Diplopia as the Complication of Cataract Surgery

Gawęcki, Maciej; Grzybowski, Andrzej

doi:10.1155/2016/2728712

Cited by 11 publications

(18 citation statements)

References 39 publications

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“…The excellent results of modern cataract surgery set patient expectations very high, and persistent CME after uneventful cataract surgery may significantly affect patient outcomes and satisfaction [51]. Irvine-Gass syndrome is a common complication of uneventful cataract surgery, which resolves spontaneously in most cases but may persist, causing visual deterioration and patient dissatisfaction [4,6,7].…”

Section: Discussionmentioning

confidence: 99%

Current Management Options in Irvine–Gass Syndrome: A Systemized Review

Orski¹,

Gawęcki²

2021

JCM

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Irvine–Gass syndrome (IGS) remains one of the most common complications following uneventful cataract surgery. In most cases, macular edema (ME) in IGS is benign, self-limiting, and resolves spontaneously without visual impairment; however, persistent edema and refractory cases may occur and potentially deteriorate visual function. Despite the relatively high prevalence of IGS, no solid management guidelines exist. We searched the PUBMED database for randomized clinical trials (RCT) or case series of at least 10 cases published since 2000 evaluating different treatment strategies in patients with cystoid macular edema (CME). The search revealed 28 papers that fulfilled the inclusion criteria with only seven RCTs. The scarceness of material makes it impossible to formulate strong recommendations for the treatment of IGS. Clinical practice and theoretical background support topical non-steroidal anti-inflammatory drugs (NSAIDs) as the first-line therapy. Invasive procedures, such as periocular steroids, intravitreal corticosteroids, and anti-vascular endothelial growth factor (anti-VEGF), are usually applied in prolonged or refractory cases. Results of novel applications of subthreshold micropulse laser (SML) are also promising and should be studied carefully in terms of the safety profile and cost effectiveness. Early initiation of invasive treatment for providing better functional results must be examined in further research.

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Section: Discussionmentioning

confidence: 99%

Current Management Options in Irvine–Gass Syndrome: A Systemized Review

Orski¹,

Gawęcki²

2021

JCM

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“…Modern surgical techniques minimized diplopia following cataract surgery. However, rarely, it may occur in patients who have post-traumatic cataracts [6]. Post-surgical diplopia surprise can be corrected using either surgical or non-surgical approaches.…”

Section: Discussionmentioning

confidence: 99%

Monocular Diplopia: An Optical Correction Modality

Alemu

Kumar

2021

Case Rep Ophthalmol

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Post-surgical or traumatic corectopia is among the rare causes of monocular diplopia. A 26-years-old student presented to the Institute with a complaint of monocular double vision in the left eye. He had a penetrating ocular injury in the left eye and subsequently, undergone for multiple ocular surgeries. Following the final intraocular lens implantation, he experienced a monocular double vision in his left eye. Upon contact lens clinic presentation, visual acuities were 20/20 in the right and 20/320 in the left eye (improved to 20/25 with pinhole). Slit-lamp examination on the left eye revealed scarring in the superior nasal quadrant of the cornea, irregular mid-dilated pupil with exposed aphakic and pseudophakic portions. A range of different optical management options were implemented to eliminate monocular diplopia and to correct refractive error. Finally, a combination of prosthetic soft contact lens and spectacle correction was able to remove diplopia and provide binocular single vision.

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“…Cataract surgery is the most commonly performed ophthalmic surgical procedure [ 1 ], and satisfactory monocular visual function is usually achieved in most patients [ 2 ]. However, studies indicate that post-surgical strabismic and non-strabismic binocular vision anomalies may occur leading to symptoms such as diplopia and asthenopia [ 3 – 8 ]. Diplopia and strabismus are the most commonly reported binocular vision-related complications after cataract surgery due to extraocular muscle paresis caused by infiltration anesthesia [ 3 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Preoperative binocular vision characteristics in the age-related cataract population

et al. 2022

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Background This study is the first part of the “Binocular Vision Anomalies after Cataract Surgery” study that aimed to investigate the impact of cataract surgery on binocular vision status in adults with age-related cataract. This study aimed to investigate the preoperative binocular vision status of participants with age-related cataract. Methods Patients who elected to undergo bilateral cataract surgery (≥50 years of age) were recruited. Clinical measures of binocular vision including stereopsis, ocular alignment, fusional vergence, vergence facility, convergence amplitude and a symptom survey related to binocular vision anomalies were administered. A detailed classification protocol was established to identify the presence of binocular vision anomalies. The frequency of specific binocular vision anomalies and normative data of binocular vision measures were reported. Results A total of 73 subjects were evaluated. No strabismus was detected in the cohort. Non-strabismic binocular vision anomalies were detected in 24 subjects (32.9%), of whom 18 (24.7%) had convergence insufficiency, 3 (4.1%) had basic exophoria, 2 (2.7%) had convergence excess, and 1 (1.4%) had fusional vergence dysfunction. Decreased vergence facility and convergence amplitude were more common compared to the pre-presbyopes (P < 0.01). Conclusion Binocular vision problems, especially convergence insufficiency, are common in the adults with age-related cataract. The study results demonstrate that the lack of normative binocular vision data for the presbyopic population is a significant gap in the literature and suggest the need for a study of normative data for this population. Trial registration The study was registered at ClinicalTrials.gov (NCT03592615, USA).

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Diplopia as the Complication of Cataract Surgery

Cited by 11 publications

References 39 publications

Current Management Options in Irvine–Gass Syndrome: A Systemized Review

Current Management Options in Irvine–Gass Syndrome: A Systemized Review

Monocular Diplopia: An Optical Correction Modality

Preoperative binocular vision characteristics in the age-related cataract population

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