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Re: 4th cranial nerve palsy

John,
I certainly had something similar, though not just after my surgery. While awaiting my surgery date, two or three weeks before I woke up at night and was shocked to have very blurry vision. I blocked each eye in turn to make sure it was both, it was. It did a gradual clear up over about 5-10 minutes. Two days before surgery I did an afternoon nap and woke up with the same issue. I went outside and everything proceeded as in the prior event. I had a moment of thinking that I should alert the surgeon, but after discussing with my wife and both of us not wanting anything to interfere with the schedule, I said nothing. Scary though.

No recurrences in the three years since. My personal analysis was that it stemmed from a postural situation while watching the TV, seated or lying at an angle. At that time I was having nasty lower back issues, so I was lying down frequently. I've avoided that TV setup since then. I am quite sure it was a nerve impingement, though I figured it to be an upper cervical nerve. Although my optometrist as well as my GP have had no experience with this problem. It's most likely that I am susceptible to something like this due to my specific anatomy and history.

This is in line with Terry's suggestion, that a postural issue during surgery, or in the week thereafter could have triggered this event if you were susceptible to it.

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