Management of diplopia
نویسندگان
چکیده
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 mandatory. The cause of ocular misalignment for binocular diplopia must be determined and life-threatening conditions (such as posterior communicating artery aneurysm) must imply an immediate treatment. Management and treatment is always according to the specific cause of diplopia.
منابع مشابه
Diplopia Caused by Aripiprazole in a Depressed Patient With Healthy Eyesrt
Background: Diplopia, or double vision, is a common ophthalmologic complaint with many underlying causes, ocular and neurological. Aripiprazole has been reported to have fewer adverse effects and better efficacy than other atypical antipsychotics. Although ocular side effects of aripiprazole are not remarkable, two cases of diplopia associated with aripiprazole have been reported in the litera...
متن کاملRecently acquired diplopia in adults with long-standing strabismus.
BACKGROUND The evaluation and management of recent-onset diplopia in an adult with a history of long-standing strabismus can be perplexing and challenging. No guidelines exist, to my knowledge, for the examination of such patients. DESIGN A retrospective medical record review. SUBJECTS Patients seen in my practice with a history of recently acquired diplopia and a history of strabismus dati...
متن کاملManagement 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 ...
متن کاملDiplopia in Zygomatic – Complex Fracture
The purpose of this study was to investigate the incidence, etiology, treatment modalities, morbidity and types of diplopia in zygomatic complex fracture. Fifty patients with zygomatic-complex fractures who had attended the out-patient review clinic at Manchester Royal Infirmary in Manchester United Kingdom formed the study group. Information for the study was gathered from patient records from...
متن کاملNonsurgical 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...
متن کامل