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Related Experiment Videos

Double Vision.

Michael S. Lee1, Nicholas J. Volpe

  • 1Department of Ophthalmology, Scheie Eye Institute, University of Pennsylvania School of Medicine, 51 North 39th Street, Philadelphia, PA 19104, USA. nickvolp@mail.med.upenn.edu

Current Treatment Options in Neurology
|June 8, 2001
PubMed
Summary
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Distinguishing double vision is key: monocular diplopia has various causes, while binocular diplopia results from eye misalignment. Management focuses on restoring single binocular vision, often with prisms or surgery.

Area of Science:

  • Ophthalmology
  • Neurology

Background:

  • Double vision (diplopia) evaluation requires differentiating monocular from binocular causes.
  • Monocular diplopia resolves when the affected eye is covered; binocular diplopia indicates ocular misalignment.

Purpose of the Study:

  • To outline the diagnostic approach to diplopia.
  • To discuss management strategies for binocular diplopia.

Main Methods:

  • Clinical differentiation based on covering each eye.
  • Review of causes and treatments for diplopia.

Main Results:

  • Monocular diplopia causes include cataract, refractive error, retinal disease, and rare cortical dysfunction (cerebral polyopia, palinopsia).
  • Binocular diplopia management aims to maximize single binocular vision, typically using prism lenses or eye muscle surgery.

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Conclusions:

  • Accurate diagnosis of diplopia type is crucial for appropriate management.
  • Treatment for binocular diplopia focuses on restoring comfortable single vision.