Management of Diplopia
The onset of double vision in adults can be uniocular (confi ned to one eye)
or binocular, usually due to extraocular muscular imbalance or weakness.
Examples of:
• uniocular diplopia: early cataract, dislocated lens, psychogenic (rare)
• binocular diplopia: ocular nerve palsies (3, 4 or 6) (e.g. CVA, TIA,
diabetes, trauma, multiple sclerosis)
Test for diplopia with each eye occluded—if it persists it is uniocular, if it
disappears it is binocular. Refer urgently if binocular, if recent onset and
persistent.
The onset of double vision in adults can be uniocular (confi ned to one eye)
or binocular, usually due to extraocular muscular imbalance or weakness.
Examples of:
• uniocular diplopia: early cataract, dislocated lens, psychogenic (rare)
• binocular diplopia: ocular nerve palsies (3, 4 or 6) (e.g. CVA, TIA,
diabetes, trauma, multiple sclerosis)
Test for diplopia with each eye occluded—if it persists it is uniocular, if it
disappears it is binocular. Refer urgently if binocular, if recent onset and
persistent.