My eyes are "off-center". What eye condition is this caused by? Is this correctable through surgery? (photos)

Question

It seems as though my eyes are not perfectly centered with one another. Is this a form of strabismus? Is this due to astigmatism? Or is it a type of lazy eye? I have blurry vision that seems to be getting worse and I'm worried that this is causing it. Is this correctable through surgery?

Kenneth D. Steinsapir, MD · Answer

If you are not satisfied and concerned, there is really only one option: Actually seeing surgeons in person.  This should have absolutely not bearing on your vision.  For that I recommend seeing a general ophthalmologist.  You can discuss your concerns with that individual as well and perhaps save yourself the expense of a consult.

Kenneth E. Morgenstern, MD · Answer

This type of issue is extremely difficult to evaluate via photos. The question is whether your eyes are misaligned (which could be an eye muscle problem) or if there is asymmetry with regard to the position of your eyeballs (an eye socket problem). For either of these types of problems, if the misalignment/asymmetry is small and is not causing functional problems, surgery is usually not necessary. Most people have some degree of facial asymmetry.To start, I would recommend a full in-person evaluation by a  comprehensive ophthalmologist. They can make specialized referrals if necessary.

Chase Lay, MD · Answer

From these photos it's a little difficult to see what you really look like.  It is possible for persons eyeball to literally be a different position on one side versus the other depending upon the anatomy of there orbit or eye socket.  Surgical correction of this is not a minor surgery and oftentimes not at all worth it.  He really should start out by seeing an ophthalmologist or oculoplastic surgeon.  For the particular issues your concerned about this forum will not be very effective for you in terms of gathering useful information.Sorry we cannot be more helpfulChase Lay, MDDouble board-certified facial plastic surgeon and eyelid and orbit reconstructions specialist

Michael Elam, MD (retired) · Answer

Dear Adrianw5, Okay the photograph is actually making me see double. It is really difficult to tell from this photograph and an examination is needed. I would suggest a simple examination with an opthalmologist for proper diagnosis. Best regards, Michael V. Elam, M.D.

My eyes are "off-center". What eye condition is this caused by? Is this correctable through surgery? (photos)

Answers (4)

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