A practical approach to evaluation of patients with diplopia

Yıl 2012, Cilt: 29 Sayı: 2s, - , 22.06.2012

Nurhan Torun

Öz

Diplopia is a common presenting symptom to ophthalmologists and emergency room physicians. The etiology is very broad and includes both benign and common entities such as convergence insufficiency and life threatening entities such as aneurysmal third nerve palsy or sixth nerve palsy due to an intracranial space occupying lesion. Because of the broad differential for diplopia, a systematic approach is necessary to elicit the pertinent points in patients presenting with this symptom so that sinister causes can be confidently ruled out. This paper reviews history and physical examination features that help the clinician formulate a differential diagnosis for diplopia.

J. Exp. Clin. Med., 2012; 29:S55-S57

Anahtar Kelimeler

Diplopia; Etiology; Diagnosis

Kaynakça

• De Pool, M.E., Campbell, J.P., Broome, S.O., Guyton, D.L., 2005. The dragged fovea-diplopia syndrome: clinical characteristics, diagnosis and treatment. Ophthalmology. 112, 1455-1462.
• Kushner, B.J., 1989. Errors in the three-step test in the diagnosis of vertical strabismus. Ophthalmology. 96, 127-132.
• Parulekar, M.V., Dai, S., Buncic, J.R., Wong, A.M., 2008. Head position-dependent changes in ocular torsion and vertical misalignment in skew deviation. Arch Ophthalmol. 126, 899-905.
• Torun, N., 2008. Examination of the ocular motor system.In Aydin O’Dwyer P, Kansu T and Torun N, editors. Neuro-Ophthalmology Manual, Gunes Medical Publishing, Ankara. 19-28.
• Wong, A.M., Tweed, D., Sharpe, J.A., 2002. Vertical misalignment in unilateral sixth nerve palsy. Ophthalmol. 109, 1315-1325.