Torun, Nurhan Beth Israel Deaconess Medical Center - Harvard Medical School - Department of Ophthalmology, USA

A practical approach to evaluation of patients with diplopia

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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.

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Diplopia , Etiology , Diagnosis

Journal Of Experimental an‎d Clinical Medicine

57