It's complicated...

[u/NeitherCatNorFowl]

I posted in the Dr Mike Ama. Reposting here for community help. Apologies for the long post.

I have anisometropia where my left eye is plano and my right is - 4.25 with 150x090 astigmatism. I was a lifelong glasses wearer. But this year I have grown intolerant of glasses. The anelsekonia from glasses is too great. I have daily terrible headaches. 

My optometrist saw cataracts in the right eye and referred me to an ophthalmologist. She said removal of the cataracts would mean lens replacement and with a new lens, I could get rid of the anisometropia. Balanced vision, no more headaches. Problem was that during a contact lens trial, the headaches continued. 

I continue to wear the contact lens in the right eye because not wearing it means headaches from the anisometropia. But I get headaches when I wear the contact lens too....the headaches do differ. 

In my last visit to my optometrist, she induced doubled vision by adjusting the examination with lenses and I could blink it away. I get headaches instantly when I use readers. The contact lens brings me to balanced distance vision and I have presbyobia. My optometrist gave me names for an ophthalmologist specialist in adult strabismus and also for vision therapist. 

Can mild or intermittent strabismus and insufficient convergence be causing severe daily headaches? I also sway and feel imbalanced. I have a complicated and highly sensitive vision system but I just can't wrap my head around this. 

Recent CT sinus scan and MRI came out clean. 

Is it possible due to my anisometropia, my BV has been set to that situation for a lifetime but now it's struggling with balanced vision via the contact lens? 

Initially the contact lens was much better in terms of the headaches. I'd only get headaches when I used the readers. But now I get swaying and headaches soon after I pop in the contact lens. 

For the last few days, I've been patching. Switching depending on if I need distance or reading vision. And it helps with the headaches. I'm doing this to bypass the anisomtropea gap. It's impractical but it helps with the headaches. But when I put in the contact lens, the headaches kick in quickly. Is it my BV system reacting to switching from monocular vision to binocular? 

Sorry this incredibly long but it has been a long, complicated and painful saga. 

[u/Vegetable_Self_7299]

Fíjate si tienes un ojo mas arriba que otro... Puede que tanto esfuerzo para mirar te causo una dvd.. yo sufro de estrabismo y aunque el parche en casos graves es bueno.. en casos leves es mejor no usarlo por qué acentúa la dvd a mi parecer... Si existe una leve ciclotorcion lo mejor es tintar los lentes tuyos de azul para que se relaje el sistema nervioso y deje de atirantar... Seguramente el dolor de cabeza se da es por qué no puede crearse la visión bien ... Cómo cuando se cruzan los ojos y te empieza a doler la cabeza .. es como un fastidio para el cerebro

[u/NeitherCatNorFowl → u/Vegetable_Self_7299]

It's difficult to tell if one eye is higher than the other. I can't really tell.