Diplopia: Causes & Reasons - Symptoma Ireland

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Possible Causes for Diplopia

Strabismus

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

However, one of the complications of cosmetic strabismus surgery is persistent diplopia. [ncbi.nlm.nih.gov]

In this study, we review the existing literature regarding diplopia after strabismus surgery in the context of the senior author's experience. [ncbi.nlm.nih.gov]

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]

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]

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]

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]

Orbital Floor Fracture

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

Mono-ocular diplopia can be noted as an associated symptom to prompt early surgical repair. [ncbi.nlm.nih.gov]

In case of late diplopia, oculomotor surgery can be performed 6 months after bone repair. The purpose is to obtain orthophoria in front-gaze and down-gaze. [karger.com]

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]

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

One patient had horizontal diplopia due to an acute sixth nerve palsy along with severe constriction of visual fields while the second patient had symptoms of blurred vision [ncbi.nlm.nih.gov]

[…] 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]

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]

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

The patient complained of severe diplopia, predominantly when looking left. [care.diabetesjournals.org]

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]

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]

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

Diplopia can be psychosomatic. [patient.info]

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]

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]

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]

Exophthalmos

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

CASE REPORT: A patient presented with bilateral eyelid edema with exophthalmos associated with binocular diplopia. [ncbi.nlm.nih.gov]

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

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]

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]

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 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]

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]

Millard-Gubler Syndrome

[…] palsies with contralateral body motor or sensory disturbances 1-3. ipsilateral facial and contralateral body hemiplegia due to pyramidal tract involvement 1-3 isotropism and diplopia [radiopaedia.org]

Thus the diplopia is horizontal and worse in the distance. [howlingpixel.com]

Paralysis of the abducens (CN VI) leads to diplopia, internal strabismus (i.e., esotropia), and loss of power to rotate the affected eye outward), and disruption of the facial [en.wikipedia.org]

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]

Foville Syndrome

The patient presented to the emergency department with an acute history of slurred speech, vertigo and diplopia as major complaints. [cris.vub.be]

Surgery was done in 9 patients, only one patient had spontaneous resolution of diplopia and SP. [pesquisa.bvsalud.org]

[…] vibration middle cerebellar peduncle: ipsilateral ataxia facial nerve (CN VII) nucleus: ipsilateral facial weakness abducens nerve (CN VI) nucleus: lateral gaze paralysis and diplopia [radiopaedia.org]

Lateral Medullary Syndrome

Eleven patients had ocular symptoms (diplopia or blurred vision). Horner's syndrome was found in 91%, ipsilateral ataxia in 85%, and contralateral hypalgesia in 85%. [ncbi.nlm.nih.gov]

[…] is a case of a 61-year-old woman who developed progressive right hemisensory deficit, left facial sensory deficit, vertigo, staggering to the left, left ptosis, vertical diplopia [ncbi.nlm.nih.gov]

Pain and facial paresthaesia, a coarse spontaneous homolateral nystagmus, hiccough, dysphagia, dysphonia, dysarthria, and diplopia may be evident. [whonamedit.com]