A visual symptom in which a single object is perceived by the visual cortex as two objects rather than one. Disorders associated with this condition include REFRACTIVE ERRORS; STRABISMUS; OCULOMOTOR NERVE DISEASES; TROCHLEAR NERVE DISEASES; ABDUCENS NERVE DISEASES; and diseases of the BRAIN STEM and OCCIPITAL LOBE.
Fractures of the bones in the orbit, which include parts of the frontal, ethmoidal, lacrimal, and sphenoid bones and the maxilla and zygoma.
Disorders that feature impairment of eye movements as a primary manifestation of disease. These conditions may be divided into infranuclear, nuclear, and supranuclear disorders. Diseases of the eye muscles or oculomotor cranial nerves (III, IV, and VI) are considered infranuclear. Nuclear disorders are caused by disease of the oculomotor, trochlear, or abducens nuclei in the BRAIN STEM. Supranuclear disorders are produced by dysfunction of higher order sensory and motor systems that control eye movements, including neural networks in the CEREBRAL CORTEX; BASAL GANGLIA; CEREBELLUM; and BRAIN STEM. Ocular torticollis refers to a head tilt that is caused by an ocular misalignment. Opsoclonus refers to rapid, conjugate oscillations of the eyes in multiple directions, which may occur as a parainfectious or paraneoplastic condition (e.g., OPSOCLONUS-MYOCLONUS SYNDROME). (Adams et al., Principles of Neurology, 6th ed, p240)
Diseases of the sixth cranial (abducens) nerve or its nucleus in the pons. The nerve may be injured along its course in the pons, intracranially as it travels along the base of the brain, in the cavernous sinus, or at the level of superior orbital fissure or orbit. Dysfunction of the nerve causes lateral rectus muscle weakness, resulting in horizontal diplopia that is maximal when the affected eye is abducted and ESOTROPIA. Common conditions associated with nerve injury include INTRACRANIAL HYPERTENSION; CRANIOCEREBRAL TRAUMA; ISCHEMIA; and INFRATENTORIAL NEOPLASMS.
Misalignment of the visual axes of the eyes. In comitant strabismus the degree of ocular misalignment does not vary with the direction of gaze. In noncomitant strabismus the degree of misalignment varies depending on direction of gaze or which eye is fixating on the target. (Miller, Walsh & Hoyt's Clinical Neuro-Ophthalmology, 4th ed, p641)
Abnormal protrusion of both eyes; may be caused by endocrine gland malfunction, malignancy, injury, or paralysis of the extrinsic muscles of the eye.
Diseases of the oculomotor nerve or nucleus that result in weakness or paralysis of the superior rectus, inferior rectus, medial rectus, inferior oblique, or levator palpebrae muscles, or impaired parasympathetic innervation to the pupil. With a complete oculomotor palsy, the eyelid will be paralyzed, the eye will be in an abducted and inferior position, and the pupil will be markedly dilated. Commonly associated conditions include neoplasms, CRANIOCEREBRAL TRAUMA, ischemia (especially in association with DIABETES MELLITUS), and aneurysmal compression. (From Adams et al., Principles of Neurology, 6th ed, p270)
The muscles that move the eye. Included in this group are the medial rectus, lateral rectus, superior rectus, inferior rectus, inferior oblique, superior oblique, musculus orbitalis, and levator palpebrae superioris.
Surgery performed on the eye or any of its parts.
Drooping of the upper lid due to deficient development or paralysis of the levator palpebrae muscle.
Bony cavity that holds the eyeball and its associated tissues and appendages.
Recession of the eyeball into the orbit.
Diseases of the fourth cranial (trochlear) nerve or its nucleus in the midbrain. The nerve crosses as it exits the midbrain dorsally and may be injured along its course through the intracranial space, cavernous sinus, superior orbital fissure, or orbit. Clinical manifestations include weakness of the superior oblique muscle which causes vertical DIPLOPIA that is maximal when the affected eye is adducted and directed inferiorly. Head tilt may be seen as a compensatory mechanism for diplopia and rotation of the visual axis. Common etiologies include CRANIOCEREBRAL TRAUMA and INFRATENTORIAL NEOPLASMS.
An autoimmune disorder of the EYE, occurring in patients with Graves disease. Subtypes include congestive (inflammation of the orbital connective tissue), myopathic (swelling and dysfunction of the extraocular muscles), and mixed congestive-myopathic ophthalmopathy.
Traumatic injury to the abducens, or sixth, cranial nerve. Injury to this nerve results in lateral rectus muscle weakness or paralysis. The nerve may be damaged by closed or penetrating CRANIOCEREBRAL TRAUMA or by facial trauma involving the orbit.
Neoplasms of the bony orbit and contents except the eyeball.
Neoplasms of the base of the skull specifically, differentiated from neoplasms of unspecified sites or bones of the skull (SKULL NEOPLASMS).
One of the paired air spaces located in the body of the SPHENOID BONE behind the ETHMOID BONE in the middle of the skull. Sphenoid sinus communicates with the posterosuperior part of NASAL CAVITY on the same side.
A nonspecific tumor-like inflammatory lesion in the ORBIT of the eye. It is usually composed of mature LYMPHOCYTES; PLASMA CELLS; MACROPHAGES; LEUKOCYTES with varying degrees of FIBROSIS. Orbital pseudotumors are often associated with inflammation of the extraocular muscles (ORBITAL MYOSITIS) or inflammation of the lacrimal glands (DACRYOADENITIS).
Diseases of the bony orbit and contents except the eyeball.
An operation for retinal detachment which reduces the size of the globe by indenting the sclera so that it approximates the retina.
A form of ocular misalignment where the visual axes diverge inappropriately. For example, medial rectus muscle weakness may produce this condition as the affected eye will deviate laterally upon attempted forward gaze. An exotropia occurs due to the relatively unopposed force exerted on the eye by the lateral rectus muscle, which pulls the eye in an outward direction.
Paralysis of one or more of the ocular muscles due to disorders of the eye muscles, neuromuscular junction, supporting soft tissue, tendons, or innervation to the muscles.
A retention cyst of the salivary gland, lacrimal sac, paranasal sinuses, appendix, or gallbladder. (Stedman, 26th ed)
A pair of ophthalmic lenses in a frame or mounting which is supported by the nose and ears. The purpose is to aid or improve vision. It does not include goggles or nonprescription sun glasses for which EYE PROTECTIVE DEVICES is available.
Disorders of one or more of the twelve cranial nerves. With the exception of the optic and olfactory nerves, this includes disorders of the brain stem nuclei from which the cranial nerves originate or terminate.
A common form of hyperthyroidism with a diffuse hyperplastic GOITER. It is an autoimmune disorder that produces antibodies against the THYROID STIMULATING HORMONE RECEPTOR. These autoantibodies activate the TSH receptor, thereby stimulating the THYROID GLAND and hypersecretion of THYROID HORMONES. These autoantibodies can also affect the eyes (GRAVES OPHTHALMOPATHY) and the skin (Graves dermopathy).

Myasthenic syndrome of snake envenomation: a clinical and neurophysiological study. (1/231)

In this prospective study, 65 consecutive patients with neurological manifestations after snake envenomation, were examined in order to describe the natural history of the reversible nature of muscle weakness. Snake envenoming led to a completely reversible muscle paralysis involving the external ocular muscles with sparing of the pupils, muscles of mastication, facial muscles, palatal muscles, neck and proximal limb muscles. The deep tendon reflexes were preserved with no sensory abnormalities. The muscular weakness usually set in within an hour of envenomation and lasted up to 10 days, with fatigability lasting for 12 days. Respiratory muscle paralysis led to ventilatory failure needing ventilation in severely envenomed patients. Motor and sensory nerve conduction were normal with normal resting compound motor action potentials on electromyography. Repetitive nerve stimulation gave rise to a decremental response during high frequency stimulation. The edrophonium test gave negative results. These manifestations are due to abnormalities of neuromuscular transmission and are not typical of myasthenia gravis. As the exact pathophysiology of venom-related neurotoxicity is not known, it is suggested that the neurological manifestations of snake envenoming be designated a myasthenic syndrome. Further studies to isolate the neurotoxin and its mechanism and exact site of blocking at the neuromuscular junction would pave the way for the development of a novel long-acting neuromuscular blocking agent.  (+info)

Diplopia in a swimmer due to badly fitting goggles. (2/231)

An unusual effect of badly fitting swimming goggles is described. The goggles pressed on the trochlea of the left eye, interfering with the action of the superior oblique muscle. Diplopia resulted, which took several weeks to resolve.  (+info)

Spatial characteristics of cerebral polyopia: a case study. (3/231)

A 41-year-old woman showed bilateral monocular polyopia and an incomplete, right-sided homonymous hemianopia following bilateral cerebral strokes confirmed by neuroimaging. She was tested with briefly-presented visual stimuli to determine whether her polyopic images varied with visual field position of stimuli which evoked them. Stimuli close to her scotoma elicited polyopic images at shorter latency and higher probability than did stimuli more distant from it. RS could maintain stable fixation on small stimuli, suggesting that eye movements were not responsible for her polyopia. We discuss the possibility that cerebral polyopia is due to recoding of visual receptive fields in primary visual cortex and that bilateral occipital lesions are a causative factor in the genesis of the disorder.  (+info)

Prolonged diplopia following a mandibular block injection. (4/231)

A case is presented in which a 14-yr-old girl developed diplopia after injection of the local anesthetic Xylotox E 80 A (2% lidocaine with 1:80,000 epinephrine). Since the complication had a relatively slow onset and lasted for 24 hr, the commonly suggested explanations based on vascular, lymphatic, and neural route theories do not adequately fit the observations. No treatment, other than reassurance, was necessary, and the patient recovered fully.  (+info)

Recurrent proptotic diplopia due to congestive expansion of cavernous haemangioma with relapsing right-sided cardiac failure. (5/231)

A 75-year-old man with a recent history of pulmonary embolism, presented with collapse followed by a gran mal seizure and right-sided non-pulsatile proptosis. On recovery, he had diplopia on lateral and upward gaze and signs of congestive cardiac failure. Further pulmonary embolism was proven by lung scintigraphy. Computed tomography of his orbits confirmed a contrast-enhancing space-occupying lesion of the medial wall of the right orbit, with no intracranial abnormality. The patient was investigated for metastatic tumour as a possible cause of the space-occupying lesion and the unprovoked thromboembolic event, but no evidence of malignancy was found. The orbital lesion was not biopsied because of the risk of bleeding from anticoagulation. Three weeks later, the patient represented with recurrent cardiac failure, proptosis, and diplopia. A transorbital ultrasound confirmed an encapsulated, well-defined vascular lesion, with typical appearances and Doppler flow characteristics of a cavernous haemangioma. Diuretic therapy abolished the proptosis and diplopia in tandem with relief of the cardiac failure. This is the first description of recurrent proptosis with diplopia due to recurrent congestive expansion of an orbital cavernous haemangioma.  (+info)

Auditory saccade impairment after central thalamus lesions. (6/231)

Visual and auditory saccades were studied in three patients with an isolated lesion located in the central thalamus. Visual saccades proved to be normal, whereas for auditory stimuli, the amplitude of the first saccade was asymmetric: saccades ipsilateral to the lesion were significantly smaller than those directed to the contralateral side. The patients were able to make a corrective saccade and hence to improve gain and to decrease gain asymmetry. It is suggested that patients were able to localise auditory targets correctly, but did not correctly take into account eye position during the saccade, probably as a consequence of an inaccurate efference copy (corollary discharge) signal. The findings are in keeping with the hypothesis that the central thalamus deals with saccades that are based on extraretinal signals.  (+info)

Can myasthenia gravis be diagnosed with the 'ice pack test'? A cautionary note. (7/231)

The ice pack test may be helpful in establishing that ptosis is due to ocular myasthenia gravis, since cold improves neuromuscular transmission. However, the role of the test in determining whether diplopia is of myasthenic origin has yet to be established.  (+info)

Graves' ophthalmopathy: eye muscle involvement in patients with diplopia. (8/231)

BACKGROUND: Diplopia identifies patients with eye muscle involvement in Graves' ophthalmopathy (GO). OBJECTIVE: To identify clinical parameters that could eliminate the need for magnetic resonance imaging (MRI) to assess the activity of inflammation in the eye muscles of GO patients with diplopia. METHODS: In 43 patients with GO with recently developed diplopia, orbital ultrasound and MRI were performed. Muscle diameters and MRI T2 relaxation times were measured, and the amount of orbital connective tissue was calculated from MRI scans and compared with ultrasound readings, diplopia grades, degree of protrusion, ocular pressure, tear production, antibody levels and hormonal parameters of thyroid function. RESULTS: No correlation was found between diameters of 233 extraocular muscles measured by MRI and by ultrasound. For each of the four muscles, there was a diameter above which ultrasound was always unreliable. MRI data were used in further analysis. Of the muscles examined, the inferior rectuses were the most frequently enlarged - at least one, in 93% of cases. Medial, lateral and superior rectuses were enlarged in 59%, 37% and 34% of the orbits respectively. The pattern of muscle involvement of the two orbits tended to be symmetric (r=0.49, P=0.003), particularly for the medial rectuses (r=0.90, P=0.000). Proptosis correlated with the sum of the muscle diameters for a given eye (right eye: r=0.54, P=0.003; left eye: r=0.57, P=0.001), but it failed to correlate with the amount of orbital connective tissue. In 53% of the patients, normal T2 relaxation times were found in all eight muscles. There was only a weak correlation between muscle thickness and T2 relaxation time (r=0.49, P=0.003), indicating that muscle enlargement alone is not a sign of disease activity. The severity of diplopia was independent of T2 relaxation time. The amount of orbital connective tissue showed a negative correlation with the greatest T2 relaxation time for a given eye (r= -0.52, P=0.004); this suggests that disease types exist that have predominant muscle involvement and predominant connective tissue expansion. No correlation between connective tissue expansion and proptosis, diplopia grade, muscle thickness or disease duration was found - that is, connective tissue expansion is not a major factor in diplopia. Both muscle and connective tissue findings were independent of thyroid function. CONCLUSION: Ultrasound and MRI eye muscle diameter readings do not correlate, because of the inherent inaccuracy of orbital ultrasound. Muscle enlargement alone does not mean oedematous swelling and active disease. Neither ultrasound, nor any combination of 11 clinical and laboratory parameters provided the degree of information on muscles and connective tissue that was obtainable by MRI. In unclear cases of recently developed diplopia, before orbital decompression surgery, in the case of treatment failure or if, for any other reason, imaging is needed in GO, MRI is the method of choice.  (+info)

Diplopia is a medical term that refers to the condition where a person sees two images of a single object. It is commonly known as double vision. This can occur due to various reasons, such as nerve damage or misalignment of the eyes. Diplopia can be temporary or chronic and can affect one or both eyes. If you're experiencing diplopia, it's essential to consult an eye care professional for proper evaluation and treatment.

Orbital fractures refer to breaks in the bones that make up the eye socket, also known as the orbit. These bones include the maxilla, zygoma, frontal bone, and palatine bone. Orbital fractures can occur due to trauma, such as a blunt force injury or a penetrating wound.

There are several types of orbital fractures, including:

1. Blowout fracture: This occurs when the thin bone of the orbital floor is broken, often due to a direct blow to the eye. The force of the impact can cause the eyeball to move backward, breaking the bone and sometimes trapping the muscle that moves the eye (the inferior rectus).
2. Blow-in fracture: This type of fracture involves the breakage of the orbital roof, which is the bone that forms the upper boundary of the orbit. It typically occurs due to high-impact trauma, such as a car accident or a fall from a significant height.
3. Direct fracture: A direct fracture happens when there is a break in one or more of the bones that form the walls of the orbit. This type of fracture can result from a variety of traumas, including motor vehicle accidents, sports injuries, and assaults.
4. Indirect fracture: An indirect fracture occurs when the force of an injury is transmitted to the orbit through tissues surrounding it, causing the bone to break. The most common type of indirect orbital fracture is a blowout fracture.

Orbital fractures can cause various symptoms, including pain, swelling, bruising, and double vision. In some cases, the fracture may also lead to enophthalmos (sinking of the eye into the orbit) or telecanthus (increased distance between the inner corners of the eyes). Imaging tests, such as CT scans, are often used to diagnose orbital fractures and determine the best course of treatment. Treatment may include observation, pain management, and in some cases, surgery to repair the fracture and restore normal function.

Ocular motility disorders refer to a group of conditions that affect the movement of the eyes. These disorders can result from nerve damage, muscle dysfunction, or brain injuries. They can cause abnormal eye alignment, limited range of motion, and difficulty coordinating eye movements. Common symptoms include double vision, blurry vision, strabismus (crossed eyes), nystagmus (involuntary eye movement), and difficulty tracking moving objects. Ocular motility disorders can be congenital or acquired and may require medical intervention to correct or manage the condition.

The abducens nerve, also known as the sixth cranial nerve, is responsible for controlling the lateral rectus muscle of the eye, which enables the eye to move outward. Abducens nerve diseases refer to conditions that affect this nerve and can result in various symptoms, primarily affecting eye movement.

Here are some medical definitions related to abducens nerve diseases:

1. Abducens Nerve Palsy: A condition characterized by weakness or paralysis of the abducens nerve, causing difficulty in moving the affected eye outward. This results in double vision (diplopia), especially when gazing towards the side of the weakened nerve. Abducens nerve palsy can be congenital, acquired, or caused by various factors such as trauma, tumors, aneurysms, infections, or diseases like diabetes and multiple sclerosis.
2. Sixth Nerve Palsy: Another term for abducens nerve palsy, referring to the weakness or paralysis of the sixth cranial nerve.
3. Internuclear Ophthalmoplegia (INO): A neurological condition affecting eye movement, often caused by a lesion in the medial longitudinal fasciculus (MLF), a bundle of nerve fibers that connects the abducens nucleus with the oculomotor nucleus. INO results in impaired adduction (inward movement) of the eye on the side of the lesion and nystagmus (involuntary eye movements) of the abducting eye on the opposite side when attempting to look towards the side of the lesion.
4. One-and-a-Half Syndrome: A rare neurological condition characterized by a combination of INO and internuclear ophthalmoplegia with horizontal gaze palsy on the same side, caused by damage to both the abducens nerve and the paramedian pontine reticular formation (PPRF). This results in limited or no ability to move the eyes towards the side of the lesion and impaired adduction of the eye on the opposite side.
5. Brainstem Encephalitis: Inflammation of the brainstem, which can affect the abducens nerve and other cranial nerves, leading to various neurological symptoms such as diplopia (double vision), ataxia (loss of balance and coordination), and facial weakness. Brainstem encephalitis can be caused by infectious agents, autoimmune disorders, or paraneoplastic syndromes.
6. Multiple Sclerosis (MS): An autoimmune disorder characterized by inflammation and demyelination of the central nervous system, including the brainstem and optic nerves. MS can cause various neurological symptoms, such as diplopia, nystagmus, and INO, due to damage to the abducens nerve and other cranial nerves.
7. Wernicke's Encephalopathy: A neurological disorder caused by thiamine (vitamin B1) deficiency, often seen in alcoholics or individuals with malnutrition. Wernicke's encephalopathy can affect the brainstem and cause various symptoms such as diplopia, ataxia, confusion, and oculomotor abnormalities.
8. Pontine Glioma: A rare type of brain tumor that arises from the glial cells in the pons (a part of the brainstem). Pontine gliomas can cause various neurological symptoms such as diplopia, facial weakness, and difficulty swallowing due to their location in the brainstem.
9. Brainstem Cavernous Malformation: A benign vascular lesion that arises from the small blood vessels in the brainstem. Brainstem cavernous malformations can cause various neurological symptoms such as diplopia, ataxia, and facial weakness due to their location in the brainstem.
10. Pituitary Adenoma: A benign tumor that arises from the pituitary gland, located at the base of the brain. Large pituitary adenomas can compress the optic nerves and cause various visual symptoms such as diplopia, visual field defects, and decreased vision.
11. Craniopharyngioma: A benign tumor that arises from the remnants of the Rathke's pouch, a structure that gives rise to the anterior pituitary gland. Craniopharyngiomas can cause various neurological and endocrine symptoms such as diplopia, visual field defects, headaches, and hormonal imbalances due to their location near the optic nerves and pituitary gland.
12. Meningioma: A benign tumor that arises from the meninges, the protective covering of the brain and spinal cord. Meningiomas can cause various neurological symptoms such as diplopia, headaches, and seizures depending on their location in the brain or spinal cord.
13. Chordoma: A rare type of malignant tumor that arises from the remnants of the notochord, a structure that gives rise to the spine during embryonic development. Chordomas can cause various neurological and endocrine symptoms such as diplopia, visual field defects, headaches, and hormonal imbalances due to their location near the brainstem and spinal cord.
14. Metastatic Brain Tumors: Malignant tumors that spread from other parts of the body to the brain. Metastatic brain tumors can cause various neurological symptoms such as diplopia, headaches, seizures, and cognitive impairment depending on their location in the brain.
15. Other Rare Brain Tumors: There are many other rare types of brain tumors that can cause diplopia or other neurological symptoms, including gliomas, ependymomas, pineal region tumors, and others. These tumors require specialized diagnosis and treatment by neuro-oncologists and neurosurgeons with expertise in these rare conditions.

In summary, diplopia can be caused by various brain tumors, including pituitary adenomas, meningiomas, chordomas, metastatic brain tumors, and other rare types of tumors. It is important to seek medical attention promptly if you experience diplopia or other neurological symptoms, as early diagnosis and treatment can improve outcomes and quality of life.

Strabismus is a condition of the ocular muscles where the eyes are not aligned properly and point in different directions. One eye may turn inward, outward, upward, or downward while the other one remains fixed and aligns normally. This misalignment can occur occasionally or constantly. Strabismus is also commonly referred to as crossed eyes or walleye. The condition can lead to visual impairments such as amblyopia (lazy eye) and depth perception problems if not treated promptly and effectively, usually through surgery, glasses, or vision therapy.

Exophthalmos is a medical condition that refers to the abnormal protrusion or bulging of one or both eyes beyond the normal orbit (eye socket). This condition is also known as proptosis. Exophthalmos can be caused by various factors, including thyroid eye disease (Graves' ophthalmopathy), tumors, inflammation, trauma, or congenital abnormalities. It can lead to various symptoms such as double vision, eye discomfort, redness, and difficulty closing the eyes. Treatment of exophthalmos depends on the underlying cause and may include medications, surgery, or radiation therapy.

The oculomotor nerve, also known as the third cranial nerve (CN III), is responsible for controlling several important eye movements and functions. Oculomotor nerve diseases refer to conditions that affect this nerve and can lead to various symptoms related to eye movement and function. Here's a medical definition of oculomotor nerve diseases:

Oculomotor nerve diseases are a group of medical disorders characterized by the dysfunction or damage to the oculomotor nerve (CN III), resulting in impaired eye movements, abnormalities in pupillary response, and potential effects on eyelid position. These conditions can be congenital, acquired, or traumatic in nature and may lead to partial or complete paralysis of the nerve. Common oculomotor nerve diseases include oculomotor nerve palsy, third nerve ganglionopathies, and compressive oculomotor neuropathies caused by various pathologies such as aneurysms, tumors, or infections.

The oculomotor muscles are a group of extraocular muscles that control the movements of the eye. They include:

1. Superior rectus: This muscle is responsible for elevating the eye and helping with inward rotation (intorsion) when looking downwards.
2. Inferior rectus: It depresses the eye and helps with outward rotation (extorsion) when looking upwards.
3. Medial rectus: This muscle adducts, or moves, the eye towards the midline of the face.
4. Inferior oblique: The inferior oblique muscle intorts and elevates the eye.
5. Superior oblique: It extorts and depresses the eye.

These muscles work together to allow for smooth and precise movements of the eyes, enabling tasks such as tracking moving objects, reading, and maintaining visual fixation on a single point in space.

Ophthalmologic surgical procedures refer to various types of surgeries performed on the eye and its surrounding structures by trained medical professionals called ophthalmologists. These procedures aim to correct or improve vision, diagnose and treat eye diseases or injuries, and enhance the overall health and functionality of the eye. Some common examples of ophthalmologic surgical procedures include:

1. Cataract Surgery: This procedure involves removing a cloudy lens (cataract) from the eye and replacing it with an artificial intraocular lens (IOL).
2. LASIK (Laser-Assisted In Situ Keratomileusis): A type of refractive surgery that uses a laser to reshape the cornea, correcting nearsightedness, farsightedness, and astigmatism.
3. Glaucoma Surgery: Several surgical options are available for treating glaucoma, including laser trabeculoplasty, traditional trabeculectomy, and various drainage device implantations. These procedures aim to reduce intraocular pressure (IOP) and prevent further optic nerve damage.
4. Corneal Transplant: This procedure involves replacing a damaged or diseased cornea with a healthy donor cornea to restore vision and improve the eye's appearance.
5. Vitreoretinal Surgery: These procedures focus on treating issues within the vitreous humor (gel-like substance filling the eye) and the retina, such as retinal detachment, macular holes, or diabetic retinopathy.
6. Strabismus Surgery: This procedure aims to correct misalignment of the eyes (strabismus) by adjusting the muscles responsible for eye movement.
7. Oculoplastic Surgery: These procedures involve reconstructive, cosmetic, and functional surgeries around the eye, such as eyelid repair, removal of tumors, or orbital fracture repairs.
8. Pediatric Ophthalmologic Procedures: Various surgical interventions are performed on children to treat conditions like congenital cataracts, amblyopia (lazy eye), or blocked tear ducts.

These are just a few examples of ophthalmic surgical procedures. The specific treatment plan will depend on the individual's condition and overall health.

Blepharoptosis is a medical term that refers to the drooping or falling of the upper eyelid. It is usually caused by weakness or paralysis of the muscle that raises the eyelid, known as the levator palpebrae superioris. This condition can be present at birth or acquired later in life due to various factors such as aging, nerve damage, eye surgery complications, or certain medical conditions like myasthenia gravis or brain tumors. Blepharoptosis may obstruct vision and cause difficulty with daily activities, and treatment options include eyedrops, eye patches, or surgical correction.

In medical terms, the orbit refers to the bony cavity or socket in the skull that contains and protects the eye (eyeball) and its associated structures, including muscles, nerves, blood vessels, fat, and the lacrimal gland. The orbit is made up of several bones: the frontal bone, sphenoid bone, zygomatic bone, maxilla bone, and palatine bone. These bones form a pyramid-like shape that provides protection for the eye while also allowing for a range of movements.

Enophthalmos is a medical term that refers to the abnormal positioning of the eyeball within its socket, resulting in a posterior or backward displacement of the eye. This condition can occur due to various reasons such as trauma, surgical procedures, or diseases that affect the orbital tissues, including cancer, inflammation, or infection. Enophthalmos may lead to cosmetic concerns and visual disturbances, depending on its severity. A thorough examination by an ophthalmologist or an oculoplastic surgeon is necessary for accurate diagnosis and management of this condition.

The trochlear nerve, also known as the fourth cranial nerve (CN IV), is responsible for controlling the movement of the eye. It innervates the superior oblique muscle, which helps in depressing and rotating the eye downwards and outwards. Trochlear nerve diseases refer to conditions that affect this nerve and impair its function, leading to symptoms such as double vision (diplopia), vertical misalignment of the eyes, and difficulty with depth perception.

Trochlear nerve diseases can be caused by various factors, including trauma, compression, inflammation, infection, or tumors. Some common conditions that affect the trochlear nerve include:

1. Trochlear nerve palsy: This is a weakness or paralysis of the trochlear nerve, which can cause vertical and torsional diplopia, especially when looking downwards or to the side. It can be congenital or acquired due to trauma, compression, or other causes.
2. Aneurysm: Aneurysms in the vicinity of the trochlear nerve can compress or damage it, leading to palsy and diplopia.
3. Meningitis: Inflammation of the meninges (the membranes surrounding the brain and spinal cord) due to infection or other causes can affect the trochlear nerve and cause palsy.
4. Multiple sclerosis (MS): This is a chronic autoimmune disease that affects the central nervous system, including the cranial nerves. MS can cause demyelination of the trochlear nerve, leading to palsy and diplopia.
5. Diabetes: People with diabetes are at risk of developing diabetic neuropathy, which can affect any peripheral nerve, including the trochlear nerve.
6. Tumors: Space-occupying lesions in the brain or skull base, such as meningiomas, schwannomas, or pituitary adenomas, can compress the trochlear nerve and cause palsy.

The diagnosis of trochlear nerve diseases involves a thorough neurological examination, including assessment of eye movements and alignment. Imaging studies such as MRI or CT scans may be ordered to identify any structural lesions causing compression or damage to the nerve. Treatment depends on the underlying cause and may involve surgical intervention, medication, or observation.

Graves' ophthalmopathy, also known as Graves' eye disease or thyroid eye disease, is an autoimmune condition that affects the eyes. It often occurs in individuals with Graves' disease, an autoimmune disorder that causes hyperthyroidism (overactive thyroid gland). However, it can also occur in people without Graves' disease.

In Graves' ophthalmopathy, the immune system attacks the tissue behind the eyes, causing inflammation and enlargement of the muscles, fatty tissue, and connective tissue within the orbit (eye socket). This leads to symptoms such as:

1. Protrusion or bulging of the eyes (exophthalmos)
2. Redness and swelling of the eyelids
3. Double vision (diplopia) due to restricted eye movement
4. Pain and discomfort, especially when looking up, down, or sideways
5. Light sensitivity (photophobia)
6. Tearing and dryness in the eyes
7. Vision loss in severe cases

The treatment for Graves' ophthalmopathy depends on the severity of the symptoms and may include medications to manage inflammation, eye drops or ointments for dryness, prisms to correct double vision, or surgery for severe cases.

The abducens nerve, also known as the sixth cranial nerve, is responsible for controlling the lateral rectus muscle of the eye, which allows for horizontal movement of the eye outwards. An injury to the abducens nerve can result in various symptoms related to eye movement and alignment.

Medical definition:

Abducens nerve injury refers to damage or trauma to the sixth cranial nerve, resulting in dysfunction of the lateral rectus muscle and subsequent impairment of horizontal gaze. The affected individual may experience difficulty in moving the eye outwards, double vision (diplopia), or a condition known as strabismus, where the eyes are misaligned and point in different directions. Abducens nerve injury can occur due to various reasons, such as head trauma, tumors, increased intracranial pressure, or neurological disorders like multiple sclerosis. Treatment typically involves addressing the underlying cause and may include surgical intervention, eye patching, or prism lenses to manage symptoms and improve visual function.

Orbital neoplasms refer to abnormal growths or tumors that develop in the orbit, which is the bony cavity that contains the eyeball, muscles, nerves, fat, and blood vessels. These neoplasms can be benign (non-cancerous) or malignant (cancerous), and they can arise from various types of cells within the orbit.

Orbital neoplasms can cause a variety of symptoms depending on their size, location, and rate of growth. Common symptoms include protrusion or displacement of the eyeball, double vision, limited eye movement, pain, swelling, and numbness in the face. In some cases, orbital neoplasms may not cause any noticeable symptoms, especially if they are small and slow-growing.

There are many different types of orbital neoplasms, including:

1. Optic nerve glioma: a rare tumor that arises from the optic nerve's supportive tissue.
2. Orbital meningioma: a tumor that originates from the membranes covering the brain and extends into the orbit.
3. Lacrimal gland tumors: benign or malignant growths that develop in the lacrimal gland, which produces tears.
4. Orbital lymphangioma: a non-cancerous tumor that arises from the lymphatic vessels in the orbit.
5. Rhabdomyosarcoma: a malignant tumor that develops from the skeletal muscle cells in the orbit.
6. Metastatic tumors: cancerous growths that spread to the orbit from other parts of the body, such as the breast, lung, or prostate.

The diagnosis and treatment of orbital neoplasms depend on several factors, including the type, size, location, and extent of the tumor. Imaging tests, such as CT scans and MRI, are often used to visualize the tumor and determine its extent. A biopsy may also be performed to confirm the diagnosis and determine the tumor's type and grade. Treatment options include surgery, radiation therapy, chemotherapy, or a combination of these approaches.

Skull base neoplasms refer to abnormal growths or tumors located in the skull base, which is the region where the skull meets the spine and where the brain connects with the blood vessels and nerves that supply the head and neck. These neoplasms can be benign (non-cancerous) or malignant (cancerous), and they can arise from various types of cells in this area, including bone, nerve, glandular, and vascular tissue.

Skull base neoplasms can cause a range of symptoms depending on their size, location, and growth rate. Some common symptoms include headaches, vision changes, hearing loss, facial numbness or weakness, difficulty swallowing, and balance problems. Treatment options for skull base neoplasms may include surgery, radiation therapy, chemotherapy, or a combination of these approaches. The specific treatment plan will depend on the type, size, location, and stage of the tumor, as well as the patient's overall health and medical history.

The sphenoid sinuses are air-filled spaces located within the sphenoid bone, which is one of the bones that make up the skull base. These sinuses are located deep inside the skull, behind the eyes and nasal cavity. They are paired and separated by a thin bony septum, and each one opens into the corresponding nasal cavity through a small opening called the sphenoethmoidal recess. The sphenoid sinuses vary greatly in size and shape between individuals. They develop during childhood and continue to grow until early adulthood. The function of the sphenoid sinuses, like other paranasal sinuses, is not entirely clear, but they may contribute to reducing the weight of the skull, resonating voice during speech, and insulating the brain from trauma.

Orbital pseudotumor, also known as orbital inflammatory syndrome or idiopathic orbital inflammation, is a non-specific term used to describe a group of conditions characterized by inflammation in the orbit (the bony cavity surrounding the eye) without any identifiable cause. It is not a true tumor, but rather an inflammatory reaction that can mimic the symptoms and signs of a tumor.

The condition can affect people of any age, although it is more common in middle-aged adults. The exact cause of orbital pseudotumor is unknown, but it is believed to be related to an abnormal immune response or inflammation triggered by various factors such as infections, trauma, or autoimmune disorders.

Symptoms of orbital pseudotumor may include eye pain, redness, swelling, protrusion of the eyeball (proptosis), double vision, and decreased vision. Diagnostic tests such as imaging studies (CT or MRI scans) and biopsy may be used to rule out other causes of orbital inflammation. Treatment typically involves corticosteroids to reduce inflammation, although other immunosuppressive medications may be necessary in severe cases. In some cases, the condition may resolve on its own without treatment.

Orbital diseases refer to a group of medical conditions that affect the orbit, which is the bony cavity in the skull that contains the eye, muscles, nerves, fat, and blood vessels. These diseases can cause various symptoms such as eyelid swelling, protrusion or displacement of the eyeball, double vision, pain, and limited extraocular muscle movement.

Orbital diseases can be broadly classified into inflammatory, infectious, neoplastic (benign or malignant), vascular, traumatic, and congenital categories. Some examples of orbital diseases include:

* Orbital cellulitis: a bacterial or fungal infection that causes swelling and inflammation in the orbit
* Graves' disease: an autoimmune disorder that affects the thyroid gland and can cause protrusion of the eyeballs (exophthalmos)
* Orbital tumors: benign or malignant growths that develop in the orbit, such as optic nerve gliomas, lacrimal gland tumors, and lymphomas
* Carotid-cavernous fistulas: abnormal connections between the carotid artery and cavernous sinus, leading to pulsatile proptosis and other symptoms
* Orbital fractures: breaks in the bones surrounding the orbit, often caused by trauma
* Congenital anomalies: structural abnormalities present at birth, such as craniofacial syndromes or dermoid cysts.

Proper diagnosis and management of orbital diseases require a multidisciplinary approach involving ophthalmologists, neurologists, radiologists, and other specialists.

Scleral buckling is a surgical procedure used to treat retinal detachment, a serious eye condition that can cause vision loss. In this procedure, the sclera (the white outer coat of the eye) is "buckled" or indented with a piece of silicone rubber or sponge material. This brings the detached retina into contact with the wall of the eye, allowing the retina to reattach and heal. The buckle is usually left in place permanently. Scleral buckling has been a standard treatment for retinal detachment for many years and is often combined with vitrectomy or cryotherapy to improve outcomes.

Exotropia is a type of ocular misalignment or strabismus, where one eye turns outward (towards the ear) while the other eye remains aligned straight ahead. This condition can be constant or intermittent and may result in limited or absent depth perception, double vision, and in some cases, amblyopia (lazy eye). Exotropia is typically diagnosed during childhood through a comprehensive eye examination by an optometrist or ophthalmologist. Treatment options include eyeglasses, prism lenses, vision therapy, or surgery, depending on the severity and frequency of the misalignment.

Ophthalmoplegia is a medical term that refers to the paralysis or weakness of the eye muscles, which can result in double vision (diplopia) or difficulty moving the eyes. It can be caused by various conditions, including nerve damage, muscle disorders, or neurological diseases such as myasthenia gravis or multiple sclerosis. Ophthalmoplegia can affect one or more eye muscles and can be partial or complete. Depending on the underlying cause, ophthalmoplegia may be treatable with medications, surgery, or other interventions.

A mucocele is a mucus-containing cystic lesion that results from the accumulation of mucin within a damaged minor salivary gland duct or mucous gland. It is typically caused by trauma, injury, or blockage of the duct. Mucocele appears as a round, dome-shaped, fluid-filled swelling, which may be bluish or clear in color. They are most commonly found on the lower lip but can also occur on other areas of the oral cavity. Mucocele is generally painless unless it becomes secondarily infected; however, it can cause discomfort during speaking, chewing, or swallowing, and may affect aesthetics. Treatment usually involves surgical excision of the mucocele to prevent recurrence.

Eyeglasses are a medical device used to correct vision problems. Also known as spectacles, they consist of frames that hold one or more lenses through which a person looks to see clearly. The lenses may be made of glass or plastic and are designed to compensate for various visual impairments such as nearsightedness, farsightedness, astigmatism, or presbyopia. Eyeglasses can be custom-made to fit an individual's face and prescription, and they come in a variety of styles, colors, and materials. Some people wear eyeglasses all the time, while others may only need to wear them for certain activities such as reading or driving.

Cranial nerve diseases refer to conditions that affect the cranial nerves, which are a set of 12 pairs of nerves that originate from the brainstem and control various functions in the head and neck. These functions include vision, hearing, taste, smell, movement of the eyes and face, and sensation in the face.

Diseases of the cranial nerves can result from a variety of causes, including injury, infection, inflammation, tumors, or degenerative conditions. The specific symptoms that a person experiences will depend on which cranial nerve is affected and how severely it is damaged.

For example, damage to the optic nerve (cranial nerve II) can cause vision loss or visual disturbances, while damage to the facial nerve (cranial nerve VII) can result in weakness or paralysis of the face. Other common symptoms of cranial nerve diseases include pain, numbness, tingling, and hearing loss.

Treatment for cranial nerve diseases varies depending on the underlying cause and severity of the condition. In some cases, medication or surgery may be necessary to treat the underlying cause and relieve symptoms. Physical therapy or rehabilitation may also be recommended to help individuals regain function and improve their quality of life.

Graves' disease is defined as an autoimmune disorder that leads to overactivity of the thyroid gland (hyperthyroidism). It results when the immune system produces antibodies that stimulate the thyroid gland, causing it to produce too much thyroid hormone. This can result in a variety of symptoms such as rapid heartbeat, weight loss, heat intolerance, and bulging eyes (Graves' ophthalmopathy). The exact cause of Graves' disease is unknown, but it is more common in women and people with a family history of the disorder. Treatment may include medications to control hyperthyroidism, radioactive iodine therapy to destroy thyroid tissue, or surgery to remove the thyroid gland.

Temporary diplopia can also be caused by tired or strained eye muscles. If diplopia appears with other symptoms such as fatigue ... Acute diplopia is a diagnostic challenge. The most common cause of acute diplopia are ocular motor nerve palsies (OMP). The ... Deciphering Diplopia Look up diplopia in Wiktionary, the free dictionary. (Articles with short description, Short description ... Diplopia". The Neurologist. 12 (4): 229-230. doi:10.1097/01.nrl.0000231927.93645.34. PMID 16832242. "Diplopia - Eye Disorders ...
These conditions can cause visual suppression of areas of the dissimilar images by the brain such as to avoid diplopia, ... To initially relieve double vision (diplopia) caused by an extra-ocular muscle palsy, an eye care professional may recommend ... ISBN 978-0-8036-1247-1. Kernich CA (2006). "Diplopia". The Neurologist. 12 (4): 229-230. doi:10.1097/01.nrl.0000231927.93645.34 ... Orthoptist Blindfold Haploscope Diplopia Domino mask Binocular vision Stereopsis Google search Georgievski Z, Koklanis K, Leone ...
The test should be negative in patients with ptosis or diplopia of other etiologies. Bienfang's test can help differentiate OMG ... Patients most commonly experience ptosis caused by fatigue of levator palpebrae superioris and/or diplopia due to weakness of ... Rucker, JC; Tomsack, TL (2005). "Binocular diplopia: A practical approach". Neurologist. 11 (2): 98-110. doi:10.1097/01.nrl. ... Keane, JR (1986). "Vertical diplopia". Semin Neurol. 6 (2): 147-54. doi:10.1055/s-2008-1041458. PMID 3332419. S2CID 34640765. ( ...
"Nerve problems can cause damage to the control of eye muscles which can also cause diplopia." Students with dyslexia require a ... "Diplopia (Double Vision)". WebMD. Taylor, Mark J.; Duffy, Sandi; England, David (27 March 2009). "Teaching students with ...
Diplopia Jaime R. Lopez; Bruce T. Adornato; W. F. Hoyt (1993). ""Entomopia": a remarkable case of cerebral polyopia". Neurology ... M. B. Bender (1945). "Polyopia and monocular diplopia of cerebral origin". Archives of Neurology and Psychiatry. 54 (5): 323- ...
Diplopia, or double vision, occurs commonly after strabismus surgery. Although the surgery can be used to treat some types of ... Diplopia with normal binocular function is treated with prism glasses, botulinum injections into the muscles, or repeated ... Sharma M, Hunter DG (2018-01-02). "Diplopia after Strabismus Surgery". Seminars in Ophthalmology. 33 (1): 102-107. doi:10.1080/ ...
Rainin EA, Carlson BM (Sep 1985). "Postoperative diplopia and ptosis. A clinical hypothesis based on the myotoxicity of local ... which tends to cause diplopia (double vision). A complex approach to non-surgical management of strabismus (wandering eye), ... and prism lenses can relieve diplopia (double vision) by refracting the visual axis,[unreliable medical source][unreliable ...
Protruding eyeballs (known as proptosis and exophthalmos). Diplopia (double vision) is common. Limitation of eye movement (due ...
This presents as nystagmus and diplopia. Other demyelinating diseases, as well as certain neoplasms and strokes, can also cause ... Lesions of the medial longitudinal fasciculus can cause nystagmus and diplopia, which may be associated with multiple sclerosis ...
Eskridge JB (October 1993). "Persistent diplopia associated with strabismus surgery". Optometry and Vision Science. 70 (10): ...
Diplopia is not appreciated in this instance. The extension of Panum's fusion area can be interpreted as a shift in the mean ... Through the use of a 4 dioptre base out prism, diplopia is induced which is the driving force for the eyes to change fixation ... This is a result of overcoming the diplopia experienced. In cases where the patient has central suppression the following will ... However unlike a normal response, the fellow deviated eye will not make a corrective movement because diplopia has not been ...
Kushner BJ, Kowal L (2003). "Diplopia after refractive surgery: occurrence and prevention". Arch Ophthalmol. 121 (3): 351-21. ... Kushner BJ (2002). "Intractable diplopia after strabismus surgery in adults". Arch Ophthalmol. 120 (11): 1498-504. doi:10.1001/ ... elucidation of torsional contribution to patients with diplopia, corticosteroid treatment of periocular capillary hemangioma, ...
The child probably will not mention seeing double, i.e., double vision or diplopia. However, he or she may close one eye to ... People with exotropia often experience crossed diplopia. Intermittent exotropia is a fairly common condition. "Sensory ...
"Diplopia: visão dupla acelerou aposentadoria de Fred". GE (in Portuguese). 9 July 2022. Retrieved 10 July 2022. "Fluminense ... In April 2022, he announced his decision to retire after struggling with diplopia and other physical issues. He played his ...
Kushner, Burton J. (January 2008). "Causes and Prevention of Diplopia After Refractive Surgery". American Orthoptic Journal. 58 ...
Cerebral diplopia or polyopia describes seeing two or more images arranged in ordered rows, columns, or diagonals after ... differentiating it from ocular diplopia or polyopia. The number of duplicated images can range from one to hundreds. Some ... "Television-induced formed visual hallucinations and cerebral diplopia". British Journal of Ophthalmology. 65 (10): 707-711. doi ...
Duwaer AL (May 1983). "Patent stereopsis with diplopia in random-dot stereograms". Perception & Psychophysics. 33 (5): 443-54. ... and this has been interpreted as stereopsis with diplopia. Under normal circumstances, the depth specified by stereopsis agrees ...
"BladeTV.com - Witchblade TV Episode Guide - 1.03 Diplopia". November 14, 2007. Archived from the original on November 14, 2007 ...
Diplopia Amblyopia Orthoptist E. E. Maddox (November 1929). "Demonstration of the Cheiroscope". Proceedings of the Royal ...
Nystagmus, diplopia, and other ocular effects are also common. After many weeks, those with thallium poisoning begin to present ...
Diplopia may also be a result of a DNT. Other neurological impairments besides seizures are not common. Dysembryoplastic ...
Other patients have nystagmus, vertigo, tinnitus, diplopia or seizures.[citation needed] The various symptoms of EA are caused ... During attacks, they also have vertigo, nausea, vomiting, tinnitus and diplopia. These attacks are sometimes accompanied by ...
In cases of acquired strabismus with double vision (diplopia), it is long-established state of the art to aim at curing the ... For example, a patient may have had full stereo vision but later had diplopia due to a medical condition, losing stereo vision ... Blaha James; Gupta Manish (2014). "Diplopia: A virtual reality game designed to help amblyopics". 2014 IEEE Virtual Reality (VR ... who had had alternating infantile esotropia with diplopia, but no amblyopia, underwent three surgical corrections in childhood ...
The diplopia is worse on attempts at looking laterally. The long course of the abducens nerve between the brainstem and the eye ... The diplopia is worse on attempted lateral gaze, as would be expected (since the lateral gaze muscle is impaired). Peripheral ... Damage to the peripheral part of the abducens nerve will cause double vision (diplopia), due to the unopposed muscle tone of ... Complete interruption of the peripheral sixth nerve causes diplopia (double vision), due to the unopposed action of the medial ...
It can cause painless facial asymmetry, diplopia and enophthalmos. Diagnosis is suspected based on symptoms, and can be ... Silent sinus syndrome can cause facial asymmetry (usually without pain), and vision problems (such as diplopia and enophthalmos ...
Thus, the diplopia is horizontal and worse in the distance. Diplopia is also increased on looking to the affected side and is ... Diplopia is typically experienced by adults with VI nerve palsies, but children with the condition may not experience diplopia ... Onset is typically sudden with symptoms of horizontal diplopia. Limitations of eye movements are confined to abduction of the ... In children, who rarely appreciate diplopia, the aim will be to maintain binocular vision and, thus, promote proper visual ...
Philippa Warr (2013-12-05). "Diplopia hopes to restore 3D vision in adults through gaming". Wired. Retrieved 2013-12-06. Alpo ... James Blaha (2013-11-21). "Diplopia - A VR Game to Help Strabismus and Amblyopia". Indiegogo. Retrieved 2013-12-06. ...
Diplopia is the most common symptom of cranial nerve dysfunction. Trigeminal sensory or motor loss, cochlear dysfunction, and ...
Surgical intervention may be required to prevent diplopia and enophthalmos. Patients not experiencing enophthalmos or diplopia ... vertical diplopia) Orbital and lid subcutaneous emphysema, especially when blowing the nose or sneezing Nausea and bradycardia ...
Additionally, the divergence of the eyes leads to horizontal diplopia. That is if the right eye is affected the patient will " ...

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