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Related Experiment Videos

Transient vertical diplopia and silent sinus disorder.

F X Borruat1, B Jaques, J Dürig

  • 1Hôpital Ophtalmique Jules Gonin, Lausanne, Switzerland.

Journal of Neuro-Ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society
|September 24, 1999
PubMed
Summary

A man experienced temporary double vision due to a sinus issue affecting his eye socket. Surgical repair of the orbital floor resolved the condition, restoring normal vision.

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Area of Science:

  • Ophthalmology
  • Otolaryngology
  • Neurosurgery

Background:

  • Recurrent vertical diplopia can be a challenging symptom to diagnose.
  • Orbital floor fractures, even subtle ones, may present with atypical symptoms.

Observation:

  • A 57-year-old male presented with isolated, transient, recurrent vertical diplopia.
  • Physical examination revealed left hypoglobus and enophthalmos.
  • Imaging identified asymptomatic left maxillary chronic sinusitis with an 8 mm orbital floor depression.

Findings:

  • The patient's transient diplopia was attributed to temporary impairment of binocular fusion.
  • The underlying cause was identified as a depressed orbital floor secondary to chronic sinusitis.

Implications:

Related Experiment Videos

  • This case highlights the importance of considering orbital floor abnormalities in patients with unexplained diplopia.
  • Surgical reconstruction of the orbital floor can effectively treat diplopia caused by such defects.
  • Multidisciplinary approaches involving ophthalmology and otolaryngology are crucial for managing complex orbital conditions.