Binocular vertical diplopia.

Abstract:

:The assessment of a patient with binocular vertical diplopia begins with a thorough history and neuro-ophthalmologic examination. The neuro-ophthalmologic examination includes observation for a compensatory head, face, or chin position; ocular ductions and versions in the nine cardinal positions of gaze; the three-step test; the double Maddox rod test; indirect ophthalmoscopy to observe the location of the fovea in relationship to the optic nerve head to determine cyclodeviation; and the forced ductions test. Binocular vertical diplopia may be due to supranuclear processes, ocular motor nerve dysfunction, neuromuscular junction disease, diseases of eye muscle, mechanical processes causing vertical eye misalignment, and even retinal disease. In this article, the differential diagnosis of these processes is outlined.

journal_name

Mayo Clin Proc

journal_title

Mayo Clinic proceedings

authors

Brazis PW,Lee AG

doi

10.1016/S0025-6196(11)63620-3

subject

Has Abstract

pub_date

1998-01-01 00:00:00

pages

55-66

issue

1

eissn

0025-6196

issn

1942-5546

pii

S0025-6196(11)63620-3

journal_volume

73

pub_type

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