Monocular Partial/Sector Occlusion Therapy: A Procedure to Inhibit Diplopia in Thyroid-Associated Ophthalmopathy.
Background: A condition generally associated with hyperthyroidism, thyroid-associated ophthalmopathy may present with signs that vary from patient to patient. Diplopia is one of the most common and debilitating of manifestations, and it can be difficult to treat effectively. Case Report: An adult fe...
| Publicado en: | Optometry & Visual Performance Vol. 10; no. 1; pp. 31 - 37 |
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| Formato: | case study pictorial tables/charts Journal Article |
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Optometric Extension Program
Apr2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=156740821&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 156740821 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23253479 HOOW jtl: Optometry & Visual Performance issn: 23253479 maglogo: N pubinfo: dt: Apr2022 vid: 10 iid: 1 pid: 46881 pub: Optometric Extension Program place: Lutherville Timonium, Maryland artinfo: ui: 156740821 156740821 156740821 156740821 ppf: 31 ppct: 6 formats: tig: atl: Monocular Partial/Sector Occlusion Therapy: A Procedure to Inhibit Diplopia in Thyroid-Associated Ophthalmopathy. aug: au: Routt, Lawrence A. affil: Optometrist, Routt Eye Clinic sug: subj: Graves' Ophthalmopathy Therapy Diplopia Prevention and Control Eyeglasses Female Adult Hyperthyroidism Complications Treatment Outcomes Adult: 19-44 years Female ab: Background: A condition generally associated with hyperthyroidism, thyroid-associated ophthalmopathy may present with signs that vary from patient to patient. Diplopia is one of the most common and debilitating of manifestations, and it can be difficult to treat effectively. Case Report: An adult female presented with thyroid-associated ophthalmopathy, complaining of "bulging, dry, gritty" eyes (OS worse than OD) and double vision when looking to the extreme right or left. Two weeks of dry eye therapy OU was successful, but intermittent diplopia persisted. The patient indicated that the diplopia was "not bothersome." Eight weeks after the initial examination, the patient reported constant diplopia in primary gaze that threatened her ability to remain independent. Prism was of no benefit. Occlusion of a whole spectacle lens resolved the diplopia, but she felt unsafe driving. Thus, a procedure was devised to occlude only the precise sector of one spectacle lens as needed to inhibit the constant binocular diplopia. This allowed the use of the total effective visual field of both eyes in primary gaze, enabling the patient to drive safely and to remain independent. Conclusion: Diplopia in thyroid-associated ophthalmopathy often varies from intermittent to constant, with or without spontaneous resolution. If binocular diplopia is constant, and prism is determined to be of no benefit, monocular partial/sector occlusion of a spectacle lens may be a viable option for inhibiting the diplopia. This occlusion therapy is unique in allowing optimal use of the total effective visual field of both eyes, and it can be used temporarily or chronically as needed. pubtype: Academic Journal doctype: case study pictorial tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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