Two orthoptic treatments in dragged-fovea diplopia syndrome

Silvia Maddii, Ilaria Biagini, Alessia Aragno, Mario Scrivanti, Barbara Giambene, Stanislao Rizzo, Gianni Virgili

Research output: Contribution to journalArticle

Abstract

Background: "Dragged- fovea diplopia syndrome" is a type of central binocular diplopia that is secondary to a foveal displacement, caused by epiretinal membranes (ERMs) or other macular diseases. Its management is difficult, because prisms are not effective. Case Reports: Two cases of dragged-fovea diplopia syndrome were presented. Both patients were affected with a unilateral epiretinal membrane. Therefore, the pathophysiology underlying their diplopia was the conflict between central and peripheral fusion mechanisms. Conclusions: Diplopia caused by ERM "shift" deserves a complex management. We suggest to be careful about subjective symptoms and to optimize the residual visual function to customize the orthoptic management. A strict cooperation between ophthalmologists and orthoptists could lead to a successful outcome.
Original languageEnglish
Pages (from-to)67-71
Number of pages5
JournalAmerican Orthoptic Journal
Volume67
DOIs
Publication statusPublished - 2017

Keywords

  • Diplopia
  • Dragged- fovea
  • Prisms
  • Eye occlusion
  • Epiretinal membranes

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