Diplopia differential diagnosis: Difference between revisions
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|Type of Diplopia | |||
| colspan="1" rowspan="1" |Orbital disorder | | colspan="1" rowspan="1" |Orbital disorder | ||
| colspan="1" rowspan="1" |Trauma, tumor, infection, thyroid-associated ophthalmopathy | | colspan="1" rowspan="1" |Trauma, tumor, infection, thyroid-associated ophthalmopathy | ||
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|Monocular Diplopia | |||
| colspan="1" rowspan="1" |Extraocular muscle disorder | | colspan="1" rowspan="1" |Extraocular muscle disorder | ||
| colspan="1" rowspan="1" |thyroid-associated ophthalmopathy, extraocular muscle injury or hematoma due to ocular surgery, congenital myopathies, mitochondrial myopathies, muscular dystrophy | | colspan="1" rowspan="1" |thyroid-associated ophthalmopathy, extraocular muscle injury or hematoma due to ocular surgery, congenital myopathies, mitochondrial myopathies, muscular dystrophy | ||
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|Binocular Diplopia | |||
| colspan="1" rowspan="1" |Neuromuscular junction dysfunction | | colspan="1" rowspan="1" |Neuromuscular junction dysfunction | ||
| colspan="1" rowspan="1" |Myasthenia gravis, botulism | | colspan="1" rowspan="1" |Myasthenia gravis, botulism | ||
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| colspan="1" rowspan="1" |Palsies of the third, fourth or sixth cranial nerves | | colspan="1" rowspan="1" |Palsies of the third, fourth or sixth cranial nerves | ||
| colspan="1" rowspan="1" |Microvascular ischemia – diabetic neuropathy, hemorrhage, tumor, vascular malformation, aneurysm, meningitis, multiple sclerosis | | colspan="1" rowspan="1" |Microvascular ischemia – diabetic neuropathy, hemorrhage, tumor, vascular malformation, aneurysm, meningitis, multiple sclerosis | ||
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| colspan="1" rowspan="1" |central nervous system injury (pathways and cranial nerve nuclei) | | colspan="1" rowspan="1" |central nervous system injury (pathways and cranial nerve nuclei) | ||
| colspan="1" rowspan="1" |Ischemia, hemorrhage, tumor, vascular malformations, multiple sclerosis, hydrocephalus, syphilis, Wernicke’s encephalopathy, neurodegenerative disease | | colspan="1" rowspan="1" |Ischemia, hemorrhage, tumor, vascular malformations, multiple sclerosis, hydrocephalus, syphilis, Wernicke’s encephalopathy, neurodegenerative disease | ||
Revision as of 14:58, 15 February 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:
Overview
Diplopia may be caused by disorders of the orbit, extraocular muscles, neuromuscular junction dysfuntion, paralysis of the oculomotor, trochlear and abducens nerves, and injuries affecting the central nervous system (CNS). Given the various causes of diplopia, it is important to differentiate between the different causes that lead to diplopia.
Differentiating Diplopia From Other Diseases
Diplopia may be caused by disorders of the orbit, extraocular muscles, neuromuscular junction dysfuntion, paralysis of the oculomotor, trochlear and abducens nerves, and injuries affecting the central nervous system (CNS). Given the various causes of diplopia, it is important to differentiate between the different causes that lead to diplopia. The following table differentiates between various causes of diplopia:
| Type of Diplopia | Orbital disorder | Trauma, tumor, infection, thyroid-associated ophthalmopathy |
| Monocular Diplopia | Extraocular muscle disorder | thyroid-associated ophthalmopathy, extraocular muscle injury or hematoma due to ocular surgery, congenital myopathies, mitochondrial myopathies, muscular dystrophy |
| Binocular Diplopia | Neuromuscular junction dysfunction | Myasthenia gravis, botulism |
| Palsies of the third, fourth or sixth cranial nerves | Microvascular ischemia – diabetic neuropathy, hemorrhage, tumor, vascular malformation, aneurysm, meningitis, multiple sclerosis | |
| central nervous system injury (pathways and cranial nerve nuclei) | Ischemia, hemorrhage, tumor, vascular malformations, multiple sclerosis, hydrocephalus, syphilis, Wernicke’s encephalopathy, neurodegenerative disease |