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Nonsurgical treatment of diplopia

Bartiss, Michael J.

Current Opinion in Ophthalmology: September 2018 - Volume 29 - Issue 5 - p 381–384
doi: 10.1097/ICU.0000000000000513

Purpose of review As the population ages, the number of patients presenting to ophthalmologists with complaints of double vision is increasing.

Recent findings Diplopia is known to occur for optical, neuroophthalmological, strabismological and even iatrogenic reasons following various ophthalmic surgical procedures. The mainstays of the nonsurgical treatment of diplopia including no treatment, partial or total occlusion, press-on or ground in prisms and vergence exercises (to increase fusional vergence amplitudes) have been utilized for some time. Although a review of the literature demonstrates that very little has been published on this topic in recent years, subtle treatment variations have evolved.

Summary The ability to successfully manage patients’ diplopia symptoms remains important to decrease the risk of patient injuries, as well as maximize their independence and quality of life. These concerns are especially important as patients age.

Family Eye Care of the Carolinas, Aberdeen, North Carolina, USA

Correspondence to Michael J. Bartiss, OD, MD, FAAO, FAAP, FACS, Pediatric Ophthalmologist in Private Practice, Family Eye Care of the Carolinas, 1902 North Sandhills Blvd. Ste. A, Aberdeen, NC 28315, USA. Tel: +1 910 692 2020; e-mail:

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