Authors : Ann J K
DOI : 10.18231/j.ijceo.2022.023
Volume : 8
Issue : 1
Year : 2022
Page No : 126-129
Aim: To analyse the demography, clinical features and outcome of patients presented with acute binocular diplopia at a tertiary eye care centre of Kerala. Results: 161 eyes of 88 (54.65%) males and 73 (43.34%) females with a mean age of 55.71 years (range 6 to 93 years) were included. Isolated cranial nerve palsies were the most common cause for acute diplopia (n=142, 88.2%) and included pupil sparing 3 nerve palsy (n=38), pupil involving 3rd nerve palsy (n=8), 4 nerve palsy (n=17) and 6th nerve palsy (n=79). Microvascular ischemia (n=119), traumatic (n=10), combined cranial nerve palsy (n=6), Idiopathic (n=13), Ocular myasthenia (n=5), Inter nuclear ophthalmoplegia (INO) (n=3), Parkinsonism (n= 1), Progressive Supra Nuclear Palsy (n=1) and decompensated comitant strabismus (n=3) were the other causes. Diabetes mellitus (n=102, 63.3%) was the most common vasculopathic factor followed by hypertension. Most patients (n=144, 89.4%) were relieved of their symptoms within six months. Keywords: Diplopia, Nerve palsy.
Materials and Methods: A retrospective review of medical records of patients presented with acute (
Conclusion: Acute binocular diplopia, though an alarming and distressing condition, had very good prognosis in our patients. Meticulous clinical examination and investigations can establish the diagnosis in most of the cases.