Today we visited the ophthalmologist. Scarlett's eyes have not been examined since before her first surgery, so it was time to follow up. As always, we were ready to hear whatever the doctor had to say, ready to do whatever needed to be done.
We knew there was some limitation to Scarlett's peripheral vision on the right side. In the days before her first surgery, the tumor as growing quickly and we were seeing slight changes on a daily basis. One was her eyes beginning to move in different directions and unable to track from side to side. The doctor then told us that the optic nerve was in good shape, but that the tumor was putting pressure that was causing her eyes to deviate. Once the tumor was removed and the pressure equalized after her first shunt was placed, her eyes came back to center and eventually began tracking and following movement. One pupil has always been slightly larger than the other, but both are equally responsive to light.
However, we noticed she was ignoring things on the right side, especially once her hearing was compromised. I could with my face just inches from her right ear, and she would not turn or pay any attention to me. Even with the hearing aids, she seems to just not pay attention to what is on her right. This extends to her reflexes some; if we tip her toward the right, she does not put her hand down to support herself the way she does on the left.
Today was the first visit to the new doctor, who will now see Scarlett every few months. She was, first and foremost, so amazed by Scarlett! The little miss was all smiles until the eye drops had to go in. She tracked and followed every toy and light that the doctor used (something she will never do for momma at home!) After allowing her eyes to dilate, we were relieved to hear that her vision remains undamaged. The peripheral field cut will always be present, but children, especially those as young as Scarlett who haven't experienced much different, simply learn to deal with it. I had braced myself for glasses, vision loss, or worse, but was pleasantly surprised. It doesn't happen all that often!