Management of diplopia

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Management of diplopia

Diplopia (seeing double) is an ophthalmologic complaint found mainly in elder patients. It can have both ocular and neurological causes. A careful history and clinical examination must detail the type of diplopia (monocular/ binocular), onset, and progression, associated and relieving factors. In case of monocular diplopia, refraction and biomicroscopic examination of the ocular media are manda...

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Management of diplopia with visual-field defects

PURPOSE The management of diplopia can be challenging in patients with a concurrent visual-field (VF) defect. We conducted a retrospective chart review to analyze and compare treatment outcomes for different types of VF defects. METHODS A retrospective chart review. RESULTS Seven patients with diplopia and VF defects were identified during the study. Four had bitemporal hemianopia, one had ...

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Nonsurgical management of binocular diplopia induced by macular pathology.

OBJECTIVE To treat binocular diplopia secondary to macular pathology. METHODS Seven patients underwent evaluation and treatment. All had constant vertical diplopia caused by various maculopathies, including subretinal neovascularization, epiretinal membrane, and central serous retinopathy. Visual acuity ranged from 20/20 to 20/30 in the affected eye. All except 1 patient had a small-angle, co...

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Diagnosis of Diplopia.

SIRS,-The article by E. C. Cowan (Brit. J. Ophthal., 1960, 44, 59), describing a simple apparatus for the diagnosis and recording of diplopia, prompts me to make a few observations. His instrument uses a method not unlike that which I described some years ago (Brit. J. Ophthal., 1949, 33, 54) and which is still available in an improved form called the "Lees Screen" from Theodore Hamblin Ltd. Mr...

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Sudden Onset Diplopia

Sudden onset diplopia can be the result of underlying systemic or neurological conditions. I present the case of a 32-year-old woman with a previously diagnosed convergence insufficiency, who developed sudden diplopia. Physicians ruled out systemic and neurological conditions, but were unable to resolve the diplopia. Functional optometric examination with vectographic targets showed Intermitten...

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ژورنال

عنوان ژورنال: Romanian Journal of Ophthalmology

سال: 2017

ISSN: 2457-4325,2501-2533

DOI: 10.22336/rjo.2017.31