"Was It Something I Said?": Finding Retinal Pathology Without Actually Examining

Arnoldi, Kyle; Reynolds, James D.
January 2008
American Orthoptic Journal;2008, Vol. 58, p70
Academic Journal
Introduction: Diplopia secondary to maculopathy is a rare disturbance of binocular vision that may present to the orthoptist. The purpose of this study was to identify the distinguishing symptoms and clinical signs of this condition. Methods: A retrospective medical record review of adults presenting with diplopia that could not be relieved with prism or strabismus surgery. Results: Six cases were identified. All complained of vertical diplopia, though only one patient had a vertical strabismus. The diplopia improved in dim illumination in all cases. All patients noted monocular visual disturbances, including illusory movement of the image, when fixating with the involved eye. No patient was able to achieve stable binocular single vision with prism. Conclusion: Symptoms and signs of diplopia secondary to maculopathy include: comitant vertical diplopia that worsens in bright illumination, illusory image movement when monocularly fixating with the involved eye, a tendency to "eat up" prism, and poor fusion potential. Because these patients may present to the orthoptist with no history of retinal disease, it is important to recognize the unique features of this condition.


Related Articles

  • MS and the Eye (Part 2). Pelino, Carlo J.; Pizzimenti, Joseph J. // Review of Optometry;3/15/2012, Vol. 149 Issue 3, p96 

    The article discusses the neuro-ophthalmologic symptoms, diagnosis, classification, and management of multiple sclerosis (MS). The neuro-ophthalmic symptoms in MS include oscillopsia and diplopia, while its clinical types are relapsing/remitting MS (RRMS), secondary progressive MS (SPMS),...

  • Diplopia Associated with Refractive Surgery. Kushner, Burton J. // American Orthoptic Journal;Jan2012, Vol. 62 Issue 1, p34 

    When diplopia occurs after refractive surgery, a systematized approach to diagnosis and treatment is useful. First, determine if the problem is monocular or binocular. Monocular diplopia usually is caused by anterior segment complications and should be referred to an anterior segment surgeon. If...

  • Divergence Insufficiency Esotropia: Surgical Treatment. Pineles, Stacy L. // American Orthoptic Journal;2015, Vol. 65 Issue 1, p35 

    Divergence insufficiency esotropia, or acquired comitant esotropia that is atleast 10Δ larger at distance than at near, is most often seen in older adults, and may also be known as "age-related distance esotropia." Surgical treatment is often indicated for patients who do not tolerate prism...

  • Postoperative minimal overcorrection in the surgical management of intermittent exotropia. Cho, Yoonae A.; Seung-Hyun Kim // British Journal of Ophthalmology;Jul2013, Vol. 97 Issue 7, p866 

    Purpose To investigate the effect of initial postoperative minimal overcorrection on the result of the surgical management of intermittent exotropia based on long-term follow-up results. Methods 111 patients who underwent surgery for intermittent exotropia and were followed up for at least 5...

  • A problem! Now a solution? Hoyt, Creig S. // British Journal of Ophthalmology;Feb2007, Vol. 91 Issue 2, p127 

    The author reflects on the advances in cataract surgery and aphakic correction. He argues that cataract surgery is the most successful surgical procedures in the medical field. Cataract surgery results to an excellent quality of vision with less complication. A post-operative complication called...

  • Distant Diplopia.  // Journal of Pediatric Ophthalmology & Strabismus;Nov/Dec2004, Vol. 41 Issue 6, p327 

    Provides several suggestions in managing a female patient who suffers from distant diplopia. Factors to consider before performing eye surgery; Use of Fresnels as a prescription for the condition; Increase in the incidence of uncrossed diplopia in the general population.

  • Nonsurgical Treatment of Binocular Disruption in Adults. Petrunak, Judy L. // American Orthoptic Journal;2008, Vol. 58, p18 

    Diplopia is an often frustrating and debilitating symptom of acquired strabismus in adulthood. Various nonsurgical approaches to alleviate diplopia are available and readily employed by orthoptists. First, a comprehensive review of the patient's history and symptoms is helpful in determining...

  • Back to the Basics, Part 1: Prime Yourself To Prescribe Prism. Tea, Yin C. // Review of Optometry;2/15/2008 Part 1 of 3, Vol. 145 Issue 2, p83 

    The article discusses the importance of mastering in prescribing prism in treating eye disorders among patients. It is stated that prism can be very helpful in treating patients with symptomatic binocular vision disorders. It elaborates the use of prism for treating cases of diplopia,...

  • diplopia.  // Taber's Cyclopedic Medical Dictionary (2009);2009, Issue 21, p659 

    A definition of the term "diplopia" which refers to the perception of two images of a single object is presented.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics