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Related Experiment Videos

Diplopia after limited macular translocation surgery.

A N Buffenn1, E de Juan, G Fujii

  • 1Johns Hopkins University School of Medicine, Baltimore, Md, USA.

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
|December 26, 2001
PubMed
Summary

Limited macular translocation rarely causes double vision (diplopia). Standard eye alignment tests may underestimate misalignment, but prisms often resolve symptoms, especially without retinal distortion.

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Area of Science:

  • Ophthalmology
  • Retinal Surgery
  • Strabismus

Background:

  • Full macular translocation can cause significant torsional diplopia.
  • Limited macular translocation involves inducing retinal detachment and scleral imbrication for spontaneous reattachment.

Purpose of the Study:

  • To characterize the occurrence and management of diplopia in patients undergoing limited macular translocation surgery.

Main Methods:

  • Retinal translocation surgery was performed on 250 patients by two surgeons.
  • Data on translocation extent, scleral imbrication, and diplopia complaints were recorded.
  • Patients with diplopia underwent ocular motility evaluation and treatment.

Main Results:

  • 5.2% of patients reported diplopia.

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  • Excyclotorsion ranged from 0 to 16 degrees.
  • Prism-and-cover testing underestimated strabismus compared to subjective testing; prisms resolved diplopia in most cases.
  • Conclusions:

    • Limited macular translocation infrequently leads to symptomatic diplopia.
    • Traditional alignment tests may not reliably quantify misalignment after this procedure.
    • Prism therapy is effective, particularly when retinal distortion or aniseikonia is absent.