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Two Orthoptic Treatments in Dragged-Fovea Diplopia Syndrome
Silvia Maddii1, Ilaria Biagini2, Alessia Aragno2
1From the Neuromusculoskeletal Department, Eye Clinic, University of Florence, Florence, Italy. silvia.maddii@unifi.it.
The American Orthoptic Journal
|September 15, 2017
Summary
Dragged-fovea diplopia syndrome, caused by epiretinal membranes (ERMs), presents challenges in management due to ineffective prisms. Customized orthoptic strategies are crucial for successful outcomes.
Area of Science:
- Ophthalmology
- Neuroscience
- Vision Science
Background:
- Dragged-fovea diplopia syndrome is a form of central binocular diplopia.
- It results from foveal displacement due to epiretinal membranes (ERMs) or other macular diseases.
- Conventional management with prisms is often ineffective.
Observation:
- Two cases of dragged-fovea diplopia syndrome were analyzed.
- Both patients had unilateral epiretinal membranes.
- The diplopia stemmed from conflicting central and peripheral fusion mechanisms.
Findings:
- Diplopia associated with ERM-induced foveal displacement requires complex management.
- Subjective patient symptoms and residual visual function are key factors.
- Optimizing orthoptic management is essential.
Implications:
- Careful consideration of patient-reported symptoms is vital.
- Tailoring orthoptic interventions to individual visual function can improve outcomes.
- Close collaboration between ophthalmologists and orthoptists is recommended for successful treatment.
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