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Causes of diplopia
D Dulayajinda1, P Kosrirukvongs, S Songcharoen
1Department of Ophthalmology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Summary
This study identified common diplopia types and causes in 96 patients, finding head trauma and systemic diseases most frequent. Early management strategies for diplopia are crucial for better patient outcomes.
Area of Science:
- Ophthalmology
- Neurology
Background:
- Diplopia, or double vision, is a common visual disturbance impacting patient quality of life.
- Understanding the prevalent types and etiological factors of diplopia is essential for effective clinical management.
Purpose of the Study:
- To investigate the common types and causes of diplopia in a prospective patient cohort.
- To inform the development of early and appropriate management strategies for diplopia.
Main Methods:
- A prospective study involving 96 patients diagnosed with diplopia.
- Data collection included patient demographics, diplopia type, and identified causes.
- Analysis focused on identifying the most frequent types and etiological categories.
Main Results:
- Horizontal, vertical, and torsional diplopia were the most common types observed.
- Head trauma (38.5%) and systemic diseases like diabetes mellitus and hypertension (20.8%) were the leading causes.
- Sixth cranial nerve paralysis was the most frequent cranial nerve palsy associated with diplopia.
Conclusions:
- Head trauma and systemic diseases are significant contributors to diplopia.
- Identifying specific causes like sixth cranial nerve paralysis is key for targeted treatment.
- While spontaneous fusion occurred, surgical outcomes for diplopia correction showed variable success rates.