What is the medical treatment for diplopia?

Updated: May 21, 2019
  • Author: Jitander Dudee, MD, MA(Cantab), FACS, FRCOphth; Chief Editor: Andrew G Lee, MD  more...
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Answer

Patching one eye: Patching is often required, since the patient has to continue functioning while awaiting resolution or intervention. [12]

Stick-on occlusive lenses can be applied to glasses to minimize the cosmetic handicap of a patched eye, while sufficiently blurring the one eye to minimize disabling double vision. [12]

Fresnel prisms: These prisms can be stuck to glasses. [12] Although these prisms are only appropriate if a stable deviation is present across all directions of gaze, they severely blur the image from that eye and function in many ways like an occlusive lens.

Treatment of myasthenia gravis: pyridostigmine (Mestinon) or other long-acting anticholinergic agent, as well as corticosteroids, may be required.

Orthoptic exercises: In healthy individuals, convergence exercises have been proven via randomized controlled trials to reduce symptoms of convergence insufficiency. [13] Orthoptic exercises have also been shown to improve surgical outcomes in patients with strabismus and can be considered as adjunctive treatment to surgery in patients with intermittent exotropia.


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