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What are the History you should ask in Diplopia ?


Chief complaints of Diplopia

  1. Is the Diplopia Monocular vs Binocular?
  2. Is the Diplopia Horizontal, Vertical or Oblique?
  3. Directionality ?
    • Worst in a particular gaze??
    • Near vs distance vision
    • Is the Diplopia Constant vs Intermittent?
Medical History
  1. Trauma History
  2. Congenital or family History
  3. H/o Strabismus Surgery or Amblyopia
  4. Previous Cataract surgery
  5. Systemic diseases

    • Thyroid disease, Vascular disease
    • Cancer - s/p radiation

Trauma in early childhood strabismus may compensate for years later decompensate.

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  2. What is Concomitant and Incomitant deviations in squint ?
  3. What are the causes of Horizontal and Vertical Diplopia
  4. Differential Diagnosis of Monocular Diplopia
  5. What are Beilchowski’s three step test ?
  6. How to find out which eye is producing the peripheral image in Diplopia?
  7. How to know which muscle is affected in Diplopia?
  8. What are the clinical approach that need to take care on diplopia History taking?
  9. What causes the Pathophysiology of misalignment?
  10. What causes binocular diplopia?
  11. What are the symptom of diplopia and how to diagnose diplopia ?
  12. Clinical approach to DIPLOPIA (Binocular and Uniocular)