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Torsional Diplopia.

Aaron M Miller1

  • 1From Houston Eye Associates, The Woodlands, Texas.

The American Orthoptic Journal
|November 14, 2015
PubMed
Summary
This summary is machine-generated.

Torsional diplopia, or double vision, can occur without visible strabismus. Physicians should consider cyclovertical muscle issues when diagnosing this condition in adults.

Keywords:
cyclodeviationcyclotropiadiplopiaexcyclotorsionhypertropiaincyclotorsiontorsion

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Area of Science:

  • Ophthalmology
  • Neuro-ophthalmology
  • Strabismology

Background:

  • Torsional diplopia can lead to fusion failure even in individuals without measurable strabismus.
  • Binocular diplopia complaints warrant consideration of cyclovertical muscle dysfunction when the cause is not obvious.

Purpose of the Study:

  • To evaluate potential causes of torsional diplopia.
  • To review predisposing factors, diagnostic techniques, and strabismus diagnoses for torsional diplopia.

Main Methods:

  • Literature review.
  • Analysis of personal experience treating adult strabismus patients.

Main Results:

  • Superior oblique palsy is the most frequent cause of torsional diplopia.
  • Thyroid-related orbitopathy and skew deviations are other common etiologies.

Conclusions:

  • Torsional diplopia is a frequent reason for undiagnosed strabismus in adults.
  • Systematic consideration of common causes is crucial for accurate diagnosis.