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A 2020 Update on 20/20 X 2: Diplopia after Glaucoma Surgery
1Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida.
Journal of Binocular Vision and Ocular Motility
|November 9, 2021
Summary
New-onset double vision (diplopia) can occur after glaucoma surgery. This review covers the incidence, causes, and management of motility disturbances and strabismus following this common eye surgery.
Area of Science:
- Ophthalmology
- Neuroscience
Background:
- New-onset double vision (diplopia) is a potential complication of ocular surgeries.
- Glaucoma surgery is one such procedure where diplopia may arise.
Purpose of the Study:
- To review the incidence, mechanisms, characteristics, and treatment of diplopia and strabismus after glaucoma surgery.
- To inform surgeons about potential ocular motility disturbances and strabismus experts on management.
Main Methods:
- Literature review of studies on diplopia and strabismus post-glaucoma surgery.
- Analysis of reported incidence, etiological factors, clinical features, and therapeutic strategies.
Main Results:
- Diplopia and strabismus are recognized, albeit infrequent, complications following glaucoma surgery.
- Various mechanisms contribute to ocular motility disturbances, requiring specific diagnostic and management approaches.
Conclusions:
- Awareness of post-glaucoma surgery diplopia and strabismus is crucial for ophthalmologists.
- Understanding the underlying mechanisms is key for effective management by strabismus specialists.
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