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Related Experiment Video

Updated: May 18, 2026

Correction of Presbyopia by Monocular Bi-Aspheric Ablation Profile

Published on: September 20, 2024

How to deal with diplopia.

M Gräf¹, B Lorenz

¹Universitaetsklinikum Giessen and Marburg, Giessen Campus, Friedrichstrasse 18, 35392 Giessen, Germany. michael.h.graef@augen.med.uni-giessen.de

Revue Neurologique

|September 19, 2012

Summary

Diplopia, or double vision, has many causes. This review covers diagnostic tests and common reasons for monocular and binocular diplopia, guiding effective management strategies.

Area of Science:

Neuro-ophthalmology
Ophthalmology
Neurology

Background:

Diplopia (double vision) is a common neuro-ophthalmologic complaint with varied origins.
Distinguishing between monocular and binocular diplopia is key for diagnosis.
Acquired strabismus is a frequent direct cause of binocular diplopia.

Purpose of the Study:

To outline fundamental diagnostic tests for diplopia.
To review common etiologies of diplopia.
To guide efficient patient management based on diplopia type and cause.

Main Methods:

Review of diagnostic approaches for diplopia.
Categorization of diplopia causes into ocular, strabismic, orbital, and neurogenic.
Discussion of treatment modalities including occlusion, prisms, and surgery.

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Main Results:

Monocular diplopia often stems from optical media errors and differs from binocular diplopia, which results from failed image fusion.
Various strabismus types require ophthalmologic care, while orbital and neurogenic causes necessitate multidisciplinary or neurologic evaluation.
Effective management hinges on identifying the underlying cause, whether it be strabismus, orbital disease, or neurologic deficits.

Conclusions:

Accurate diagnosis of diplopia requires differentiating monocular from binocular types and identifying the specific underlying etiology.
Management strategies for diplopia are tailored to the cause, ranging from ophthalmologic treatments for strabismus to multidisciplinary approaches for orbital and neurogenic conditions.
Understanding the diverse causes of diplopia is crucial for effective neuro-ophthalmologic patient care.