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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.
The appropriate treatment for binocular diplopia depends upon the cause of the condition producing the symptoms. Efforts must first be made to identify and treat the underlying cause of the problem. Treatment options include eye exercises, [ 2 ] wearing an eye patch on alternative eyes, [ 2 ] [ 24 ] prism correction , [ 26 ] [ 24 ] [ 27 ] and ...
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.
Symptoms of a brainstem stroke frequently include sudden vertigo and ataxia, with or without weakness. Brainstem stroke can also cause diplopia, slurred speech and decreased level of consciousness. A more serious outcome is locked-in syndrome. [citation needed]
Diplopia is typically experienced by adults with VI nerve palsies, but children with the condition may not experience diplopia due to suppression. The neuroplasticity present in childhood allows the child to 'switch off' the information coming from one eye (in this case the esotropic eye), thus relieving any diplopic symptoms.
Visual impairment can also be caused by problems in the brain due to stroke, premature birth, or trauma, among others. [12] These cases are known as cortical visual impairment. [12] Screening for vision problems in children may improve future vision and educational achievement. [13] Screening adults without symptoms is of uncertain benefit. [14]