You searched for "diplopia"
Strabismus and scleral buckling
The authors examine the incidence of strabismus following scleral buckle for retinal detachment surgery and the factors that influence the strabismus, its incidence, preventative measures and treatment options. This was a retrospective review of 344 patients (360 eyes) with a...
An unusual third nerve palsy case report
The authors present the unusual case of a 23-year-old male presenting to hospital with right eye pain, right upper eyelid ptosis, blurred vision and diplopia, developing immediately after a penetrating injury to his right upper eyelid. On assessment he was...
MR- vs. LR+ for divergence insufficiency
A retrospective study was conducted to compare the efficacy of medial rectus recession and lateral rectus resection as surgical interventions for divergence insufficiency in 18 patients. These were cases of non-neurological cause. Two patients in each group required postoperative adjustment....
A case series of acquired esotropia in cerebellar disease
Acquired esotropia in cerebellar disease is well described but under-recognised. The pathogenesis of cerebellar esotropia is controversial. It is suggested it may be a result of disruption to central vestibular pathways. This article reports a case series of seven adults...
Risk factors and management for postoperative complications in strabismus surgery
This retrospective cohort study examined 1273 patients, comprising 1035 cases of exotropia and 238 cases of esotropia, with a minimum 18-month follow-up after strabismus surgery. Baseline demographics, age at surgery, pre / postoperative visual acuity, and deviation were included. Complications...Binocular single vision (BSV)
Introduction In this article I will try to summarise some of the definitions, tests and assessments performed in the strabismus clinic to assess patient binocular potential. This is a key feature of strabismus assessment, especially in adults, and it will...Third nerve palsy following cataract surgery with sub-Tenon’s anaesthesia
Figure 1: Photograph showing partial ptosis of the right eye two months after surgery (photo by R McLeod). An 83-year-old lady had routine right eye cataract surgery under uncomplicated sub-Tenon’s anaesthesia. She presented two weeks later, explaining that following the...Making sense of the orthoptic assessment
Following the Specialty Trainee article on this topic in the February/March 2020 issue, Joe Smith provides a more detailed breakdown of the orthoptic report. Orthoptists investigate, diagnose and manage a wide variety of patients with varying problems. In this article,...
Cluster of cyclic esotropia cases
This study reports a series of five patients with cyclic esotropia presenting within a period of 19 months in 2015-16 in one institute. Brain MRI scans were abnormal in two patients (twins) with abnormal white matter signal in the frontal...Myasthenia Gravis Masquerading as a Third Cranial Nerve Palsy
A 65-year-old man presented with a week’s history of binocular diplopia (in all directions of gaze) and a right partial ptosis. He was systemically well. His past medical history was unremarkable except for vitiligo. At presentation acuity was 6/6 bilaterally....
Stereo distance in XT
The test distance effect on stereoacuity was explored in a population with intermittent exotropia along with use of two types of stereograms with crossed and uncrossed disparity. At near and distance distances, the median for both disparities was 60”; 79%...
