Diplopia

Double Vision, Diplopia: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate diplopia (double vision): Perceiving two images next to or on top of each other. Warning signs (Red flags) Anamnestic information: Intoxications (poisonings), resulting in head injury → neurological monitoring required. Acute diplopia → usually serious illness (e.g., warning signs of apoplexy/stroke). Headache – think of: transient ischemic attack … Double Vision, Diplopia: Symptoms, Complaints, Signs

Double Vision, Diplopia: Test and Diagnosis

2nd order laboratory parameters – depending on the results of history, physical examination and obligatory laboratory parameters – for differential diagnostic clarification. Small blood count Differential blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Urine status (rapid test for: pH, leukocytes, nitrite, protein, glucose, blood), sediment if necessary. Fasting glucose … Double Vision, Diplopia: Test and Diagnosis

Double Vision, Diplopia: Diagnostic Tests

Obligatory medical device diagnostics. Slit-lamp examination (slit-lamp microscope; viewing of the eyeball under appropriate illumination and high magnification). Ophthalmoscopy (ocular fundus examination). Visual acuity testing (examination of visual acuity). Optional medical device diagnostics – depending on the results of the medical history, physical examination, laboratory diagnostics and mandatory medical device diagnostics – for differential diagnostic … Double Vision, Diplopia: Diagnostic Tests

Double Vision, Diplopia: Or something else? Differential Diagnosis

Conditions that can cause binocular double vision: Eyes and eye appendages (H00-H59). Cataract (cataract) Keratoglobus – spherical protrusion of the cornea. Keratoconus – progressive, cone-shaped deformation of the cornea of the eye. Lens (sub-)luxation – displacement of the lens. Normosensory late strabismus – usually acute form of strabismus occurring between the third and seventh year … Double Vision, Diplopia: Or something else? Differential Diagnosis

Double Vision, Diplopia: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height. Ophthalmological examination Ocular motility Functionality of the external eye muscles (Hess umbrella test). Ability of the eyes to fixate a specific point (cover test). Reflexes of the cornea (flashlight test). Visual acuity … Double Vision, Diplopia: Examination