Show Summary Details
Page of

Intermittent Diplopia 

Intermittent Diplopia
Chapter:
Intermittent Diplopia
Author(s):

Matthew J. Thurtell

, and Robert L. Tomsak

DOI:
10.1093/med/9780190603953.003.0021
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2020. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 02 June 2020

Intermittent diplopia is a common complaint that has a broad differential diagnosis. In this chapter, we begin by discussing the crucial role of the history in the evaluation of intermittent diplopia. We next review the differential diagnosis for intermittent diplopia, which includes conditions involving the eye, extraocular muscle, neuromuscular junction, cranial nerve, brainstem, and cerebellum. We emphasize the importance of distinguishing monocular diplopia from binocular diplopia when determining the appropriate diagnostic approach. We then review the symptoms, signs, pathogenesis, and diagnostic evaluation of superior oblique myokymia. We discuss practical strategies for detecting the ocular oscillations of superior oblique myokymia. Lastly, we review the medical and surgical management options for superior oblique myokymia.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.