Unusual causes of diplopia and their management

Academic Article


  • Five rare causes of diplopia that the clinician is unlikely to consider are: fixation switch, horror fusionis, a change in the magnitude and/or direction of the deviation, accommodative insufficiency, and accommodative spasm. Diplopia due to the first three causes occurs in patients with a history of childhood onset strabismus, whereas diplopia due to the latter two causes usually occurs in patients with previously normal binocular vision. The author reviews the clinical features, diagnostic tests, etiology, clinical course, and treatment of diplopia caused by these five unusual conditions, and presents representative patient cases.
  • Authors

    Author List

  • Rutstein RP
  • Start Page

  • 158
  • End Page

  • 166
  • Volume

  • 12
  • Issue

  • 5