Two Orthoptic Treatments in Dragged-Fovea Diplopia Syndrome

Silvia MaddiiNeuromusculoskeletal Department, Eye Clinic, University of Florence, Florence, Italy.Correspondence[email protected]

, C.O.,

Ilaria BiaginiNeuromusculoskeletal Department, Eye Clinic, University of Florence, Florence, Italy.

, C.O.,

Alessia AragnoNeuromusculoskeletal Department, Eye Clinic, University of Florence, Florence, Italy.

, C.O.,

Mario ScrivantiNeuromusculoskeletal Department, Eye Clinic, University of Florence, Florence, Italy.

, M.D.,

Barbara GiambeneNeuromusculoskeletal Department, Eye Clinic, University of Florence, Florence, Italy.

, M.D.,

Stanislao RizzoNeuromusculoskeletal Department, Eye Clinic, University of Florence, Florence, Italy.

, M.D. &

Gianni VirgiliNeuromusculoskeletal Department, Eye Clinic, University of Florence, Florence, Italy.

, M.D. show all

ABSTRACT

Background: “Dragged-fovea diplopia syndrome” is a type of central binocular diplopia that is secondary to a foveal displacement, caused by epiretinal membranes (ERMs) or other macular diseases. Its management is difficult, because prisms are not effective.

Case Reports: Two cases of dragged-fovea diplopia syndrome were presented. Both patients were affected with a unilateral epiretinal membrane. Therefore, the pathophysiology underlying their diplopia was the conflict between central and peripheral fusion mechanisms.

Conclusions: Diplopia caused by ERM “shift” deserves a complex management. We suggest to be careful about subjective symptoms and to optimize the residual visual function to customize the orthoptic management. A strict cooperation between ophthalmologists and orthoptists could lead to a successful outcome.

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Two Orthoptic Treatments in Dragged-Fovea Diplopia Syndrome

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