Twice the Vision, Twice the Challenge: A Case Report of Diplopia in Ataxia Telangiectasia.

Background: Ataxia telangiectasia (AT) is a degenerative motor condition that may cause oculomotor complaints. Findings associated with these complaints can include strabismus, cyclotorsions, and oculomotor dysfunction. These findings can cause a decrease in quality of life for affected patients, an...

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Publicado en:Optometry & Visual Performance Vol. 13; no. 3; pp. 208 - 212
Autor principal: McCrory, Jayci
Formato: case study Journal Article
Publicado: Optometric Extension Program Sep2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2025
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      pub: Optometric Extension Program
      place: Lutherville Timonium, Maryland
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        atl: Twice the Vision, Twice the Challenge: A Case Report of Diplopia in Ataxia Telangiectasia.
      aug:
        au: McCrory, Jayci
        affil: Optometrist, Rainy Lake Medical Center
      sug:
        subj:
          Ataxia Telangiectasia Therapy
          Diplopia Etiology
          Diplopia Diagnosis
          Female
          Young Adult
          Comorbidity
          Diagnosis, Differential
          Myopia Complications
          Strabismus Complications
          Oculomotor Muscles Physiopathology
          Trochlear Nerve Diseases Complications
          Quality of Life
          Virtual Reality Exposure Therapy Methods
          Diplopia Prognosis
          Eye Movements
          Female
      ab: Background: Ataxia telangiectasia (AT) is a degenerative motor condition that may cause oculomotor complaints. Findings associated with these complaints can include strabismus, cyclotorsions, and oculomotor dysfunction. These findings can cause a decrease in quality of life for affected patients, and vision therapy may be a tool to help improve a patient's symptoms. Although prognosis is guarded, physicians should consider all treatment options for these patients to decrease symptoms as much as possible to improve quality of life. Case Report: A twenty-year-old female presented to our clinic with a history of ataxia telangiectasia that was diagnosed eleven years before her visit. She complained of longstanding, intermittent diplopia. The patient's AT had affected motor movements and speech for the last several years, and she ambulated via wheelchair due to low muscle tone. She was diagnosed with constant alternating exotropia, excyclotorsion of the right eye, and oculomotor dysfunction. A treatment plan consisted of eight weeks of vision therapy focusing on oculomotor skills and the use of a virtual reality therapy program to treat her excyclotorsion. Conclusion: This case report reflects that patients with degenerative motor conditions such as ataxia telangiectasia may present with oculomotor findings. Due to the degenerative nature of these conditions, prognosis may be guarded. Vision therapy may be useful as a supportive therapy to benefit those patients with double vision complaints.
      pubtype: Academic Journal
      doctype:
        case study
        Journal Article
      ougenre: Article
    language: English
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