11,519 results match your criteria Diplopia

Use of Soft Contact Lens for Esthetic and Functional Rehabilitation.

Eye Contact Lens 2021 07;47(7):383-387

Eye Department of Contat lenses (P.P.Y. and V.F.S.), Hospital Sadalla Amin Ghanem, Joinville, SC, Brazil; Department of Ophthalmology (S.A.S.), Medical School, State University of Sao Paulo-UNESP, Botucatu, SP, Brazil; and Department of Biostatistic (C.R.P.), Biosciences Institute, State University of Sao Paulo-UNESP, Botucatu, SP, Brazil.

Objective: To report the outcomes and complications of colored soft contact lenses (SCLs) to improve esthetic or eye function in visually impaired (VI) or blind patients.

Methods: This retrospective study enrolled consecutive patients with unilateral or bilateral VI or blindness who had received colored SCLs to improve appearance or ocular function. Data were collected on demographics, complaints, complete ophthalmological examinations, types of SCL, follow-ups, and complications. Read More

View Article and Full-Text PDF

Carcinomatous meningitis from recurrent glassy cell carcinoma of the uterine cervix-A case report.

J Obstet Gynaecol Res 2021 Jun 14. Epub 2021 Jun 14.

Department of Obstetrics and Gynecology, St. Mary's Hospital, Kurume, Japan.

Carcinomatous meningitis presents with a variety of neurological symptoms and has a poor prognosis. We encountered a case of carcinomatous meningitis from cervical cancer. A 30-year-old patient was diagnosed with cervical cancer (glassy cell carcinoma), stage IIB. Read More

View Article and Full-Text PDF

Orbital floor fractures: epidemiology and outcomes of 1594 reconstructions.

Eur J Trauma Emerg Surg 2021 Jun 14. Epub 2021 Jun 14.

Department of Oral, Cranio-Maxillofacial and Facial Plastic Surgery, University Hospital Frankfurt, Goethe University, Theodor-Stern-Kai 7, 60590, Frankfurt, Germany.

Objective: The aim of this study was to retrospectively review the midface and orbital floor fractures treated at our institution with regard to epidemiological aspects, surgical treatment options and postoperative complications and discuss this data with the current literature.

Study Design: One thousand five hundred and ninety-four patients with midface and orbital fractures treated at the Department of Oral, Cranio-Maxillofacial and Facial Plastic Surgery of the Goethe University Hospital in Frankfurt (Germany) between 2007 and 2017 were retrospectively reviewed. The patients were evaluated by age, gender, etiology, fracture pattern, defect size, surgical treatment and complications. Read More

View Article and Full-Text PDF

Monocular Diplopia in Idiopathic Intracranial Hypertension: A Case Report and Literature Review.

Eur J Case Rep Intern Med 2021 4;8(5):002509. Epub 2021 May 4.

Department of Neuroscience, Reproductive Science and Odontostomatology, Federico II University, Naples, Italy.

Background: Diplopia is the double vision of a single object, and can be binocular or monocular. Binocular diplopia is caused by the misalignment of the visual axes, with images falling on the fovea of the fixating eye and on the extra-foveal retina of the non-fixating eye, as a consequence of both neurological (i.e. Read More

View Article and Full-Text PDF

Frequency of Ophthalmological Findings in Hospitalized COVID-19 Patients.

Cureus 2021 May 10;13(5):e14942. Epub 2021 May 10.

Internal Medicine, Dow University of Health Sciences, Karachi, PAK.

Introduction: The symptoms of coronavirus disease-19 (COVID-19) may range from mild to severe. Patients usually present with fever, cough, and other respiratory tract symptoms, but may also be asymptomatic. Some studies have also indicated the ocular involvement by the virus. Read More

View Article and Full-Text PDF

In response to: Acute-onset binocular diplopia in neurological unit.

Acta Neurol Scand 2021 Jun 13. Epub 2021 Jun 13.

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

View Article and Full-Text PDF

Isolated abducens nerve palsy in a patient with asymptomatic SARS-CoV-2 infection.

J Clin Neurosci 2021 Jul 19;89:65-67. Epub 2021 Apr 19.

Department of Neurology, North Bristol NHS Trust, Bristol BS10 5NB, UK; Population Health Sciences, University of Bristol, Bristol BS8 2PL, UK. Electronic address:

The neuro-ophthalmological complications of SARS-CoV-2 infection are emerging but the spectrum of presentations and pathophysiological mechanism underpinning the association remains to be fully determined. We describe the case of a 44-year-old female who presented with a 12-hour history of diplopia preceded by a mild headache and found to have an isolated right abducens nerve palsy. Initial vital signs were normal but she developed a fever and nasopharyngeal swab confirmed SARS-CoV-2 infection by RT-PCR. Read More

View Article and Full-Text PDF

Giant skull base mass need not be a tumor - a rare presentation of IgG4-related disease.

Br J Neurosurg 2021 Jun 11:1-4. Epub 2021 Jun 11.

Department of Neurosurgery, PGIMER, Chandigarh, India.

Background: Giant intracranial 'IgG4-related' lesions are uncommon. They may present as pachymeningitis or localized mass. Here we report, probably, the largest IgG4 skull base mass ever to be reported. Read More

View Article and Full-Text PDF

Early efficacy of teprotumumab for the treatment of dysthyroid optic neuropathy: A multicenter study.

Am J Ophthalmol Case Rep 2021 Sep 14;23:101111. Epub 2021 May 14.

Department of Ophthalmology, Byers Eye Institute, Stanford University School of Medicine, Palo Alto, CA, USA.

Purpose: To study post-interventional findings in patients with dysthyroid optic neuropathy (DON) treated with teprotumumab.

Observations: In this multicenter observational Case series patients with DON were treated with teprotumumab, an insulin-like growth factor I receptor inhibitor (10 mg/kg for the first infusion then 20 mg/kg for subsequent infusions, every three weeks for a total 8 infusions). This study included patients with acute and chronic thyroid eye disease (TED) with DON who had failed conventional therapies and were not candidates for surgical decompression. Read More

View Article and Full-Text PDF
September 2021

Intraorbital and intracranial extension of adenoid cystic carcinoma without clinical or radiological lacrimal gland involvement.

Orbit 2021 Jun 9:1-5. Epub 2021 Jun 9.

Discipline of Ophthalmology and Visual Sciences, The University of Adelaide, Adelaide, Australia.

Adenoid cystic carcinoma (AdCC) is a rare epithelial neoplasm of the head and neck, most commonly found in the salivary glands. Orbital AdCC is an uncommon clinical entity arising from the lacrimal glands, however primary orbital AdCC has been previously described in a small number of case reports. The exact origin of the neoplasm with uninvolved lacrimal gland in the orbit is unknown, however it may arise from ectopic lacrimal or salivary gland tissue, or extension from nearby epithelial structures. Read More

View Article and Full-Text PDF

Anti-Muscle Specific Kinase (Anti-MuSK) Positive Myasthenia Gravis Overlapping With Parkinson's Disease: A Challenging Diagnosis.

Cureus 2021 May 4;13(5):e14839. Epub 2021 May 4.

College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.

The concomitance between Parkinson's disease (PD) and myasthenia gravis (MG) is rare, with only a few case reports in the literature and only one of them with positive anti-muscle specific kinase (anti-MuSK) MG. The overlap between PD and MG symptoms can cause a diagnostic dilemma for the treating physician. In this report, we present a 73-year-old lady with a history of recurrent falls, dysphagia, and diplopia. Read More

View Article and Full-Text PDF

[Macular buckling for highly myopic traction maculopathy].

Zhonghua Yan Ke Za Zhi 2021 Jun;57(6):433-439

Zhongshan Ophthalmic Centre, Sun Yat-sen University, State Key Laboratory of Ophthalmology, Guangzhou 510060, China.

To observe the efficacy of macular buckling in the treatment of highly myopic traction maculopathy. Retrospective case series study. The patients with high myopia who underwent macular buckling at the Zhongshan Ophthalmic Center of Sun Yat-sen University from June 2014 to June 2019 were enrolled, including 136 males and 212 females. Read More

View Article and Full-Text PDF

Ophthalmic adverse events following facial injections of botulinum toxin A: A systemic literature review.

J Cosmet Dermatol 2021 Jun 7. Epub 2021 Jun 7.

Department of Plastic and Reconstructive Surgery, Shaare-Zedek Medical Center, Jerusalem, Israel.

Background: Over the years, botulinum toxin has found its place as a neuromuscular blocking agent in numerous medical fields. Since the approval of botulinum toxin by the FDA for cosmetic indications in 2002, it had become the most commonly performed esthetic procedure worldwide, with ever-growing demand. The characteristics of the toxin, along with the facial areas it is injected to, could possibly account for a wide array of complication. Read More

View Article and Full-Text PDF

Evaluation of Eye Alignment before and after Cataract Surgery.

J Binocul Vis Ocul Motil 2021 Jun 7:1-7. Epub 2021 Jun 7.

Department of Ophthalmology, Graduate School of Medicine, International University of Health and Welfare, Tokyo, Japan.

: To assess changes in eye alignment before and after cataract surgery.: The medical records of 786 cataract patients without eye movement limitation who underwent bilateral cataract surgery under topical anesthesia with monofocal IOL placement were retrospectively reviewed at the Eye Center of Sanno Hospital in Japan.: Before cataract surgery, 121 of the 786 patients (15. Read More

View Article and Full-Text PDF

Diplopia in Parkinson's disease: Indication of a cortical phenotype with cognitive dysfunction?

Acta Neurol Scand 2021 Jun 7. Epub 2021 Jun 7.

Department of Neurology, Charité-Universitätsmedizin Berlin, Berlin, Germany.

Background: Visual disturbances are increasingly recognized as common non-motor symptoms in Parkinson's disease (PD). In PD patients, intermittent diplopia has been found to be associated with the presence of visual hallucinations and the Parkinson's psychosis spectrum. Here, we investigated whether diplopia in PD is associated with other non-motor traits and cognitive impairment. Read More

View Article and Full-Text PDF

Nonorganic visual loss in a child.

Saudi J Ophthalmol 2020 Jul-Sep;34(3):220-222. Epub 2021 Feb 27.

Pediatric Ophthalmology, Medical Research Foundation, Sankara Nethralaya, Chennai, Tamil Nadu, India.

Nonorganic visual loss (NOVL) is a rare presentation of visual conversion disorder. It may be suspected when the visual symptoms do not commensurate with the clinical signs on examination and in the absence of any organic etiology. We report a 10-year-old male child presenting with recurrent episodes of sudden-onset ptosis associated with a decrease in vision and diplopia. Read More

View Article and Full-Text PDF
February 2021

Ocular neuromyotonia caused by a recurrent sphenoidal ridge meningioma.

Surg Neurol Int 2021 10;12:219. Epub 2021 May 10.

Department of Neurosurgery, Graduate School of Medicine, Tohoku University, Sendai, Miyagi, Japan.

Background: Ocular neuromyotonia (ONM) is a rare ocular motility disorder characterized by involuntary paroxysmal extraocular muscle contraction and is caused by radiation therapy, vascular compression, and inflammatory disease. This study includes a rare case of ONM caused by a recurrent meningioma.

Case Description: A 56-year-old man presented with diplopia due to the right oculomotor nerve palsy caused by a sphenoidal atypical meningioma, with improved symptoms after initial surgery. Read More

View Article and Full-Text PDF

Successful Management of a Patient with Refractory Primary Central Nervous System Lymphoma by Zanubrutinib.

Onco Targets Ther 2021 24;14:3367-3372. Epub 2021 May 24.

Department of Hematology, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, People's Republic of China.

Primary central nervous system lymphoma (PCNSL) is a rare subtype of extranodal non-Hodgkin lymphoma, and the most frequent histological type is diffuse large B-cell lymphoma (DLBCL). Bruton's tyrosine kinase inhibitor (BTKi) has shown clinical activity in DLBCL. We herein report a 53-year-old man who presented with binocular diplopia, gait instability, dizziness and bucking. Read More

View Article and Full-Text PDF

Current Perspectives on Idiopathic Intracranial Hypertension without Papilloedema.

Life (Basel) 2021 May 24;11(6). Epub 2021 May 24.

Metabolic Neurology, Institute of Metabolism and Systems Research, University of Birmingham, Edgbaston B15 2TT, UK.

The pseudotumor cerebri syndrome embraces disorders characterised by raised intracranial pressure, where the commonest symptom is headache (90%). Idiopathic intracranial hypertension without papilloedema (IIHWOP) is increasingly recognised as a source of refractory headache symptoms and resultant neurological disability. Although the majority of patients with IIHWOP are phenotypically similar to those with idiopathic intracranial hypertension (IIH), it remains uncertain as to whether IIHWOP is nosologically distinct from IIH. Read More

View Article and Full-Text PDF

Doubly Blinded: An Uncommon Cause of Acute Visual Loss Due to Orbital Compartment Syndrome.

Clin Pract 2021 May 24;11(2):327-331. Epub 2021 May 24.

Electrophysiology Division, White River Health System, Batesville, AR 72501, USA.

A 68-year-old female patient with a past medical history of atrial fibrillation on anticoagulation regimen with Apixaban and Clopidogrel presented for her scheduled Watchman device implantation. The device was indicated as patient was high risk for falling. Successful implantation of the left atrial appendage device was carried out, and the patient was sent to the floor. Read More

View Article and Full-Text PDF

Stereotactic Radiotherapy in the Treatment of Paraneoplastic Vasculitis in Oligometastatic Renal Cell Carcinoma.

Curr Oncol 2021 May 7;28(3):1744-1750. Epub 2021 May 7.

Department of Radiology, Division of Radiation Oncology, University of Ottawa, 501 Smyth Road, Ottawa, ON K1H8L6, Canada.

Approximately 20% of renal cell carcinoma (RCC) is diagnosed because of paraneoplastic manifestations. RCC has been associated with a large variety of paraneoplastic syndromes (PNS), but it is rarely associated with PNS vasculitis. We present a case of a previously healthy male who presented with systemic vasculitis; bitemporal headaches, diplopia, polyarthritis, palpable purpura, tongue lesion, peri-orbital edema, scleritis, chondritis and constitutional symptoms. Read More

View Article and Full-Text PDF

Multidisciplinary approach to orbital decompression. A review.

Acta Otorhinolaryngol Ital 2021 Apr;41(Suppl. 1):S90-S101

Division of Otolaryngology, Azienda Ospedaliera Pia Fondazione di Culto e Religione Cardinale G. Panico, Tricase, Italy.

View Article and Full-Text PDF

Scrub typhus and lateral rectus palsy: an uncommon presentation of a common illness.

BMJ Case Rep 2021 May 31;14(5). Epub 2021 May 31.

Radiotherapy and Oncology, Indira Gandhi Medical College Cancer Hospital, Shimla, India.

Scrub typhus is a zoonosis, which usually manifests as an acute febrile illness. It is caused by a rickettsia, , which is endemic in the Asian region. It can present with varied clinical manifestations, ranging from acute febrile illness to life-threatening multiorgan dysfunction syndrome. Read More

View Article and Full-Text PDF

[Bilateral dermatomyositis and diplopia of unknown origin: A case report].

J Fr Ophtalmol 2021 Jun 29;44(6):e373-e375. Epub 2021 May 29.

Ophthalmology Department of Hospital Universitario San Juan de Alicante, Alicante, Espagne.

View Article and Full-Text PDF

Orbital anatomy magnetic resonance imaging in diplopic versus non-diplopic patients after glaucoma drainage device placement.

Eur J Ophthalmol 2021 May 31:11206721211020206. Epub 2021 May 31.

Department of Ophthalmology, Mayo Clinic, Rochester, MN, USA.

Purpose: New-onset persistent diplopia has become a common complication after glaucoma drainage device (GDD) placement. Understanding the orbital anatomy of such patients may provide information regarding risk of diplopia, GDD selection, and post-operative management. The purpose of this study was to examine the orbital anatomic differences in diplopic and non-diplopic patients after GDD implantation using high-resolution MRI. Read More

View Article and Full-Text PDF

Neuroophthalmic Manifestations of Intracranial Tumours in Children.

Case Rep Ophthalmol Med 2021 15;2021:7793382. Epub 2021 May 15.

Department of Neurosurgery, Dr. D.Y. Patil Medical College and Hospital, Pimpri, Pune, Maharashtra, India.

Background: All children between 0 and 16 years presenting with brain tumours confirmed by Magnetic Resonance Imaging (MRI) and treated surgically in our institute were included in this study.

Objective: The aim of this study is to evaluate the neuroophthalmic and clinical characteristics of intracranial space occupying lesions in children.

Methods: Neuroophthalmic manifestations along with location of the tumour by contrast-enhanced MRI, type of surgical intervention, and postoperative histopathological diagnosis were evaluated. Read More

View Article and Full-Text PDF

Isolated sixth nerve palsy as an initial presentation of primary angiitis of the central nervous system.

Brain Dev 2021 May 27. Epub 2021 May 27.

Department of Pediatrics, Kyoto University Graduate School of Medicine, Kyoto, Japan.

Background: Primary angiitis of the central nervous system (PACNS) is a newly-emerging disease, and it is known that early diagnosis with treatment is important for the improvement of prognosis.

Case Description: Here, we report the case of a previously healthy 13-year-old girl who presented with right eye abduction failure, attributed to isolated right sixth nerve palsy, as the initial symptom of PACNS. Magnetic resonance angiography (MRA) showed stenosis in the distal portion of the right internal carotid artery, and delay alternating with nutation for tailored excitation (DANTE)-prepared contrast-enhanced magnetic resonance imaging confirmed vasculitis at the same site. Read More

View Article and Full-Text PDF

Rates of Diplopia in Ahmed FP7, Baerveldt 250 and 350 Patients Compared to Medical Controls.

J Glaucoma 2021 May 27. Epub 2021 May 27.

Department of Ophthalmology Department of Health Sciences Research, Mayo Clinic, Rochester, Minnesota Department of Ophthalmology, First Affiliated Hospital of Anhui Medical University, Hefei City, Anhui Province, China Department of Ophthalmology, Bascom Palmer Eye Institute, Miami, Florida.

Prcis: Diplopia was present in approximately 20% of patients with Ahmed FP7or Baerveldt 350, compared to 5-6% in those with Baerveldt 250 or controls, suggesting risk of diplopia should be included in pre-operative counseling.

Purpose: To examine the prevalence of diplopia and strabismus in patients with Baerveldt 250 (B250), Baerveldt 350 (B350), or Ahmed FP7 (FP7) Glaucoma Drainage Devices (GDD).

Materials And Methods: In this cohort study, glaucoma patients ≥18 years old who had received, or would be receiving, a B250, B350, or FP7 GDD, and medically treated controls were consecutively enrolled from August 8, 2017, through July 31, 2019. Read More

View Article and Full-Text PDF

[Post-dural puncture headache].

Nervenarzt 2021 Jun;92(6):611-621

Neurologische Klinik und Poliklinik, Neurologischer Konsiliardienst am Standort Innenstadt, Klinikum der Ludwig-Maximilians-Universität München, Ziemssenstr. 1, 80336, München, Deutschland.

Post-dural puncture headache belongs to the group of secondary headache disorders and is a typical complication of intended or unintended dural puncture. The main symptom is orthostatic headache, which can be accompanied by neurological symptoms such as diplopia depending on the extent of the cerebrospinal fluid leak. The course of this headache is predominantly benign, showing spontaneous improvement over a couple of days, although severe cases are described in the literature. Read More

View Article and Full-Text PDF

Clinical Predictive Values in Botulism: A 10-year Survey.

Indian J Crit Care Med 2021 Apr;25(4):411-415

Department of Statistics, Ferdowsi University of Mashhad, Mashhad, Iran.

Background: Botulism occurs periodically or in outbreaks in Iran. Botulism is lethal and accordingly a considerable issue in environmental health, although it is uncommon. This study was performed to evaluate the potential predictive factors in foodborne botulism in a 10-year span. Read More

View Article and Full-Text PDF