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Diplopia after Cataract Extraction.

Marc A Bouffard1, Dean M Cestari1

  • 1a Neuro-Ophthalmology service , Department of Ophthalmology, Massachusetts Eye and Ear, Harvard Medical School , Boston , MA , USA.

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Summary
This summary is machine-generated.

Diplopia, or double vision, can occur unexpectedly after cataract surgery. Understanding its various causes, such as anesthetic effects or unmasked eye misalignment, is key for effective treatment.

Keywords:
Adverse eventscataract surgerydouble visionstrabismussurgical complication

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Area of Science:

  • Ophthalmology
  • Surgical Outcomes
  • Neuro-ophthalmology

Background:

  • Diplopia following cataract extraction is an infrequent but perplexing complication.
  • Increasing volume of cataract surgeries in an aging population necessitates understanding this outcome.

Purpose of the Study:

  • To review the literature on the causes and management of diplopia after cataract extraction.
  • To enhance physician familiarity with this uncommon post-operative complication.

Main Methods:

  • Literature review of pertinent studies on post-cataract extraction diplopia.
  • Analysis of reported mechanisms and contributing factors.

Main Results:

  • Identified mechanisms include anesthetic myotoxicity, surgical trauma, and optical aberrations.
  • Congenital strabismus and unmasking of pre-existing ocular misalignment are also implicated.
  • Diplopia can arise from a combination of factors.

Conclusions:

  • Familiarity with the diverse causes of post-cataract extraction diplopia is crucial for accurate diagnosis.
  • Effective management strategies can be developed by understanding these underlying mechanisms.
  • Timely identification and treatment can improve patient outcomes.