Assessment of diplopia in adults

What you need to knowFor a patient with double vision, differentiating between monocular and binocular diplopia can help guide the urgency of onward managementIn an acute setting, for a patient with binocular diplopia and limited eye movements, the main differentials of concern are third, fourth, and six cranial nerve palsies. These should be urgently excludedClinicians must be aware of legal driving standards for patients with diplopiaDouble vision, or diplopia, may be the first sign of sight or life threatening pathology. A thorough, accurate first assessment is important for determining the clinical urgency of related pathology and ensuring timely management.Monocular or binocular diplopia?Whether diplopia is monocular or binocular will help identify aetiology and determine the urgency of management. Ensure double vision is distinguished from blurred vision (when a patient sees a single image that appears unclear), which has many other distinct causes. In diplopia, the second image may appear fainter as…
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