Management of diplopia with visual-field defects

Taiwan J Ophthalmol. 2017 Jan-Mar;7(1):22-27. doi: 10.4103/tjo.tjo_5_17.

Abstract

Purpose: The management of diplopia can be challenging in patients with a concurrent visual-field (VF) defect. We conducted a retrospective chart review to analyze and compare treatment outcomes for different types of VF defects.

Methods: A retrospective chart review.

Results: Seven patients with diplopia and VF defects were identified during the study. Four had bitemporal hemianopia, one had homonymous hemianopia, and two had a constricted central VF. A favorable or satisfactory outcome was achieved in all but two patients with bitemporal hemianopia.

Conclusions: The hemifield-slide diplopia may develop in patients with bitemporal hemianopia or heteronymous altitudinal visual defects. Sensory abnormalities usually persist, even after elimination of ocular misalignment.

Keywords: Diplopia; strabismus; visual-fields.