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Medical Forum / General / Vision / June 2006

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Binocular Diplopia

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zxcvbn1@yahoo.com - 17 Jun 2006 11:51 GMT
This problem has been affecting me for the past 3 years, on and off.
However, in the past 6 months, it has become worse. Before, a good rest
would suffice but nowadays I wake up with the image seperation at its
greatest.

I went to a ophthalmologist and he diagnosed it as squint and said
surgery was the only option since prisms won't work for my diplopia
which is measured at 18 dioptres. He also told me that surgery wasn't
100% and would require prisms to correct the rest. I immediately backed
out after that and currently waiting to see another doctor.

But is it really squint or "brain-diplopia"? My eye seem to look
straight and no one can tell if they are deviating. With enough effort
I can fuse the images into one (sometimes I can't), usually for a
couple of seconds and the seperation of images vary during the day and
gets worse during the night. The seperation is side by side and affects
me only when I try to see something more 5 feet away. I do a lot of
near work and stay up late quite often and wonder if it has taken a
toll on my sight.
Dr. Leukoma - 17 Jun 2006 13:49 GMT
Looks like you have divergence excess.  If you can fuse, you may want
to investigate some vision therapy, as it couldn't hurt.  You could
search under COVD for an optometrist.  It's also called orthoptics by
physicians.  You may still need the surgery.  As we get older, our
accommodation declines, which changes our accommodative-convergence.

DrG

> This problem has been affecting me for the past 3 years, on and off.
> However, in the past 6 months, it has become worse. Before, a good rest
[quoted text clipped - 15 lines]
> near work and stay up late quite often and wonder if it has taken a
> toll on my sight.
zxcvbn1@yahoo.com - 18 Jun 2006 05:01 GMT
Thanks. How do I do a self check to see which eye is deviating?
Anon E. Muss - 18 Jun 2006 07:27 GMT
>Thanks. How do I do a self check to see which eye is deviating?

That is quite difficult and impractical, especially if the strabismus
is small and/or alternating and/or intermittent.

It really needs to be diagnosed by an eye doctor via cover,
cover-uncover test and alternate cover tests.  Sometimes it needs to
be assessed after an hour or so of monocular occlusion.
Dr. Leukoma - 18 Jun 2006 14:30 GMT
> Thanks. How do I do a self check to see which eye is deviating?

Fixate on something and cover one eye.  If the object moves, you have
just covered the fixating eye.  If it doesn't move, you have covered
the deviating eye.  Try that and report back.

DrG
zxcvbn1@yahoo.com - 23 Jun 2006 16:28 GMT
They both seem to deviate together.

> > Thanks. How do I do a self check to see which eye is deviating?
>
[quoted text clipped - 3 lines]
>
> DrG
 
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