12,175 results match your criteria Diplopia


Prismatic treatment of acute acquired concomitant esotropia of 25 prism diopters or less.

BMC Ophthalmol 2022 Jun 24;22(1):276. Epub 2022 Jun 24.

Department of Ophthalmology, Tianjin Medical University General Hospital, No. 154, Anshan Road, Tianjin, 300052, China.

Background: This study aimed to assess the efficacy of prismatic treatment in a step-by-step manner to reduce prismatic strength in acute acquired concomitant esotropia (AACE) of 25 prism diopters (PD) or less.

Methods: In this retrospective comparative study, 36 patients with AACE with deviation angle ≤ 25 PD were treated with Fresnel prism in a step-by-step manner to reduce prismatic strength. The patients were divided into two groups according to whether they regained orthophoria and were weaned off the press-on prisms within 1 year: (1) the treatment-success group, which consisted of patients who had their esotropia eliminated and were weaned off the press-on prisms within 1 year after prism correction, and (2) the treatment-continuing group, which comprised patients who needed to continue wearing a Fresnel prism at 1 year after the beginning of prismatic correction because diplopia and esotropia still existed. Read More

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Pineal region teratoma with metastases in uncommon locations: a case report.

J Med Case Rep 2022 Jun 23;16(1):261. Epub 2022 Jun 23.

Department of Neurology, Al Assad Damascus University Hospital, Damascus, Syria.

Background: We report a rare case in medical literature of a patient with pineal gland teratoma and uncommon metastases. Usually, metastases of this kind of tumor are located in several organs such as lung and breast, but here we found metastases to the spinal cord and vertebrae.

Case Presentation: A 35-year-old Asian white man presented with diplopia and acute neural symptoms in the lower limbs such as numbness, tingling, and paralysis. Read More

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Diplopia outcomes following stereotactic radiosurgery for petroclival or cavernous sinus meningiomas: patient series.

J Neurosurg Case Lessons 2022 Jun 20;3(25):CASE225. Epub 2022 Jun 20.

Department of Neurosurgery, NYU Langone Medical Center, New York, New York.

Background: Skull base meningiomas (SBM) often present with diplopia due to compression of the abducens cranial nerve (CN VI). The authors evaluated outcomes in 13 patients diagnosed with SBMs who were experiencing diplopia to determine if Gamma Knife surgery (GKS) resulted in resolution of their symptoms.

Observations: Fourteen patients who were diagnosed with SBMs located in the cavernous sinus, clivus, or petroclival regions and presented with diplopia were treated by GKS. Read More

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Bilateral Vocal Cord Palsy as the Only Symptom of Thymoma Associated-Myasthenia Gravis.

Maedica (Bucur) 2022 Mar;17(1):230-233

Department of Otorhinolaryngology, University Hospital of Larissa, Greece.

Bilateral vocal cord paresis is a rare phenomenon caused by different underlying etiologies. Myasthenia gravis is included in this long differential diagnosis. Usually, it happens as part of a serious clinical state of a patient, that also suffers from generalized muscle weakness, diplopia, dysphagia, eyelid ptosis. Read More

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Rituximab in Refractory Myositis and Acute Neuropathy Secondary to Checkpoint Inhibitor Therapy.

Cureus 2022 May 19;14(5):e25129. Epub 2022 May 19.

Department of Neurology, University of Florida, Gainesville, USA.

Checkpoint inhibitor immunotherapies have been one of the latest advances through the last decade in the treatment of various cancers. As their use is increasing so is the knowledge of their complications which can affect various organ systems including the central and peripheral nervous systems. Management of these complications requires stopping the offending agent and in some cases treating with immunosuppressive agents like intravenous steroids. Read More

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Diplopia and Optic Disc Edema as the Ocular Manifestations of COVID-19 in a Seven-Year-Old Child.

Case Rep Pediatr 2022 17;2022:8431692. Epub 2022 Jun 17.

Department of Ophthalmology, Poznan University of Medical Sciences, Poznan, Poland.

Serious ocular complications due to SARS-CoV-2 disease in children are rare. Herein, we present a case report of a seven-year-old patient, who was diagnosed with pediatric inflammatory multisystem syndrome (PIMS) due to COVID-19 and developed the ocular manifestations comprising diplopia and binocular optic disc edema. The patient condition improved within few weeks without any ocular sequels so far. Read More

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The better surgical timing and approach for orbital fracture: a systematic review and meta-analysis.

Ann Transl Med 2022 May;10(10):564

Department of Ophthalmology, The First Affiliated Hospital of Jiamusi University, Jiamusi, China.

Background: A large number of empirical studies on the surgical timing and approach of orbital fracture have been published, but which surgical timing and approach is better is still a dispute. We use a systematic review and meta-analysis to solve this problem.

Methods: We performed a systematic search in the databases of PubMed, Cochrane Clinical Trials Database, Embase, and Web of Science for relevant literature. Read More

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Isolated Fungal Sphenoid Sinusitis With Cavernous Sinus Thrombophlebitis: A Case Report.

Cureus 2022 May 16;14(5):e25034. Epub 2022 May 16.

Clinical Neurosciences, University of the East Ramon Magsaysay Memorial Medical Center, Quezon City, PHL.

Cavernous sinus thrombophlebitis is a rare, potentially life-threatening, condition that is most often caused by gram-negative bacteria and, to a lesser extent, fungi. is an opportunistic fungus that frequently affects patients with a weak immune system. We describe a case of an adult female without diabetes who developed sphenoid sinusitis causing cavernous sinus thrombophlebitis. Read More

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Abduction Deficit Mimicking Sixth Nerve Palsy due to Metastasis in Systemic Malignancy: Rare Case Report.

Middle East Afr J Ophthalmol 2021 Oct-Dec;28(4):263-266. Epub 2022 Apr 30.

Department of Ophthalmology, AIIMS, Bhubaneswar, Odisha, India.

Lateral rectus palsy presenting as abduction deficit resulting in diplopia is attributed to neurogenic causes. Metastasis as a cause of sixth cranial palsy is an extremely rare entity but cannot be overlooked. Cases of metastasis to lateral rectus secondary to lung and breast carcinoma have been reported. Read More

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Occam vs Hickam.

Surv Ophthalmol 2022 Jun 16. Epub 2022 Jun 16.

Wills Eye Hospital, Philadelphia, Pennsylvania USA.

A 23-year-old man presented with new onset horizontal diplopia 5 months after a left orbital floor fracture. Examination revealed bilateral abduction deficits and disc swelling. Urgent MRI and MRI showed no significant abnormalities in the CNS. Read More

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COVID-19 and abducens nerve palsy in a 9-year-old girl-case report.

Ital J Pediatr 2022 Jun 18;48(1):102. Epub 2022 Jun 18.

Department of Maternal Sciences, Sapienza University of Rome, Italy Viale Regina Elena, 324 00161, Rome, Italy.

Background: Coronavirus disease 2019 (COVID-19) is a disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Although many reports have detailed a range of neurological symptoms in SARS-CoV-2-infected patients, studies of neuro-ophthalmological manifestations are still scarce.

Case Presentation: We report a 9-year-old girl with abducens nerve palsy after COVID-19 with no evidence of other neurological disease on neuroimaging. Read More

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Inflammatory and non-inflammatory thyroid eye disease: comparison of disease signs, symptoms and quality of life in US patients.

Endocr Pract 2022 Jun 14. Epub 2022 Jun 14.

Cedars Sinai Medical Center, Los Angeles, CA.

Objective: Thyroid eye disease (TED) is an autoimmune, inflammatory disease resulting in retro-orbital fat and extraocular muscle expansion. TED quiets ("inactivates") as inflammation wanes, but signs/symptoms often persist. Disease signs/symptoms and quality of life (QOL) impact were examined in non-inflammatory and inflammatory TED. Read More

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Ophthalmic Complications Associated with Zygomatic Complex Fractures: A Randomised Descriptive Clinical Study.

J Maxillofac Oral Surg 2022 Jun 3;21(2):386-395. Epub 2020 Sep 3.

Department of Oral and Maxillofacial Surgery, Vydehi Institute of Dental Sciences and Research Centre, Bangalore, India.

Background And Objectives: Trauma to the maxillofacial region is usually associated with varying degrees of disruption of the soft and hard tissues in the region and injuries to the neighbouring structures such as eyes, brain, nasal apparatus and paranasal sinuses. Injuries to the middle third of the face commonly destroys the integrity of the orbital skeleton, and are frequently complicated by injury to the eye, ranging between 2.7 and 67% as reported in the literature. Read More

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Reconstruction of Orbital Floor Fractures with Titanium Micromesh: Our Experience.

J Maxillofac Oral Surg 2022 Jun 9;21(2):369-378. Epub 2020 Jul 9.

Department of General Dentistry, Dr SN Medical College, Jodhpur, 342010 India.

Aims And Objective: The purpose of this study was to assess the use and accuracy of the titanium micromesh for primary internal orbital reconstruction in cases of either pure or impure orbital blowout fractures.

Design: Retrospective case series of 21 patients with a mean follow-up of 12 months.

Place: Department of Dental Surgery of a teaching tertiary medical college Hospital. Read More

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Etiology and Pathophysiological Pathways of Ocular Complications Associated with Local Dental Anesthesia and Odontogenic Infections: A Systematic Review.

J Maxillofac Oral Surg 2022 Jun 16;21(2):648-667. Epub 2022 Apr 16.

Department of Oral and Maxillofacial Surgery, D Y Patil Dental College and Hospital, Pimpri, Pune, Maharashtra India.

Background: Ocular complications during or after dental extraction have been reported in the literature. These complications were either due to infiltration of local anesthetic solution or due to spread of odontogenic infection extending to the ocular region. The purpose of the present study is to outline the pathophysiological pathway of such ocular complications pertaining to dental procedures due to infiltration/local anesthesia block or spread of odontogenic infection. Read More

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Prospective intraoperative and histologic evaluation of cavernous sinus medial wall invasion by pituitary adenomas and its implications for acromegaly remission outcomes.

Sci Rep 2022 Jun 15;12(1):9919. Epub 2022 Jun 15.

Department of Neurosurgery, Stanford University Medical Center, Stanford, California, USA.

Recurrence and biochemical remission rates vary widely among different histological subtypes of pituitary adenoma. In this prospective study, we evaluated 107 consecutive primary pituitary adenomas operated on by a single neurosurgeon including 28 corticotroph, 27 gonadotroph, 24 somatotroph, 17 lactotroph, 5 null-cell and 6 plurihormonal. In each case, we performed direct endoscopic intraoperative inspection of the medial wall of the cavernous sinus, which was surgically removed when invasion was visualized. Read More

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Impact of the suboptimal communication network environment on telerobotic surgery performance and surgeon fatigue.

PLoS One 2022 16;17(6):e0270039. Epub 2022 Jun 16.

Committee for Promotion of Remote Surgery Implementation, Japan Surgical Society, Tokyo, Japan.

Background: Remote surgery social implementation necessitates achieving low latency and highly reliable video/operation signal transmission over economical commercial networks. However, with commercial lines, communication bandwidth often fluctuates with network congestion and interference from narrowband lines acting as bottlenecks. Therefore, verifying the effects on surgical performance and surgeon fatigue when communication lines dip below required bandwidths are important. Read More

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Rituximab for thyroid-associated ophthalmopathy.

Cochrane Database Syst Rev 2022 06 16;6:CD009226. Epub 2022 Jun 16.

Moorfields and UCL Institute of Ophthalmology BMRC, Moorfields Eye Hospital NHS Foundation Trust, London, UK.

Background: Thyroid-associated ophthalmopathy (TAO) is the most frequent extrathyroidal manifestation of Graves' disease, affecting up to 50% of patients. It has a great impact on quality of life. Rituximab (RTX) is a human/murine chimeric monoclonal antibody that targets the CD20 receptor on B-lymphocytes. Read More

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Comparison of subjective cyclofusion ranges and objective ocular torsion in normal participants according to age.

Graefes Arch Clin Exp Ophthalmol 2022 Jun 16. Epub 2022 Jun 16.

Department of Orthoptics and Visual Science, School of Allied Health Sciences, Kitasato University, Kanagawa, Japan.

Purpose: To investigate the relationship between subjective cyclofusion ranges and objective ocular torsion in normal participants according to age.

Methods: This cross-sectional study included 120 participants aged ≥ 20 years with no ocular diseases. The subjective cyclofusion ranges were measured centrifugally and centripetally in the direction of excyclotorsion and incyclotorsion, respectively, concurrently with rotational diplopia production by rotation using synoptophore. Read More

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Graves' Ophthalmopathy in the Setting of Primary Hypothyroidism.

Cureus 2022 May 12;14(5):e24954. Epub 2022 May 12.

Department of Internal Medicine, King Saud University Medical City, Riyadh, SAU.

Graves' ophthalmopathy (GO) is commonly associated with hyperthyroidism secondary to Graves' disease (GD). Although rare, there have been case reports of it occurring in patients who are hypothyroid with underlying Hashimoto's thyroiditis (HT), as well as in euthyroid patients. Below, we describe a case of GO developing in a patient who has hypothyroidism secondary to HT successfully treated with high-dose steroids. Read More

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Coexistence of Idiopathic Intracranial Hypertension with Unilateral Duane Retraction Syndrome Type 1 in an Adult Female.

Case Rep Ophthalmol 2022 Jan-Apr;13(1):292-296. Epub 2022 Apr 22.

Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

Idiopathic intracranial hypertension (IIH) is a poorly understood condition, and its presentation can coexist with other diseases. Simultaneous IIH and Duane retraction syndrome (DRS) type 1 have never been reported to coexist in an adult patient. Herein, we report a 32-year-old obese female with a history of chronic renal failure who had a renal transplant rejection 6 years prior to presentation and was treated with oral steroids and immunosuppressive medications. Read More

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Ophthalmic Presentation and Outcome for Sinonasal Mucoceles.

Ophthalmic Plast Reconstr Surg 2022 Jun 14. Epub 2022 Jun 14.

Adnexal Service, Moorfields Eye Hospital, London UK.

Purpose: The purpose of this study was to evaluate ophthalmic features and outcomes for patients who present with sinonasal mucoceles expanding into the orbit.

Patients And Methods: Retrospective chart review for patients seen in a specialist orbital clinic over 25 years, with a review of demographics, clinical characteristics, imaging features, and outcomes after treatment.

Results: Sixty patients (38 males; 63%) presented at a mean age of 51 years (range 3-89). Read More

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Orbital metastasis from thyroid cancer: a case report and review of the literature.

Ann Palliat Med 2022 Jun 2. Epub 2022 Jun 2.

Endocrinology, Garibaldi-Nesima Medical Center, Catania, Italy.

Background: Differentiated thyroid cancer (DTC) is generally associated with an excellent prognosis. However up to 20% of DTC patients have disease events during subsequent follow-up; rarely patients present an aggressive disease with distant metastases (DM), mainly in the lung and bone. Metastases at unusual sites may also occur, generally in patients with disseminated disease. Read More

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Edema and hematoma after local anesthesia via posterior superior alveolar nerve block: a case report.

J Dent Anesth Pain Med 2022 Jun 27;22(3):227-231. Epub 2022 May 27.

Department of Biosciences, Piracicaba Dental School, University of Campinas - UNICAMP - Piracicaba, São Paulo, Brazil.

Although rare, complications can occur with anesthetic procedures. The posterior superior alveolar nerve (PSAN) block anesthetic technique has a high success rate, but positive aspiration can cause bruising, transient diplopia, blurred vision, and temporary blindness in approximately 3% cases. When edema occurs, it is occasionally massive, especially in the infratemporal fossa, and the resulting hematoma is usually unsightly. Read More

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Surgical Strategies and Outcomes for Intracranial Chondromas: A Retrospective Study of 17 Cases and Systematic Review.

Front Oncol 2022 26;12:865865. Epub 2022 May 26.

Department of Neurosurgery, Tangdu Hospital, Air Force Medical University, Xi'an, China.

Objective: To improve the diagnosis and treatment of intracranial chondromas (ICDs) by discussing the clinical manifestations and imaging characteristics of ICDs, as well as surgical methods and treatment strategies.

Methods: We retrospectively analyzed 17 patients diagnosed with ICDs who underwent microsurgery or endoscopic transsphenoidal surgery at the Tangdu Hospital of Air Force Military Medical University and the Mianyang Central Hospital from January 2010 to November 2021. Clinical manifestations, imaging examinations, surgical treatments, and prognosis of these patients were analyzed. Read More

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Low probability of myasthenia Gravis in patients presenting to neuro-ophthalmology clinic for evaluation of isolated ptosis.

Eur J Ophthalmol 2022 Jun 9:11206721221107300. Epub 2022 Jun 9.

Department of Ophthalmology and Vision Sciences, Faculty of Medicine, 7938University of Toronto, Toronto, Ontario, Canada.

Background: Concerning causes of ptosis, most notably third nerve palsy and Horner's syndrome, can be ruled out with normal ocular motility and pupillary examination. Myasthenia gravis (MG) however, rarely can present with ptosis as an isolated finding. We reviewed all patients presenting to tertiary neuro-ophthalmology practice with ptosis of unknown etiology to determine the frequency of MG. Read More

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[Clinical and paraclinical profile of autoimmune myasthenia gravis in Ouagadougou, Burkina Faso].

Med Trop Sante Int 2021 12 11;1(4). Epub 2021 Nov 11.

CHU Yalgado Ouédraogo de Ouagadougou, Unité de formation et de recherches des sciences de la santé, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso.

Introduction: Certain differences in the epidemiological, clinical, paraclinical and evolution profiles of autoimmune myasthenia gravis (AIMG) are increasingly described in patients according to geographic origins. The present study was carried out in order to help characterize the socio-demographic, clinical and paraclinical profile of AIMG in Ouagadougou, Burkina Faso.

Patients And Methods: This was a cross-sectional, descriptive, multicenter, hospital study carried out in Ouagadougou (Burkina Faso), over a period of 5 years 6 months, from March 2015 to September 2019. Read More

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December 2021

Adherence to Medication among Parkinson's Disease Patients Using the Adherence to Refills and Medications Scale.

Int J Clin Pract 2022 23;2022:6741280. Epub 2022 Feb 23.

Clinic of Neurology, School of Medicine, University of Belgrade, Belgrade, Serbia.

Objectives: Adherence to medication is an important factor that can influence Parkinson's disease (PD) control. We aimed to explore patients' adherence to antiparkinsonian medication and determine factors that might affect adherence to medications among PD patients.

Methods: A cross-sectional, exploratory survey of PD patients treated with at least one antiparkinsonian drug and with a total score of MoCA (Montreal Cognitive Assessment) ≥26 was conducted. Read More

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[A case of Coexistent Persistent Trigeminal and Hypoglossal Arteries Manifested with Neurovascular Compression Syndrome by Hypertension].

Brain Nerve 2022 Jun;74(6):811-816

Department of Neurology, Shimane University Faculty of Medicine.

A 70-year-old woman visited our hospital with hypertension, diplopia, and right orbital pain. Neurological examination revealed right ophthalmoplegia. CT angiography and MRI identified a right persistent trigeminal artery (PTA), right persistent hypoglossal artery, and bovine aortic arch. Read More

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Oculomotor Palsy Caused by Aberrant Posterior Cerebral Artery.

Intern Med 2022 Jun 7. Epub 2022 Jun 7.

Department of Neurosurgery, National Defense Medical College, Japan.

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