This three year old girl was flown here to the James Hall Eye Center from Tajikistan in Central Asia. The first picture shows her with bilateral excessive tearing due to a tear duct obstruction on both sides. She also has esotropia – crossed eyes. The second photo shows her without tearing after bilateral surgery on her tear ducts. It was important to clear up her tear duct obstruction before operating on her crossed eyes as a blocked tear duct would be a source of infection which would compromise any muscle surgery. The second photo shows her after her successful eye muscle surgery for her esotropia – crossed eyes.
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Esotropia Crossed Eyes and Bilateral Tearing
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This several month old infant has eyes looking downward and bilateral upper eyelid retraction. We call this the "setting sun sign" as the eyes appear to be "setting". This child has nothing wrong with the eyes but this is a sign of increased pressure in the brain.
Dr. Pollard examined a 3-year-old child with extreme nearsightedness. When the child was fitted with glasses for the first time, he looked at the doctor and smiled.
Dr. Pollard operated on twin girls born with severe ptosis (droopy eyelids) resulting in a slit-like opening of only 1-2 mm.
