The condition is one of two major possible medical problems, both of which involve muscular paralysis around the eye. The first, is congenital muscular fibrosis. This involves obstructing fibroids, which prevent the muscles from functioning correctly. The second is Dewaynes Syndrome, in which case the muscle connections are improper and result in the eye being held in one position by a hypotonic contraction. Both problems have remarkably similar symptoms and are incredibly difficult to distinguish between to anyone other than a trained oculist. We understand that Thom has a remarkable amount of control in his eye, for someone who was previously paralysed completely. As a child he would have undergone numerous operations, and then been made to wear an eye patch for a year in order to strengthen his weak eye. The purpose of improving the condition of an eye in a case like this, is as much aesthetic as it is visually beneficial, as the eyes are our main form of bodily communication. Many thanks to a fairly anonymous source - Thank you Wendy - for this information. There are also a couple of other conditions which have similar symptoms. Thanks to Janice Smith, a student nurse, for posting the following information. Horner´s syndrome - a group of symptoms that are due to a disorder of the sympathetic nerves in the brainstem or cervical (neck) region. The syndrome consists of a constricted pupil, ptosis, and an absence of sweating over the affected side of the face. [J.F. Horner (1831-86), Swiss ophthalmologist] McFerren, T. A (Editor) (1994) A Dictionary Of Nursing. Second Edition. Great Britain: Oxford Reference. Page 216 Horner´s syndrome. This is the description given to a combination of changes resulting from paralysis of the sympathetic nerve in the neck. They are: small pupil, a drooping upper lid and an apparently (though not actually) sunken eye. Macpherson, G. (editor) (1995) Black´s Medical Dictionary. 38th Edition. London: A & C Black Limited. Page 236. Ptosis - drooping of the upper eyelid. This may be due to a disorder of the ocularmotor nerve, a disease of the eye muscle, or myasthenia gravis; it may also occur as part of Horner´s syndrome or as an isolated congenital feature. McFerren, T. A (Editor) (1994) A Dictionary Of Nursing. Second Edition. Great Britain: Oxford Reference. Page 386 [Janice Smith -- [email protected]]