Abstract | BACKGROUND: Paradoxical diplopia occurs when binocular visual cerebral cortex projection of diplopic images (the "subjective angle") is not commensurate and identical with angle or direction of strabismus (the "objective angle"). Its presence infers anomalous retinal correspondence and is manifest as heteronymous or crossed diplopia in esotropia and homonymous or uncrossed diplopia in exotropia. When treated, the prognosis for achieving fusion is poor, while the risk for intractable diplopia is reputedly high. We report a patient with paradoxical diplopia that resolved (and some binocular fusion developed) following botulinum toxin injections and prism therapy. RESEARCH DESIGN: Case report. CASE REPORT: CONCLUSION:
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Authors | Robert P Rutstein, Martin S Cogen |
Journal | Binocular vision & strabismus quarterly
(Binocul Vis Strabismus Q)
Vol. 19
Issue 1
Pg. 35-8
( 2004)
ISSN: 1088-6281 [Print] United States |
PMID | 14998367
(Publication Type: Case Reports, Journal Article)
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Chemical References |
- Neuromuscular Agents
- Botulinum Toxins, Type A
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Topics |
- Adult
- Botulinum Toxins, Type A
(therapeutic use)
- Combined Modality Therapy
- Diplopia
(etiology, therapy)
- Exotropia
(surgery)
- Eyeglasses
- Humans
- Male
- Neuromuscular Agents
(therapeutic use)
- Oculomotor Muscles
(surgery)
- Ophthalmologic Surgical Procedures
- Postoperative Complications
- Vision, Binocular
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