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American Orthoptic Journal AbstractTo request a single copy of any journal article, contact us at: 608 263-0654 (voice), or journals@wwwtest.uwpress.wisc.edu (email). Articles will be photocopied and mailed within two business days. Please prepay with VISA or MasterCard. Articles up to 29 pages in length are priced at $15.00. Articles containing 30 or more pages are priced at $25.00. For article reprints in quantities of 25-500 please use our online reprint ordering system by clicking Reprint Orders.
Volume 49, 1999, p. 99–105 Differential Diagnosis of Diplopia Following Cataract Extraction (Abstract) Small vertical deviations following cataract surgery have been reported to occur from a variety of mechanisms. Most include perioperative complications such as injection of anesthetic agents or antibiotics, or from intraoperative tissue manipulation. Other causes include decompensation of preexisting strabismus and undiagnosed systemic disorders.
Twenty-three patients were referred to the Saint Louis University Eye Institute for evaluation of binocular diplopia noted after cataract surgery. A prospective study was conducted to investigate the types of deviations present, and the causes. Several explanations for the vertical diplopia in our patients were determined and the mechanisms were divided into three groups. Almost seventy percent of the patients had diplopia caused by factors other than the surgical intervention.
A careful history should be taken in all patients undergoing cataract extraction to rule out previous or current strabismus, and all patients should be warned of the possibility of postoperative diplopia. The importance of a thorough orthoptic examination in the differential diagnosis of postoperative diplopia is emphasized. |
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