Diplopija: Praktičen pristop k diagnostiki

Abstract

Diplopia means seeing two images of the same, one object. It is a symptom with numerous causes that can involve many different structures. The cause can lay in the eyeball itself: the cornea, the lens and the retina or behind the eyeball: in the orbit or intracranial. Diplopia is only a symptom that can indicate a life threatening ilness like an aneurysm, a dissection or a brain tumor. That is why when presented with it we have to do a thorough examination and look for a red flag that could indicate danger. This way we can make a timely intervention, saving the patients sight or life. This article describes the most crucial signs of a dangerous underlying condition that we cannot afford to miss, a practical guide to the historical assesment, as well as to the physical examination of a patient with double vision to help localize the cause.

A patient with diplopia and upper eyelid edema: a case report

“…Posebno redko je izolirano vnetje mišice m. obliquus superior. V 68 % je prizadeta ena sama mišica, v 22 % dve in v 10 % tri ali več mišic (1)(2)(3)14).…”

“…Idiopatski orbitalni miozitis se običajno izrazi z bolečino, ki se poslabša ob gibanju zrkla, diplopijo, proptozo (1)(2)(3)6,(12)(13)(14). Orbitalni miozitis moramo ločiti od ostalih orbitalnih bolezni, npr.…”