Post-cataract surgery diplopia: aetiology, management and prevention
George Kalantzis1, Dimitris Papaconstantinou, Dimitris Karagiannis
11st Department of Ophthalmology, University of Athens, 'G.Gennimatas' General Hospital of Athens, Athens, Greece.
Clinical & Experimental Optometry
|August 21, 2014
Summary
Diplopia, or double vision, can occur after cataract surgery due to various factors. This review explores causes and management strategies for this complication.
Area of Science:
- Ophthalmology
- Surgical Complications
Background:
- Diplopia is an infrequent but distressing adverse outcome following uncomplicated cataract surgery.
- Several factors can contribute to its occurrence, including sensory disruption, muscle paresis, local anesthesia effects, optical aberrations, and pre-existing conditions.
Purpose of the Study:
- To review the etiology and clinical features of diplopia after cataract surgery.
- To discuss prevention and treatment modalities for this complication.
Main Methods:
- Literature review of studies on diplopia post-cataract surgery.
Main Results:
- Identified contributing factors include prolonged sensory deprivation, extraocular muscle paresis, local anesthetic myotoxicity, aniseikonia, and thyroid orbitopathy.
- Clinical features vary depending on the underlying cause.
Conclusions:
- Diplopia after cataract surgery is multifactorial.
- Understanding the etiology is crucial for effective prevention and management strategies.
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