Management of Diplopia from Multiple Cranial Nerve Palsies: A Case Report.

Background: In a patient with an acquired noncomitant deviation, recent-onset diplopia is a very distressing problem. Initial management includes correction of significant refractive error, occlusion to prevent diplopia, prescription of Fresnel prism to allow for binocular fusion and vision therapy....

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Publicado en:Optometry & Visual Performance Vol. 7; no. 5/6; pp. 315 - 323
Autor principal: Tran, Nguyen
Formato: case study tables/charts Journal Article
Publicado: Optometric Extension Program Dec2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2019
      vid: 7
      iid: 5/6
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      pub: Optometric Extension Program
      place: Lutherville Timonium, Maryland
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        atl: Management of Diplopia from Multiple Cranial Nerve Palsies: A Case Report.
      aug:
        au: Tran, Nguyen
        affil: Pasadena, California
      sug:
        subj:
          Cranial Nerve Diseases Complications
          Diplopia Etiology
          Diplopia Therapy
          Refractive Errors Prevention and Control
          Eyeglasses
          Treatment Outcomes
          Male
          Middle Age
          Cranial Nerve Diseases Diagnosis
          Diagnosis, Differential
          Visual Acuity Evaluation
          Strabismus
          Eyeglasses Fitting
          Middle Aged: 45-64 years
          Male
      ab: Background: In a patient with an acquired noncomitant deviation, recent-onset diplopia is a very distressing problem. Initial management includes correction of significant refractive error, occlusion to prevent diplopia, prescription of Fresnel prism to allow for binocular fusion and vision therapy. This case report will show the benefit of treatment. Case Report: A patient was referred by his optometrist for the evaluation and treatment of recent-onset diplopia. Exam findings were remarkable for right cranial nerve IV and right cranial nerve VI palsies that presented as binocular diplopia. The patient was followed over the course of 3 months, during which occlusion and Fresnel prism were used in the management and treatment of his diplopia. Conclusion: This case illustrates how optometric management methods facilitated the recovery of a patient with cranial nerve IV and VI palsy.
      pubtype: Academic Journal
      doctype:
        case study
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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