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The symptoms and signs associated with convergence insufficiency are related to prolonged, visually demanding, near-centered tasks. They may include, but are not limited to, diplopia (double vision), asthenopia (eye strain), transient blurred vision, difficulty sustaining near-visual function, abnormal fatigue, headache, and abnormal postural adaptation, among others.
Diplopia can also occur when viewing with only one eye; this is called monocular diplopia, or where the patient perceives more than two images, monocular polyopia. While serious causes rarely may be behind monocular diplopia symptoms, this is much less often the case than with binocular diplopia. [ 15 ]
Cerebral diplopia or polyopia describes seeing two or more images arranged in ordered rows, columns, or diagonals after fixation on a stimulus. [ 1 ] [ 2 ] The polyopic images occur monocular bilaterally (one eye open on both sides) and binocularly (both eyes open), differentiating it from ocular diplopia or polyopia.
Eye strain, also known as asthenopia (from astheno- 'loss of strength' and -opia 'relating to the eyes'), is a common eye condition that manifests through non-specific symptoms such as fatigue, pain in or around the eyes, blurred vision, headache, and occasional double vision. [1]
[2] [3] Patients may have up to 3 diopters of anisometropia before the condition becomes clinically significant due to headache, eye strain, double vision or photophobia. [ 4 ] In certain types of anisometropia, the visual cortex of the brain cannot process images from both eyes simultaneously ( binocular summation ), but will instead suppress ...
"Suppression is familiar to anyone who has trained himself to look through a monocular microscope, sight a gun, or do any other strictly one-eye task, with the other eye open. The scene simply disappears for the suppressed eye." [1] Suppression is frequent in children with anisometropia or strabismus or both. For instance, children with ...
Patients sometimes adopt a face turned towards the side of the affected eye, moving the eye away from the field of action of the affected lateral rectus muscle, with the aim of controlling diplopia and maintaining binocular vision. Diplopia is typically experienced by adults with VI nerve palsies, but children with the condition may not ...
It can progress to enlargement of the blind spot, blurring of vision, a concentric blind spot pattern, or diplopia (double vision). Ultimately, total loss of vision can occur, as well as other patterns of permanent injury to the optic nerve. [1] Papilledema (right) revealed by scanning laser ophthalmoscopy (top) and laser Doppler imaging ...