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The provider may prescribe an eye patch to relieve the double vision. The patch can be removed after the nerve heals. Surgery or special glasses (prisms) may be advised if there is no recovery in 6 to 12 months. If diplopia turns out to be intractable, it can be managed as last resort by obscuring part of the patient's field of view.
The symptoms of ocular MG can also be addressed by non-medicinal means. Ptosis can be corrected with placement of crutches on eyeglasses and with ptosis tape to elevate eyelid droop. Diplopia can be addressed by occlusion with eye patching, frosted lens, occluding contact lens, or by simply placing opaque tape over a portion of eyeglasses.
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.
Horror fusionis is a rare condition and normally appears only in patients who have been treated by means of surgery or other interventions. [2] Attempts to achieve stereoscopic vision, in particular anti-suppression therapy and other orthoptic exercises, may lead to double vision as undesired side effect, in particular also to horror fusionis.
Common side effects are double vision, droopy eyelid, overcorrection, and no effect. The side effects typically resolve also within three to four months. Botulinum toxin therapy has been reported to be similarly successful as strabismus surgery for people with binocular vision and less successful than surgery for those who have no binocular vision.
Later, surgical repair may be considered for larger avulsions causing significant double vision, cosmesis or glare symptoms. [4] Surgical repair is usually done by 10-0 prolene suture taking the base of iris avulsion and suturing it to the scleral spur and ciliary body junction.
Conjunctival SCC is often asymptomatic at first, but it can present with the presence of a growth, red eye, pain, itching, burning, tearing, sensitivity to light, double vision, and decreased vision. [1] Spread of conjunctival SCC can occur in 1–21% of cases, with the first site of spread being the regional lymph nodes. [1]
Diplopia, or double vision, occurs commonly after strabismus surgery. Although the surgery can be used to treat some types of double vision, it can instead end up making existing symptoms worse or create a new type of double vision. [12] The type of double vision can be horizontal, vertical, torsional, or a combination.