Diplopia: Causes & Reasons - Symptoma Ireland

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Possible Causes for Diplopia

Strabismus

In normal retinal correspondence, strabismus surgery will be indicated in most cases because of diplopia. [ncbi.nlm.nih.gov]

KEYWORDS: Central fusion disruption; diplopia; horror fusionis; intractable diplopia; strabismus surgery [ncbi.nlm.nih.gov]

[…] to Type II patients who do exhibit restrictive myopathy (diplopia) and are far more likely to develop new-onset worsening diplopia following medial wall and floor decompression [ncbi.nlm.nih.gov]

Subclavian Steal Syndrome

HISTORY AND PHYSICAL EXAMINATION Symptoms associated with vertebrobasilar ischemia are1,2 Disequilibrium Vertigo Diplopia Cortical blindness Alternating paresthesia Tinnitus [accesssurgery.mhmedical.com]

It is a rare disease resulting in a variety of ischemic neurologic symptoms such as vertigo, dizziness, diplopia, dysarthria, ataxia and nystagmus. [synapse.koreamed.org]

[…] undergoing carotid duplex study who were incidentally found to have retrograde vertebral artery flow, 16% had posterior circulation symptoms (dizziness, vertigo, blurred vision, diplopia [emedicine.medscape.com]

Eye Muscle Disorder

Figure 1 General approach to diplopia. [jnnp.bmj.com]

A common lens problem that can lead to diplopia is a cataract. [essilorusa.com]

Neuro-Ophthalmology Diplopia – Double Vision Diplopia, also known as double vision, occurs in one of two ways. [eye.uci.edu]

Basilar Migraine

The basilar-type aura had a median duration of 60 minutes and comprised vertigo 61%, dysarthria 53%, tinnitus 45%, diplopia 45%, bilateral visual symptoms 40%, bilateral paresthesias [ncbi.nlm.nih.gov]

The basilar-type aura comprised diplopia 52%, vertigo 43%, tinnitus 43%, bilateral visual symptoms 39%, hypacusia 26%, ataxia 26%, dysarthria 22%, bilateral paresthesias 13% [ncbi.nlm.nih.gov]

Diplopia does not embrace (or exclude) blurred vision. [ichd-3.org]

Vertebrobasilar Insufficiency

When the vertigo is associated with ocular complaints such as diplopia, the patient often first presents to an ophthalmologist. [eyewiki.aao.org]

Cerebrovascular disorder View Full Image Image License and Citation Guidelines Add to My To-Do List View Mark Complete Remove Comments A 58-year-old woman had a sudden onset of diplopia [aao.org]

Zygomatic Fracture

Which muscle is most likely trapped causing diplopia? [quizlet.com]

Diplopia fails to resolve after 2-3 weeks. Complications Globe injury. Persistent diplopia requiring delayed surgery. Optic nerve damage. [patient.info]

Flattened face (sometimes) Palpation Infraorbital fracture steps Lateral orbital border Zygomatic buttress Function tests V2 sensitivity Facialis function Ocular motility Diplopia [med-college.hu]

Orbital Floor Fracture

The secondary outcome variable was diplopia. [ncbi.nlm.nih.gov]

Residual diplopia was more common in patients with trapdoor fracture. [ncbi.nlm.nih.gov]

Nine patients showed a complete improvement of their diplopia. Two patients with posterior fractures showed persistent diplopia, which was well managed by prisms. [ncbi.nlm.nih.gov]

Carotid-Cavernous Sinus Fistula

On following up 4 months after coiling, cranial nerve VI palsy and related symptoms-diplopia and limit of ocular movement-were improved significantly. [ncbi.nlm.nih.gov]

A 66-year-old female developed exophthalmos, impaired visual acuity (perception of light), and diplopia one day after sudden onset of headache. [ncbi.nlm.nih.gov]

A 49-year-old female presented with proptosis and slight chemosis with diplopia on the right. [ncbi.nlm.nih.gov]

Cavernous Sinus Aneurysm

At times, painful diplopia is present. Usually the patient has a preceding history of cancer. [emedicine.medscape.com]

Seven patients complained of horizontal diplopia, whereas two had vertical diplopia and one had oblique diplopia. [jnnp.bmj.com]

63-year-old male presented with a two-month history of left eye swelling Associated with pain and horizontal diplopia Also reports decreased vision for the past few months [eyewiki.org]

Orbital Neoplasm

Diplopia might possibly need steroids and surgery while proptosis might require steroids, radiation or corrective surgery. [eyeplastics.com]

Most commonly, patients presented with diplopia (48%); less frequently proptosis (26%) and decreased vision (16%). Pain was also noted in six cases. [bjo.bmj.com]

Symptoms Most patients with orbital tumors notice a bulging of the eyeball or double vision (diplopia). [eyecancer.com]

Orbital Metastasis

To present the case of a radioiodine therapy-naïve thyroid cancer patient with postthyroidectomy diplopia. A 63-year-old male patient presented with goiter. [ncbi.nlm.nih.gov]

The occurrence of progressive enophthalmos can represent an unusual symptom of orbital metastasis, commonly presenting with proptosis and diplopia. [ncbi.nlm.nih.gov]

Serum Tg was undetectable and the patient no longer has diplopia. Fig. 1 CT scan of the head. [karger.com]

Suprasellar Tumor

The ocular manifestations included visual loss in 59 (86%), eye pain in six (9%), diplopia in three (4%), and ptosis in one (1%) patient. [jmatonline.com]

Diplopia indicated a possible tumor mass involving the cavernous sinus. [kjim.org]

However, this effect is seen in any condition that causes delayed optic nerve conduction such as multiple sclerosis and retinal disorders.[25] Diplopia Diplopia may be due [eyewiki.aao.org]

Temporal Arteritis

Classic symptoms include polymyalgia rheumatica, new-onset headache, jaw claudication, and visual symptoms such as diplopia and amaurosis fugax. [ncbi.nlm.nih.gov]

Jaw claudication, eye pain, photophobia, diplopia, and even blindness may accompany the temporal symptoms. [ncbi.nlm.nih.gov]

Fifteen days before, she complained of diplopia. She had doubtful symptoms of giant cell arteritis and showed a normal physical exam. [ncbi.nlm.nih.gov]

Idiopathic Intracranial Hypertension

[…] pseudotumor cerebri-is a neurologic condition distinguished by any of the following symptoms: headache, increased cerebrospinal fluid pressure, papilledema, vision loss, diplopia [ncbi.nlm.nih.gov]

This study reports the case of a 23-year-old man with idiopathic intracranial hypertension (IIH) who presented with blurred vision and diplopia, without accompanying headache [ncbi.nlm.nih.gov]

The symptoms of the disease may be ordered according to prevalence as follows: headache due to increased intracranial pressure, blurred vision and diplopia. [ncbi.nlm.nih.gov]

Orbital Disease

The patient received 1.5g intravenous methylprednisolone with marked improvement, but a month later presented with a red left eye and diplopia. [endocrine-abstracts.org]

Overview Orbital pathology can result in neuro-ophthalmic manifestations such as optic neuropathy and ocular misalignment, leading to vision loss and diplopia. [medlink.com]

However, the proptosis, lid retraction, and diplopia still remain. [emedicine.medscape.com]

Meningeal Carcinomatosis

Diplopia was corrected with 6-prism diopters base-out prism in right eye. Funduscopy showed a bilateral papilledema, juxtapapillary exudates and splinter hemorrhages. [ncbi.nlm.nih.gov]

Abstract We describe a patient who had metastatic carcinoma of the stomach and severe headaches, weakness, and diplopia. [ncbi.nlm.nih.gov]

He later developed unsteadiness and head-movement-dependent oscillopsia due to vestibular areflexia and diplopia. At that time MRI showed leptomeningeal enhancement. [ncbi.nlm.nih.gov]

Benign Abducens Nerve Palsy

Diplopia can be psychosomatic. [patient.info]

Thus the diplopia is horizontal and worse in the distance. [en.wikipedia.org]

In other studies with smaller cohorts, the prevalence of diplopia is highly variable, ranging from 0 to 43%, and the diplopia is often accompanied by other symptoms or signs [frontiersin.org]

Abducens Nerve Palsy

After dural closure, pseudomeningocele and headache resolved completely and diplopia improved partially. At 4-week follow-up, there was complete resolution of diplopia. [ncbi.nlm.nih.gov]

His diplopia lasted between 2 weeks and 3 months and examination revealed isolated left abducens palsy during the attacks of diplopia. [ncbi.nlm.nih.gov]

Diplopia during endoscopic sinus surgery is caused by surgical trauma or local anesthetics. [ncbi.nlm.nih.gov]

Wernicke Encephalopathy

[…] adolescent boy who presented with upper and lower extremity glove-and-stocking paresthesias, distal weakness, vertigo, high-pitched voice, inattention, ataxia, and binocular diplopia [ncbi.nlm.nih.gov]

Thereafter, her blood pressure stabilized, the acidosis improved, and her deafness, diplopia, and confusion were resolved. [doi.org]

We present the case of an 61-year-old man with the history of class II obesity presenting with diplopia, dysarthria and vertigo, confirmed to be non-alcoholic WE. [ncbi.nlm.nih.gov]

Oculomotor Nerve Paralysis

In diplopia one image is distinct (true image), and the other is indistinct (false image). Binocular diplopia disappears when one eye is closed. [thamburaj.com]

Diplopia in the primary position was relieved in the sixth postoperative week. [jeos.eg.net]

Third nerve palsy typically manifests as diplopia and ptosis. [aafp.org]

Orbital Cellulitis

Abstract The authors describe the case of a 48 years old woman who presented with a one week history of a painful, swollen left eye with proptosis and diplopia. [ncbi.nlm.nih.gov]

Acute and chronic sinusitis, acute osteomyelitis, exophthalmos, diplopia, and conjunctival edema were concomitant diagnoses associated with significantly increased odds ratio [ncbi.nlm.nih.gov]

Clinical examination was significant for decreased vision in the affected orbit of 20/50, a trace RAPD OS, elevated IOP of 30 OS, proptosis and grossly decreased motility with diplopia [ncbi.nlm.nih.gov]

Intracranial Hypertension

In the following 2 months, he gradually developed hoarseness and diplopia at the left and lower fields of vision. [ncbi.nlm.nih.gov]

I didn't think much of it (thought it was migraines), until I started to have very blurry vision and then vertical diplopia (double vision) and sixth nerve palsy. [rarediseaseday.org]

Less commonly, diplopia due to VI cranial nerve palsy. Differential diagnosis Other causes of headache, including cerebral tumours and malignant hypertension. [patient.info]

Orbital Burkitt's Lymphoma

BFM-90 reduced the recurrence of strabismus, diplopia, and proptosis, but did not correct deficits in the best corrected visual acuity. [bmcophthalmol.biomedcentral.com]

Four weeks later, patient presented with orbital involvement as diplopia, sixth cranial nerve palsy, and medial rectus palsy. [contempclindent.org]

RESULTS: A 66 year old male presented to the Accident and Emergency department with a 36 hour history of diplopia on waking, left retro-orbital pain and neck ache. [neurology.org]

Myasthenia Gravis

A46-year male presented with unilateral ptosis and diplopia. [ncbi.nlm.nih.gov]

A 69-year-old man, previously treated with pyridostigmine for myasthenia gravis (manifesting as ptosis and diplopia) was evaluated for several concomitant bilateral anterior [ncbi.nlm.nih.gov]

Myasthenia gravis (MG) is an autoimmune disease affecting neuromuscular transmission that manifests with muscle weakness and typically involves the eye muscles, often producing diplopia [ncbi.nlm.nih.gov]

Lens Dislocation

Unless there are complications (e.g. secondary glaucoma) or monocular diplopia the lens is left in place and management is optical. (Fig. [medical-dictionary.thefreedictionary.com]

Symptoms of these patients mainly included decrease in visual acuity (17 cases, 47.2%), blurred vision (16 cases, 44.4%), glare (1 case, 2.8%), diplopia (1 case, 2.8%), and [ncbi.nlm.nih.gov]

Uniocular diplopia may result from partial aphakia. Anterior chamber becomes deep and irregular. Iridodonesis is usually present. [ikeyes.blogspot.com]

Orbital Lymphoma

An 82-year-old man with hypothyroidism had vertical diplopia and swelling around his left eye. Visual acuity was 20/20 OD and 20/50 OS. [ncbi.nlm.nih.gov]

Orbital lymphoma usually presents as a palpable mass with proptosis, diplopia, and conjunctival ("salmon-pink") swelling. [ncbi.nlm.nih.gov]

3-year history of stage IV non-Hodgkin's lymphoma who had undergone recent monoclonal antibody therapy presented with a complaint of blur in the left eye with occasional diplopia [ncbi.nlm.nih.gov]

Exophthalmos

New-onset diplopia was noted for 2.8% of patients after FROD. [ncbi.nlm.nih.gov]

BACKGROUND/PURPOSE: Postoperative diplopia remains a significant complication of orbital decompression in dysthyroid orbitopathy. [ncbi.nlm.nih.gov]

One patient developed postoperative diplopia and 5 complained of temporary diplopia. Appearance improved in 62 patients (85%). [ncbi.nlm.nih.gov]

Brain Stem Disorder

A 51-year-old woman with MS developed acute vertigo, ataxia, diplopia, dysarthria, and bifacial weakness. [neurology.org]

There is a clinical continuum between BBE and Fisher's syndrome. [ 1 ] Bickerstaff reported eight patients who, in addition to acute ophthalmoplegia (diplopia) and ataxia, [patient.info]

Your doctor or therapist may also recommend corrective lenses or an eye patch to help manage diplopia. And hearing problems may necessitate the use of a hearing aid. [verywell.com]

Orbital Infection

Palsy of abducens nerve is possible resulting in diplopia or double vision. [symptoma.com]

Suspicion of Anaerobic bacterial infection as underlying cause Patient is presenting diplopia, proptosis, redness, and +APD, with red/green deficiency, Hx of fever in the [brainscape.com]

Diplopia was resolved. Her sinus symptoms had also improved. [webeye.ophth.uiowa.edu]

Lacrimal Gland Neoplasm

Usually insidious onset, typically presents with proptosis, ptosis, diplopia, motility disorders. [slideshare.net]

Diplopia might possibly need steroids and surgery while proptosis might require steroids, radiation or corrective surgery. [eyeplastics.com]

Complications [ edit | edit source ] Possible complications are dependent on surgical technique, and may include: Infection, hemorrhage, diplopia or strabismus, vision loss [eyewiki.org]