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Diplopia

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Thyroid autoantibodies in adults with acquired binocular diplopia of unknown origin.

Haeng-Jin Lee, Seong-Joon Kim,

Patients with acquired adult-onset strabismus mainly present with binocular diplopia. Although cranial nerve palsies are reportedly the most common cause of binocular diplopia in adults, thyroid disease can also cause diplopia. In patients with thyroid-associated ophthalmopathy, upper lid retraction and proptosis are the most common initial findings, but diplopia could ... Read more >>

Sci Rep (Scientific reports)
[2020, 10(1):5399]

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Otago Glaucoma Surgery Outcome Study: Examining the Development of Strabismus Causing Diplopia in Patients Who Have Received Molteno Implant Surgery.

Thomas Borowsky, Tui H Bevin, Andrew M Thompson, Peter Herbison, Anthony C B Molteno, Logan Mitchell,

Objective: To evaluate the development of postoperative strabismus causing diplopia in patients who received Molteno implant surgery for the treatment of glaucoma.Methods: The Otago Glaucoma Surgery Outcome study (OGSOS) was used to select cases who had undergone Molteno implant surgery to examine the effect on the development of strabismus causing ... Read more >>

J Binocul Vis Ocul Motil (Journal of binocular vision and ocular motility)
[2020, :1-6]

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Periorbital Emphysema Presenting With Diplopia After Rhinoplasty.

Ho Yun Lee, Jun Lee, Myoung Su Choi, Su Jin Kim,

Periorbital emphysema is a well-known but very rare complication after rhinoplasty. Here, we present a case of periorbital emphysema presenting with diplopia and eyeball deviation after rhinoplasty. All symptoms disappeared spontaneously within days, without any complications. ... Read more >>

J Craniofac Surg (The Journal of craniofacial surgery)
[2020, :]

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An evidence-based approach to abnormal vision in the emergency department

Kelly O'Keefe, Sarah Temple,

Patients present to the ED with visual disturbances that may be painful or painless and may include loss of visual acuity, field cuts, diplopia, and headache. A detailed history and complete ocular examination are essential to obtaining the correct diagnosis and offering expedited treatment and referral. This review discusses the ... Read more >>

Emerg Med Pract (Emergency medicine practice)
[2020, 22(4):1-28]

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Central Mini-plication of the Medial Rectus for Convergence Insufficiency.

Pilar Merino, Ilshat Mustafín, Pilar Gómez De Liaño, Carlos Cólliga,

Five cases with a mean (± SD) age of 61 (12.02) years are described to study the outcomes of treatment with central mini-plication of the medial rectus (MR) muscles in adult convergence insufficiency with diplopia and near exotropia: mean preoperative deviation: 18 (± 2) pd. Surgical outcome was considered to ... Read more >>

J Binocul Vis Ocul Motil (Journal of binocular vision and ocular motility)
[2020, :1-4]

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The Free Serratus-Rib Flap for Orbital Floor Reconstruction After Oncologic Resection.

Casey T Kraft, Matthew M Hanasono, Roman J Skoracki,

INTRODUCTION:Maxillary cancer is relatively rare but devastating for those affected with the disease. For patients who require suprastructural or total maxillectomy for oncologic resection, the resection of the orbital floor can be challenging to reconstruct. The serratus-rib flap is a well-known and useful method of head and neck reconstruction, albeit ... Read more >>

Ann Plast Surg (Annals of plastic surgery)
[2020, 84(4):409-412]

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Suitable indications of eculizumab for patients with refractory generalized myasthenia gravis.

Munenori Oyama, Kensuke Okada, Masayuki Masuda, Yuko Shimizu, Kazumasa Yokoyama, Akiyuki Uzawa, Naoki Kawaguchi, Ryotaro Ikeguchi, Yasunobu Hoshino, Taku Hatano, Yukiko Ozawa, Jin Nakahara, Hitoshi Aizawa, Kazuo Kitagawa, Nobutaka Hattori, Satoshi Kuwabara, Hiroyuki Murai, Shigeaki Suzuki,

Background:Eculizumab is a humanized monoclonal antibody that targets complement protein C5 and inhibits terminal complement-mediated damage at the neuromuscular junction. Recently, the REGAIN study showed that eculizumab was effective and well tolerated in patients with anti-acetylcholine receptor antibody-positive refractory generalized myasthenia gravis (gMG). However, there is no consensus regarding which ... Read more >>

Ther Adv Neurol Disord (Therapeutic advances in neurological disorders)
[2020, 13:1756286420904207]

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Posterior Inferior Cerebellar Artery (PICA) Reanastomosis After Excision of a Ruptured p2-PICA Aneurysm: 2-Dimensional Operative Video.

Claudio Cavallo, Mohamed Labib, Sirin Gandhi, Leandro Borba Moreira, Justin Mascitelli, Michael T Lawton,

Posterior inferior cerebellar artery (PICA) aneurysms have an increased tendency towards a fusiform morphology precluding primary clip reconstruction. The management of these complex aneurysms might require cerebral revascularization to preserve flow in a distal PICA territory. This video illustrates a case of a ruptured p2-PICA aneurysm excision followed by a ... Read more >>

Oper Neurosurg (Hagerstown) (Operative neurosurgery (Hagerstown, Md.))
[2020, 18(4):E114]

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Granulomatous hypophysitis causing compression of the internal carotid arteries reversible with azathioprine and rituximab treatment.

Pauline Gendreitzig, Jürgen Honegger, Marcus Quinkler,

INTRODUCTION:Compression of the internal carotid artery (ICA) in the cavernous sinus area is a rare event and is mostly associated with pituitary adenomas and meningiomas. Other causes of ICA compression are less well known. We present a rare case of granulomatous hypophysitis causing compression of the ICA, which was treated ... Read more >>

Pituitary (Pituitary)
[2020, 23(2):103-112]

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The tolerability and safety profile of eslicarbazepine acetate in neurological disorders.

Li-Na Zhu, Deng Chen, Ge Tan, Hai-Jiao Wang, Shanshan Chu, Ling Liu,

OBJECTIVES:This study aimed to assess the tolerability and safety profile of eslicarbazepine acetate (ESL). METHODS:Placebo controlled, double-blind randomized controlled trials (RCTs) were enrolled by searching Pubmed, Embase, Cochrane Online Library, and clinicaltrial.gov. Studies evaluating the safety of ESL on any neurological disorders were included. Adverse events (AEs), serious AEs and ... Read more >>

J. Neurol. Sci. (Journal of the neurological sciences)
[2020, 413:116772]

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Clinical Research of the Remanent Diplopia Correction Operation After Orbital Fracture Repair.

Shaorui Liu, Qin Shen, Wodong Shi, Jie He, Xianqun Fan,

OBJECTIVE:To investigate the occasion, method and effectiveness of the diplopic correction after the orbital fracture repair in Chinese patients with orbital fracture. METHODS:This was a retrospective observational study of 64 patients with remanent diplopia after the reconstructions of orbital fracture were studied between January 2014 and June 2017. The different ... Read more >>

J Craniofac Surg (The Journal of craniofacial surgery)
[2020, 31(2):420-422]

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The Medial Pontine Mid-Tegmentum Syndrome.

Lara C Wadi, Michael J Kim, Mark J Fisher,

Isolated pontine infarcts are common and are often associated with well-described syndromes that are classified based on their specific clinical presentation and arterial stroke territories. Here we present a case of acute combined diplopia and unilateral lower extremity sensory abnormality. Diffusion-weighted magnetic resonance imaging revealed a punctate area of acute ... Read more >>

J Stroke Cerebrovasc Dis (Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association)
[2020, :104750]

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[The surgical effect of secondary esotropia with diplopia after orbital decompression for thyroid-associated ophthalmopathy].

Y W Li, S Q Yang, W Zhang, X Guo,

Objective: To evaluate the effect of extraocular muscle surgery in treating secondary esotropia with diplopia after orbital decompression for thyroid-associated ophthalmopathy (TAO). Methods: Retrospective case series study. Eleven secondary esotropic patients with diplopia after orbital decompression for TAO who underwent extraocular muscle surgery during March 2016 and October 2018 in ... Read more >>

Zhonghua Yan Ke Za Zhi ([Zhonghua yan ke za zhi] Chinese journal of ophthalmology)
[2020, 56(3):183-188]

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Lamotrigine add-on therapy for drug-resistant focal epilepsy.

Mariangela Panebianco, Rebecca Bresnahan, Sridharan Ramaratnam, Anthony G Marson,

BACKGROUND:This is an updated version of the Cochrane Review previously published in 2016. Epilepsy is a common neurological disorder, affecting 0.5% to 1% of the population. For nearly 30% of these people, their epilepsy is resistant to currently available drugs. Pharmacological treatment remains the first choice to control epilepsy. Lamotrigine ... Read more >>

Cochrane Database Syst Rev (The Cochrane database of systematic reviews)
[2020, 3:CD001909]

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Characteristics and outcomes of patients with ophthalmologic involvement in giant-cell arteritis: A case-control study.

Anaël Dumont, Anaïs Lecannuet, Jonathan Boutemy, Gwénola Maigné, Nicolas Martin-Silva, Samuel Deshayes, Alexandra Audemard-Verger, Audrey Sultan, Gaétane Planchard, Achille Aouba, Hubert de Boysson,

PURPOSE:To describe the characteristics and outcome of patients with giant-cell arteritis (GCA)-related ophthalmologic involvement at diagnosis. METHODS:In a retrospective single-center cohort of 409 consecutive patients with GCA, we retrieved 104 patients with visual symptoms at GCA diagnosis and we compared them to 104 age- and sex-matched controls without ophthalmologic involvement. ... Read more >>

Semin. Arthritis Rheum. (Seminars in arthritis and rheumatism)
[2020, 50(2):335-341]

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Percutaneous Microcompression for Idiopathic Trigeminal Neuralgia: curative effects and complications

yi ma, Yan-feng Li, Hai-tao Huang, Bin Wang, Quan-cai Wang,

<title>Abstract</title> <p> Background. We aimed to present the immediate and long term effect of percutaneous balloon compression (PBC) for idiopathic trigeminal neuralgia (ITN). Methods. ITN patients who underwent PBC for the first time in the past seven years were enrolled. Base line data and immediate postoperative outcomes were ... Read more >>

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Facial fractures: classification and highlights for a useful report.

Eva Gómez Roselló, Ana M Quiles Granado, Miquel Artajona Garcia, Sergi Juanpere Martí, Gemma Laguillo Sala, Briggitte Beltrán Mármol, Salvador Pedraza Gutiérrez,

In patients with facial trauma, multidetector computed tomography is the first-choice imaging test because it can detect and characterize even small fractures and their associated complications quickly and accurately. It has helped clinical management and surgical planning, so radiologists must communicate their findings to surgeons effectively. In Le Fort fractures, ... Read more >>

Insights Imaging (Insights into imaging)
[2020, 11(1):49]

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A Prospective, Randomized, Double-blind, Placebo-controlled Study of Orbital Radiotherapy for Graves' Ophthalmopathy.

Colum A Gorman, James A Garrity, Vahab Fatourechi, Rebecca S Bahn, Ivy A Petersen, Scott L Stafford, John D Earle, Glenn S Forbes, Robert W Kline, Erik J Bergstralh, Kenneth P Offord, Diana M Rademacher, Nancy M Stanley, George B Bartley,

CONTEXT:Although widely used for more than 85 years, the efficacy of radiotherapy for Graves' ophthalmopathy (GO) has not been established convincingly. OBJECTIVE:To evaluate the efficacy of radiotherapy for GO. DESIGN:Prospective, randomized, internally controlled, double-blind clinical trial in a tertiary care academic medical center. PARTICIPANTS:The patients were ethnically diverse males and ... Read more >>

Ophthalmology (Ophthalmology)
[2020, 127(4S):S160-S171]

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Binocular Diplopia Caused by an Epiretinal Membrane With Foveal Displacement.

Doria M Gold, Yasha S Modi, Floyd A Warren, Janet C Rucker,

A 73-year-old woman presented with 3 years of monocular visual distortion and progressive binocular diplopia. She was found to have a comitant left hypertropia due to an epiretinal membrane causing inferior foveal drag. Displacement of the fovea from an epiretinal membrane is a likely under-recognized cause ocular cause of a ... Read more >>

J Neuroophthalmol (Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society)
[2020, 40(1):110-111]

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Fusional Single Vision with Prism-induced Vergence Has More Influence than Diplopia on Postural Stability.

Sang-Yeob Kim, Hyun Gug Cho, Byeong-Yeon Moon, Dong-Sik Yu,

SIGNIFICANCE:Prism-induced convergence and vertical vergence for maintaining binocular fusion induced postural instability to a greater extent than diplopic conditions. This finding has important implication in relation to postural control of patients with large exophoria or vertical phoria in optometric clinic. PURPOSE:The purpose of this study was to examine whether binocular ... Read more >>

Optom Vis Sci (Optometry and vision science : official publication of the American Academy of Optometry)
[2020, 97(3):218-226]

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Lessons of the month 4: Giant cell arteritis with normal inflammatory markers and isolated oculomotor nerve palsy.

Benjamin Walters, Darko Lazic, Azeem Ahmed, Gabriel Yiin,

Giant cell arteritis (GCA) is an important condition to suspect and treat early, as failure to do so can result in anterior ischaemic optic neuropathy and subsequent permanent visual loss.A 71-year-old woman presented to her local emergency department with a 1-week history of constant, moderate-severe global headache associated with intermittent ... Read more >>

Clin Med (Lond) (Clinical medicine (London, England))
[2020, 20(2):224-226]

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[Disorders of oblique muscles in horizontal strabismus].

X L Kang, Y Y Chen,

Horizontal strabismus, the most common type of strabismus, can be complicated by the disorder of inferior oblique muscle or superior oblique muscle. It may cause problems such as compensatory head posture, vertical diplopia, torsional diplopia, and abnormal binocular fusion. In horizontal strabismus cases, the disorder of oblique muscles should be ... Read more >>

Zhonghua Yan Ke Za Zhi ([Zhonghua yan ke za zhi] Chinese journal of ophthalmology)
[2020, 56(3):171-175]

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Low signal intensities of MRI T1 mapping predict refractory diplopia in Graves' ophthalmopathy.

Kazuhiko Matsuzawa, Shoichiro Izawa, Ayumi Kato, Kenji Fukaya, Kazuhisa Matsumoto, Tsuyoshi Okura, Dai Miyazaki, Masamichi Kurosaki, Shinya Fujii, Shin-Ichi Taniguchi, Masahiko Kato, Kazuhiro Yamamoto,

OBJECTIVE:In Graves' ophthalmopathy (GO), fibrosis in extraocular muscles (EOMs) may be related to intravenous glucocorticoid (ivGC)-resistant diplopia. Signal intensity (SI) of magnetic resonance imaging (MRI) T1 mapping can quantify properties of EOM components, including fibrosis. We investigated EOM features of GO patients with diplopia using T1 mapping SI and the ... Read more >>

Clin. Endocrinol. (Oxf) (Clinical endocrinology)
[2020, :]

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HHV-6: an unusual cause of cerebellar ataxia.

Emad Abu Sitta, Ana Khazan, Kelly Luttmann, Jennifer Hanrahan,

Human herpesvirus 6 (HHV-6) infection is the cause of roseola infantum in children. The reactivation of HHV-6 is associated with multiple clinical syndromes including encephalitis and myelitis, especially in haematopoietic stem cell transplant recipients. However, the virus can cause encephalitis in other immunosuppressed as well as immunocompetent individuals. We report ... Read more >>

BMJ Case Rep (BMJ case reports)
[2020, 13(3):]

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Isolated Sphenoid Sinus Inflammatory Disease-A Report of 14 Cases.

Gian-Luca Fadda, Anna D’Eramo, Alessandro Grosso, Andrea Galizia, Giovanni Cavallo,

Introduction:Isolated sphenoid sinus inflammatory diseases (ISSIDs) are responsible for about 75% of isolated sphenoid sinus opacifications. Computer tomography (CT) and magnetic resonance imaging (MRI) should be used in a complementary manner for the assessment of ISSIDs. This evaluation sheds some light on the extent of disease and intracranial and intra-orbital ... Read more >>

Iran J Otorhinolaryngol (Iranian journal of otorhinolaryngology)
[2020, 32(109):101-107]

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