A 75-year-old man with a recent history of pulmonary embolism, presented with collapse followed by a gran mal seizure and right-sided non-pulsatile proptosis. On recovery, he had diplopia on lateral and upward gaze and signs of congestive cardiac failure. Further pulmonary embolism was proven by lung scintigraphy. Computed tomography of his orbits confirmed a contrast-enhancing space-occupying ...

Dear Editor, Sub-Tenon’s anesthesia (STA) is widely used for regional orbital anesthesia. Complications of STA are rare but include inferior rectus muscle restriction [1-3]. There have been no reports of inferior rectus restriction after STA in Korea. We encountered a patient with inferior rectus muscle restriction after STA who eventually required surgical treatment and report the case herein....

In the next few months these intermittent symptoms became more constant and the patient noticed vertical diplopia on looking down and to the left and on reading; a Hess chart plotted on August i6, I967, now showed slight but definite evidence of a right superior oblique weakness (Fig. 2, opposite). A fortnight later she complained that the diplopia had suddenly altered, so that she was liow exp...

The indications for surgical repair of the orbital blowout fracture are controversial. One reason may be case variation among fracture types. We therefore focused on linear-type blowout fractures in this study. The study included 22 consecutive patients with linear-type floor fractures. Demographics, clinical and computed tomographic (CT) findings, surgical timing, postoperative course, and out...

Hermia-"Methinks I see these things with parted eye, When everything seems double." Helena-"So, methinks, "And I have found Demetrius like a jewel, Mine own and not mine own. "-A Midsummer-Night's Dream. Professor of the Ophthalmological Clinic at the Faculty of Paris. In that lecture Professor Marquez described a method devised by him for the elucidation of certain cases of diplopia. In this p...

Diplopia following retinal detachment usually responds to simple measures. Fifteen out of 311 cases developed diplopia lasting more than three months after conventional retinal detachment surgery. Binocular single vision was restored in 12 of the 15 cases (80%). The mean follow-up was four years. Diplopia was eliminated stepwise. If prisms were ineffective, our first surgical procedure was remo...

Ocular misalignment and ophthalmoparesis result in the symptom of binocular diplopia. In the evaluation of diplopia, localization of the ocular motility disorder is the main objective. This requires a systematic approach and knowledge of the ocular motor pathways and actions of the extraocular muscles. This article reviews the components of the ocular motor pathway and presents helpful tools fo...

A 63-year-old retired mining engineer with rheumatoid arthtitis presented in November 1976 with intermittent diplopia on upward gaze. His diplopia became increasingly troublesome, particularly on waking, and he was admitted under the care of the rheumatologists for investigation in February 1977. He had a 6-year history of seropositive erosive rheumatoid arthritis with numerous extra-articular ...

Although making a decision for the need for surgical correction of diplopia in blow-out fracture is difficult, it is logical to assume that an effective approach for management of diplopia in this type of injury should consider more than one factor. These factors include a preoperative BSV score and of the level of tissue herniation. Recently, the authors published two papers based on 10 year r...