Diplopia differential diagnosis: Difference between revisions

Jump to navigation Jump to search
No edit summary
Line 10: Line 10:


{| class="wikitable"
{| class="wikitable"
|Type of Diplopia
|'''Dilopia causing disorder'''
| colspan="1" rowspan="1" |Orbital disorder
|'''Subcategory'''
| colspan="1" rowspan="1" |Trauma, tumor, infection, thyroid-associated ophthalmopathy
|'''Mechanism'''
|'''Distinguising Features'''
|'''Exam Findings'''
|-
| colspan="1" rowspan="4" |Orbital disorder
| colspan="1" rowspan="1" |Trauma  
|
|
|
|-
|Orbital apex mass
|
* Inflitration or mass effect in the orbital apex or cavernous sinus
* Compression of the oculomotor nerve
|
* Palsies of oculomotor, trochlear and/or abducens nerves
* Periorbital or facial numbness
* Retro-orbital pain
* Proptosis
* Signs of venous congestion
|
|-
|Orbital cellulitis
|
|
|
|-
|Thyroid-associated ophthalmopathy
|
|
|
|-
|-
|Monocular Diplopia
| colspan="1" rowspan="1" |Extraocular muscle disorder
| colspan="1" rowspan="1" |Extraocular muscle disorder
| colspan="1" rowspan="1" |thyroid-associated ophthalmopathy, extraocular muscle injury or hematoma due to ocular surgery, congenital myopathies, mitochondrial myopathies, muscular dystrophy
| colspan="1" rowspan="1" |thyroid-associated ophthalmopathy, extraocular muscle injury or hematoma due to ocular surgery, congenital myopathies, mitochondrial myopathies, muscular dystrophy
|
|
|
|-
|-
|Binocular Diplopia
| colspan="1" rowspan="1" |Neuromuscular junction dysfunction
| colspan="1" rowspan="1" |Neuromuscular junction dysfunction
| colspan="1" rowspan="1" |Myasthenia gravis, botulism
| colspan="1" rowspan="1" |Myasthenia gravis, botulism
|
|
|
|-
|-
|
| colspan="1" rowspan="1" |Palsies of the third, fourth or sixth cranial nerves
| colspan="1" rowspan="1" |Palsies of the third, fourth or sixth cranial nerves
| colspan="1" rowspan="1" |Microvascular ischemia – diabetic neuropathy, hemorrhage, tumor, vascular malformation, aneurysm, meningitis, multiple sclerosis
| colspan="1" rowspan="1" |Microvascular ischemia – diabetic neuropathy, hemorrhage, tumor, vascular malformation, aneurysm, meningitis, multiple sclerosis
|
|
|
|-
|-
|
| colspan="1" rowspan="1" |central nervous system injury (pathways and cranial nerve nuclei)
| colspan="1" rowspan="1" |central nervous system injury (pathways and cranial nerve nuclei)
| colspan="1" rowspan="1" |Ischemia, hemorrhage, tumor, vascular malformations, multiple sclerosis, hydrocephalus, syphilis, Wernicke’s encephalopathy, neurodegenerative disease
| colspan="1" rowspan="1" |Ischemia, hemorrhage, tumor, vascular malformations, multiple sclerosis, hydrocephalus, syphilis, Wernicke’s encephalopathy, neurodegenerative disease
|
|
|
|}
|}



Revision as of 21:17, 15 February 2019

Diplopia Microchapters

Home

Patient Information

Overview

Historical Perspective

Pathophysiology

Causes

Differentiating Diplopia from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Criteria

History and Symptoms

Physical Examination

Laboratory Findings

Chest X Ray

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Diplopia differential diagnosis On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Diplopia differential diagnosis

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Diplopia differential diagnosis

CDC on Diplopia differential diagnosis

Diplopia differential diagnosis in the news

Blogs on Diplopia differential diagnosis

Directions to Hospitals Treating Diplopia

Risk calculators and risk factors for Diplopia differential diagnosis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:

Overview

Diplopia may be caused by disorders of the orbit, extraocular muscles, neuromuscular junction dysfuntion, paralysis of the oculomotor, trochlear and abducens nerves, and injuries affecting the central nervous system (CNS). Given the various causes of diplopia, it is important to differentiate between the different causes that lead to diplopia.

Differentiating Diplopia From Other Diseases

Diplopia may be caused by disorders of the orbit, extraocular muscles, neuromuscular junction dysfuntion, paralysis of the oculomotor, trochlear and abducens nerves, and injuries affecting the central nervous system (CNS). Given the various causes of diplopia, it is important to differentiate between the different causes that lead to diplopia. The following table differentiates between various causes of diplopia:

Dilopia causing disorder Subcategory Mechanism Distinguising Features Exam Findings
Orbital disorder Trauma
Orbital apex mass
  • Inflitration or mass effect in the orbital apex or cavernous sinus
  • Compression of the oculomotor nerve
  • Palsies of oculomotor, trochlear and/or abducens nerves
  • Periorbital or facial numbness
  • Retro-orbital pain
  • Proptosis
  • Signs of venous congestion
Orbital cellulitis
Thyroid-associated ophthalmopathy
Extraocular muscle disorder thyroid-associated ophthalmopathy, extraocular muscle injury or hematoma due to ocular surgery, congenital myopathies, mitochondrial myopathies, muscular dystrophy
Neuromuscular junction dysfunction Myasthenia gravis, botulism
Palsies of the third, fourth or sixth cranial nerves Microvascular ischemia – diabetic neuropathy, hemorrhage, tumor, vascular malformation, aneurysm, meningitis, multiple sclerosis
central nervous system injury (pathways and cranial nerve nuclei) Ischemia, hemorrhage, tumor, vascular malformations, multiple sclerosis, hydrocephalus, syphilis, Wernicke’s encephalopathy, neurodegenerative disease

References

Template:WH Template:WS