Diplopia: a diagnostic challenge with common and rare etiologies
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Updated: Apr 15, 2026

Assessing Binocular Central Visual Field and Binocular Eye Movements in a Dichoptic Viewing Condition
Published on: July 21, 2020
Mariana Alves1, Ana Miranda1, Marco R Narciso1
1Department of Medicine IIIA, Lisbon North Hospital Center - Hospital Pulido Valente, Lisbon, Portugal.
Background:
Diplopia is a symptom with very different etiologies. It may be caused by pathology in the eye, orbit, extraocular muscles, neuromuscular junction, or in the central nervous system.
Case Report:
Three clinical cases of hospitalization due to isolated diplopia are presented here, illustrating different etiologies.
Conclusions:
The present article aims to address the differential diagnosis of this clinical condition and to warn of less frequent causes of diplopia, such as adverse effects of commonly used drugs.
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