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Related Experiment Videos

Diplopia: double the fun! Part 1: History taking.

W L Ottar1

  • 1Department of Ophthalmology and Visual Sciences, University of Iowa Hospital and Clinics, Iowa City 52242, USA.

Insight (American Society of Ophthalmic Registered Nurses)
|March 1, 2002
PubMed
Summary

A thorough patient history is crucial for diagnosing diplopia (double vision). Understanding the onset, duration, and frequency of symptoms helps identify common causes and guides effective ophthalmologic evaluation.

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Area of Science:

  • Ophthalmology
  • Neurology

Background:

  • Diplopia, or double vision, is a common presenting complaint in ophthalmology.
  • A detailed patient history is paramount for accurate diagnosis and effective management of diplopia.

Purpose of the Study:

  • To provide a systematic approach to taking a patient's history for diplopia.
  • To highlight critical questions for evaluating diplopia and suggest methods to avoid common pitfalls.

Main Methods:

  • Review of the essential components of a diplopia history.
  • Step-by-step guidance on questioning techniques for patients experiencing double vision.
  • Discussion of common etiologies of diplopia.

Main Results:

  • Emphasizes the importance of specific details like onset, duration, and frequency in diagnosing diplopia.
  • Provides practical advice for clinicians to elicit accurate and relevant historical information.
  • Identifies frequently encountered causes of double vision.

Conclusions:

  • A well-structured patient history is the cornerstone of successful diplopia evaluation.
  • Effective questioning can significantly improve diagnostic accuracy and patient outcomes.
  • Understanding common causes aids in efficient differential diagnosis.

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