A 2020 Update on 20/20 X 2: Diplopia after Ocular Surgery

Area of Science:

• Ophthalmology
• Strabismus Surgery

Background:

• Diplopia is a known risk following ocular and periocular surgery.
• Unexpected double vision post-surgery leads to patient distress and specialist referrals.

Purpose of the Study:

• To address the incidence, mechanisms, and treatment of post-operative diplopia.
• To provide insights into managing double vision after various ocular surgeries.
• To discuss predictive signs of post-operative diplopia.

Main Methods:

• Review of post-operative diplopia following retinal, orbital, glaucoma, and iatrogenic monovision surgeries.
• Presentation of both surgical and non-surgical treatment modalities.
• Discussion of early recognition of warning signs for post-operative diplopia.

Main Results:

• Post-operative diplopia is an encountered complication across diverse ophthalmic procedures.
• A range of treatments, both operative and conservative, can be employed.
• Identifying pre-operative indicators can aid in risk assessment.

Conclusions:

• Effective management strategies exist for post-operative diplopia.
• Understanding causative factors and predictive signs is crucial for ophthalmologists.
• Improving patient outcomes by mitigating double vision after eye surgery.