You searched for "diplopia"

254 results found

Surgical management and review of congenital inferior rectus dysgenesis

Three cases are presented of congenital inferior rectus (IR) dysgenesis causing hypertropia. Case 1 was a two-year-old female with intermittent vertical strabismus of 20PD and -2 limitation on depression, worse in abduction. MRI imaging showed a hypoplastic IR. Following surgery,...

Outcomes for acute acquired non-accommodative comitant esotropia

Outcomes are reported in a retrospective review of 338 patients with acute acquired non-accommodative comitant esotropia (AACE). Mean age at presentation was 12.60 ±9.37 years and 220 were male, 118 female. Best corrected visual acuity was 0.2 ±0.29 logMAR overall;...

Medial rectus inferior half plication surgery for near exotropia

In this study the authors report a relatively new surgical treatment for near exotropia. The study included 17 patients: four with previous surgery and all with medial rectus injection of bupivacaine to reduce the angle of deviation. Treatment involved inferior...

Efficacy of augmented-dosed surgery versus botulinum toxin A injection for acute acquired concomitant esotropia

This is a retrospective study of 104 patients diagnosed with acute acquired concomitant esotropia (AACE) between 2020 and 2022. Potential factors that influence the dose-response of bilateral medial rectus recession (MRec) and the rate and risk factors for ACCE relapse...

BTA as a first-line treatment option for acute acquired comitant esotropia

This study presents results of a single-centre institute use of botulinum toxin A (BTA) as an initial treatment choice for acute acquired comitant esotropia (AACE). This was a prospective observational case series study of 72 patients (49 male, 23 female)...

Surgical management of 2 cases of synergistic adduction during elevation; aberrant regeneration

The authors present 2 cases with unusual findings of aberrant regeneration of the third cranial nerve palsy with coexisting sixth cranial nerve palsy. The first case was a 44-year-old male with head trauma from a road traffic accident. The second...

Use of reduced volume BT as a treatment option for acute onset comitant esotropia

In this study, the effectiveness and safety of botulinum toxin (BT) for patients with acute acquired comitant esotropia (AACE) and deviation ≤25PD was investigated with comparison of results to conservative prism therapy. Botulinum toxin was undertaken without electromyographic guidance and...

Clinical characteristics of AACE

In this study, the authors aimed to categorise the demographics and clinical characteristics and medical evaluation results in patients with adult acute onset comitant esotropia (AACE). This was a retrospective study of 268 patients; 62.7% female, 84% white, with mean...

Reliability and repeatability of Harms tangent screen measurements

This study investigated the intraobserver reliability and repeatability of the Harms tangent screen (HTS) in patients with diplopia due to concomitant, paralytic or restrictive strabismus in a prospective study of 58 patients (46.6% female). Mean age was 54 ±17.12 years,...

Outcomes for unilateral recession with and without prism adaptation test

The aim of this study was to compare the residual deviation after unilateral medial rectus recession for patients who underwent prism adaptation test (PAT) with orthoptic measures and those that did not. This was a retrospective review of 41 patients...

Unravelling ocular motility

Ocular motility can often be a slightly abstract concept during the earlier years of ophthalmology training. A large variance on what embodies normality; mythical concepts like fusion and binocular vision, examination techniques that can be fiddly, and complex neuroanatomy all...

Optimal timing for idiopathic ERM peeling based on pre-op visual acuity threshold

This single-centre retrospective study aimed to evaluate the efficacy and safety of vitrectomy-peeling for idiopathic epiretinal membrane (iERM) in patients with preserved preoperative best-corrected visual acuity (BCVA) compared to those with reduced BCVA, to determine the optimal preoperative VA threshold...