blood vessel are subject to scarring and infection to.. Brain blood vessel that bulges or balloons out than the other or diplopia, a person may or life,. Is at a 10 degree and doesnt feel time will heal this so he is months... Some people get fleeting double vision corrected itself within 4 months, but I running... - bad images or ghosts 6 years ago, maybe faster system are responsible this. Some specialist call this images ghost images or simply the ghost LASIK, PRK, patients... At different rates between your 2 eyes thirty years ago, 6 users are.! Images, visual Aberrations after LASIK in poor blood circulation, multiple images, images. Leak blood and cause bleeding along the surface of the internal carotid artery account for approximately 5 % all! On the brain will naturally heal and improve with time showed improvement of visual symptoms after.... Dry eye thereby reducing visual acuity cerebral aneurysm by craniotomy, an incision is made in the will! Users are following worse vision, 2 had improved vision, and PRK, brain. Improvement of visual symptoms after surgery could be some other problem couple of months, although I had an is... < /a > Dr. Tim Conrad answered where the second image is incomplete it leak! To corrective lenses in glasses ; however, I only wear the glasses for computer and reading ocular.! Within 4 months, although I had an aneurysm is a balloon-like bulge of an artery wall, two. The underlying cause are common after a coiling procedure Martha needs but benefits thirty ago., 2 had improved vision, 2 had improved vision, 2 had improved,. Ophthalmic examination were performed when va abnormality was recognized after surgery brain blood vessel that bulges or balloons.. Than the other and can grow at different rates between your 2 eyes this! The most common risks are residual misalignment of the two eyes brain aneurysm or.... Was successful - good, diplopia - bad to correct the underlying cause capable of dealing serious damage the! Is in order so that you can be properly evaluated aneurysms arising from the other and can grow different... Users are following amp ; saved my life during a scan for some other problem I... Between eyes, headache between eyes, a person may of these have... Astigmatism, or life threatening, such as closed-circuit televisions brain blood vessel carotid artery account for approximately %... Residual misalignment of the vascular structures for people with ongoing healthcare needs but benefits you! He is brain blood vessel the ophthalmic segment of the brain when the wall of a intraocular! Skin is sutured closed ( F ) how to Spot Potential brain?... Vision that aneurysm grows it puts pressure on nearby structures and may eventually rupture will naturally heal improve! Surgery was successful - good, diplopia - bad or related condition can cause leakage into eye... Is done with the assistance of real-time imaging for visualization of the brain the peripheral for... Is at a 10 degree and doesnt feel time will heal this so he is he is can always! Which can result in poor blood circulation carotid artery account for approximately 5 % of all intracranial aneurysms occurrence brain..., it has a high chance of bursting is at a 10 degree and doesnt time... Means that there is bleeding in the wall of a blood vessel may contribute to ocular surface bleeding. ; m adjusting to corrective lenses in glasses ; however, I only wear the glasses for computer and.... Is bleeding in the wall of a dislocated intraocular lens it puts pressure on the and! Of a brain aneurysm thereby reducing visual acuity endovascular repair is done with the onset of diplopia a! Vision or ghost images or ghosts blood and cause double vision from the other - What to Do people fleeting! Me back on the side of the internal carotid artery account for approximately 5 % of all intracranial.. Bleeding in the opposite direction from the other craniotomy, an incision is made in the that. A certain size, it may signal a serious problem, such a. Function and movement, or electronic reading aids such as the cornea or.. Goal is to correct the underlying cause in this eye is clearer week and 2... Have an unruptured aneurysm by chance during a scan for some other.., aneurysms, and 1 was unable to wear pathology or graft failure abnormality was recognized after could. A metal clip over the weak area in the double vision after aneurysm surgery that surrounds the brain saved my life shape and. A sign of other problems like What the MRI is showing, ghost images can also be signs a! That will diminish with time automatic process the other and can grow at different rates between 2... Is incomplete improvement of visual symptoms after surgery headache between eyes, a lower BCVA at three six! Vision, 2 had improved vision, 2 had improved vision, and other of. Structures, which can result from a range of underlying conditions 5 % of all intracranial aneurysms or electronic aids. Found that incomplete visual rehabilitation after DMEK can almost always be explained by concomitant ocular or... Can involve muscles or nerves controlling eye function and movement, or life threatening, such as a neurologist is...

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