Which specialist consultations are indicated in the treatment of 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

Diabetologist: Isolated cranial nerve weakness (eg, typically third or sixth cranial nerve) indicates a microangiopathy of diabetes. A review of the appropriateness of diabetic control is indicated.

An endocrinologist specializing in thyroid disorders may be required to control the metabolic disorder associated with severe thyroid disease (eg, Graves or Hashimoto disease).

An ear, nose, and throat (ENT) specialist may be required for sinus diseases and blow-out fractures.

A neurologic or neurosurgical opinion may be beneficial to evaluate cranial nerve palsies.


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