I just got off the phone with the eye doctor staff, who needed more information after our 2 hour appointment yesterday. This is the world of Kelly. 

Short story is, things look fine. Her optic nerves look "very healthy" which is excellent news, since that means her intercranial pressure is okay. She has had significant worsening of her nearsightedness in her right eye, and a slight worsening in her left, so she is getting an updated prescription for lenses. That part is pretty normal kid stuff, especially since her eyes take after mine with the nearsightedness. 

The more medical aspect is we are adding one thing and taking away another. She's been using bifocal/progressive lenses for a couple years to essentially provide exercise for her eye muscles; we did this with Kaylee as well to help with the vision part of her dyslexia. She no longer needs this; that aspect of her vision has improved, which is exactly what those bifocals were supposed to do. 

We are adding something called a prism to her lenses to work on a different vision problem. If you look closely at her pictures, you might notice her left eye looks off, like it's floating upwards. This eye, despite having better vision than the other eye, hasn't had good muscle control of the eyeball itself since her concussion. I describe it jokingly as she knocked it loose. After her concussion it would drift to the side like a pirate eye. Then, after some vision exercises over a couple months, it improved enough to at least not be distracting for anyone speaking to her, although it still wasn't as stable as it was before the injury. The LeFort surgery rearranged all the muscles around her lower eye socket, so when she came out of surgery, because of the amount of work that had to be done on that side of her face, her left eyeball would drift up. It's improved over time but is still noticable. She's developed a head tilt to compensate for her pupils not being in a straight line across her face. We're treating this conservatively, but hoping over time to get her eye to be centered again in her eye socket so she'll stop tilting her head, and so the visual appearance for people looking at her will be more typical.

That's a lot of words to say, things mostly look good, and we're trying to make them work a little better to head off problems in the future.