Nonsurgical Treatment of Binocular Disruption in Adults

Abstract

Diplopia is an often frustrating and debilitating symptom of acquired strabismus in adulthood. Various nonsurgical approaches to alleviate diplopia are available and readily employed by orthoptists. First, a comprehensive review of the patient's history and symptoms is helpful in determining treatment. In some cases, a cycloplegic refraction and proper refractive correction alone can eliminate diplopia. Prisms, including Fresnel prisms and ground-in prism lenses, are an optical solution for diplopia in many instances of horizontal and/or vertical strabismus. In some cases, diplopia may be intractable and monocular occlusion may be the only option for visual comfort.

• diplopia
• prisms
• refractive correction
• monocular occlusion