Chapter 21 – Diplopia. Episode overview: 1) List the differential diagnosis (critical emergent, urgent) for Diplopia. ▫ Including at least 7 causes of binocular. Transcript of DIPLOPIA BINOCULAR Puede tener diversas causas, especialmente una serie de enfermedades y trastornos de los músculos. Las causas más frecuentes de diplopía binocular fueron las parálisis de los nervios craneales, especialmente del vi, seguidas de estrabismos descompensados.

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The brain calculates the visual direction of an object based upon the position of its image relative to the fovea. In cases of microvascular ischemia, observation binocukar reasonable for an isolated palsy in an older patient.

The advantages of Scotch Satin tape are the low cost, reasonable appearance, and ability to patch only portions of caudas lens where diplopia occurs. References Publications referenced by this paper. Internuclear Ophthalmoplegia The medial longitudinal fasciculus MLF connects the sixth nerve nucleus on one side of the pons to the contralateral medial rectus subnucleus in the midbrain.

In an attempt to df double vision, the brain can sometimes ignore the image from one eye; a process known as suppression. That involves blocking one eye to see which symptoms are evident in each eye alone.

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Hemianopsia binasal bitemporal homonymous Quadrantanopia. Second, patients with a history of amblyopia or congenital strabismus may have a suppression scotoma in their nondominant, misaligned eye. Dacryoadenitis Epiphora Dacryocystitis Xerophthalmia.

Intermittent monocular diplopia often results from tear film insufficiency measured by early tear-film breakup time or Schirmer test. Aetiology and diagnostic of binocular diplopia. One of the first steps in diagnosing diplopia is often to see whether one of two major classifications may be eliminated: The ice test, sleep test, or neostigmine test can also be considered. Also, the need for overcorrected myopia to control intermittent exotropia may go unrecognized by the refractive surgeon.


A patient with an isolated, dilated and nonreactive pupil with normal extraocular movements and eyelid position does not have a third nerve palsy. Divergence insufficiency arises as a benign phenomenon with spontaneous resolution in many cases.

Monocular diplopia may be induced in many individuals, even those with normal eyesight, with simple defocusing experiments involving fine high contrast lines.

Diplopia can also occur when viewing with djplopia one eye; this is called monocular diplopiaor, where the patient perceives more than two images, monocular polyopia. Anisometropia induces different prismatic effect between eyes leading to diplopia.

Table 3 from [Strabismus and diplopia after refractive surgery]. – Semantic Scholar

Continuing navigation will be considered as acceptance of this use. This correlation of particular areas of the retina in one eye with the same areas in the other is known as retinal correspondence. To improve our services and products, we use “cookies” own or third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior. Neuroimaging showed structural lesions in Divergence insufficiency is an ocular motor anomaly characterized by horizontal diplopia in the distance.

This phenomenon is known as ‘visual confusion’. Ophthalmoplegia secondary to a neuropathy, myopathy, or neuromuscular junction disorder reveals slowed saccades. Conclusions The most frequent causes of binocular diplopia were cranial nerve palsies, especially the sixth cranial nerve, followed by decompensated strabismus. Therefore, patients may note relief of diplopia initially central fusion with prism trials.


These patients may be good candidates for monovision or contact lenses.

These patients typically do not benefit from prism therapy, vitreoretinal surgery, or strabismus surgery. SNIP measures contextual citation impact by wighting citations based on binoocular total number of citations in a subject field. Base-in reading glasses are not helpful in children and adolescents but may be effective in older patients.

To study the causes, diagnosis and treatment in a case series of binocular diplopia. In other binoclar, aniseikonia from anisometropia leads to disparate-sized images from each eye and the perception of diplopia. Se encontraron lesiones estructurales en las pruebas de imagen en un porcentaje importante. KellyD H Haight Journal of cataract and refractive surgery Objective To study the causes, diagnosis and treatment in a case series of binocular diplopia.

Conjugate gaze palsy Binoular insufficiency Internuclear ophthalmoplegia One and a half syndrome. The affected eye retracts with adduction. Asthenopia Hemeralopia Photophobia Scintillating scotoma. This item has received. Patients with a fairly comitant deviation may prefer prismatic correction.