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Monocular central-field occlusion for intractable diplopia

D Kirschen, M C Flom

    American Journal of Optometry and Physiological Optics
    |May 1, 1977
    PubMed
    Summary
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    This study explored cosmetic methods to improve central vision for patients with intractable diplopia. Different image-degrading techniques on spectacle lenses offered personalized solutions for visual field enhancement.

    Area of Science:

    • Ophthalmology
    • Optometry
    • Visual Science

    Background:

    • Intractable diplopia significantly impacts patient quality of life.
    • Existing treatments for diplopia may not always be cosmetically or functionally optimal.
    • Central visual field degradation offers a novel approach to managing persistent double vision.

    Observation:

    • Two patients with strabismic diplopia were treated with spectacle lenses featuring central image-degrading discs.
    • Methods included translucent tape, a +7 D Fresnel lens, and stippled clear lacquer.
    • Patient preference varied, with one favoring lacquer and the other tape.

    Findings:

    • Central image degradation on spectacle lenses can provide a cosmetically acceptable solution for intractable diplopia.

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  • Personalized application of different degrading methods (tape, Fresnel lens, lacquer) yielded patient-specific optimal outcomes.
  • Successful management was achieved even when diplopia was present across most of the visual field.

    • Implications:

    • This approach offers a viable, non-invasive option for managing complex diplopia cases.
    • Tailoring image-degrading techniques to individual patient needs enhances functional vision and cosmetic acceptance.
    • Further research into central visual field management could improve outcomes for patients with challenging visual impairments.