Reason for Visit:
Evaluation of sudden, unilateral (left…read moreeye) loss of near-focus accommodation, accompanied by severe nausea, dizziness, and lightheadedness, which immediately followed a COVID-19 infection at 33 years old.
Review of Provider Conduct and Clinical Care:
I am submitting this review regarding my recent appointment with Selim T. Koseoglu, The care I received was unprofessional, dismissive, and clinically inadequate for a patient presenting with post-viral neurological symptoms.
* Complete Lack of Patient Communication: The doctor entered the room and spoke at me without allowing me to speak a single word or describe my symptoms. When he returned after my eyes were dilated, he continued to lecture rather than converse. When I explicitly asked if he even knew why I was there, he stated he "read the chart," yet he never actually allowed me to vocalize the structural and systemic nature of my issue.
* Dismissive and Demeaning Behavior: When I finally managed to explain my specific concerns regarding post-viral damage/weakness to the ciliary muscle mapping, the doctor completely dismissed me. He aggressively told me that what I was reading was "not medical science" and left the room looking visibly angry.
* Misdiagnosis and Clinical Oversight: Rather than addressing a sudden, one-sided focusing deficit linked directly to a viral infection, the doctor brushed it off as natural, age-related presbyopia and told me I would eventually just need bifocals. This completely misses the clinical reality: my current glasses work perfectly fine up close, my right eye accommodates normally, and my issue is a sudden binocular mismatch causing severe visual vertigo and nausea.
While a standard mechanical exam might show a structurally healthy eyeball, this doctor completely failed to investigate the neurological and functional aspects of post-viral accommodative insufficiency. Brushing off sudden, debilitating neurological symptoms in a 33-year-old as basic "aging" is an insult to patient care. There is an established body of science surrounding neuro-optometric rehabilitation and vision therapy for post-viral cranial nerve and ciliary dysfunction. I deserved a comprehensive binocular vision assessment, or at the very least, a referral to a neuro-optometric specialist, rather than being demeaned, arrogantly mansplained AT and dismissed. Clearly, this doctor needs to do a little bit more research in his field. Get up-to-date. things have changed since he first went to school.
However, my technician- I did not catch his name, but the black man with the long hair- I think his name started with a D, he was amazing. He was very patient, very kind and even though he didn't need to he tried to kind of pick up the pieces when I expressed distress at the fact that the doctor had not allowed me to speak a single word to him before leaving the room, and he explained what he could to me. He was great 10 out of 10, would recommend.
