A 78-year-old woman with untreated hypertension presented to the emergency department with a 2-day history of binocular diplopia, initially raising suspicion of neurological pathology. However, characteristic facial findings suggested sagging eye syndrome, confirmed by orbital magnetic resonance imaging. This case highlights the importance of clinicians paying close attention to distinctive facial features in patients with acute binocular diplopia.
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| http://dx.doi.org/10.1002/jgf2.758 | DOI Listing |
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A 78-year-old woman with untreated hypertension presented to the emergency department with a 2-day history of binocular diplopia, initially raising suspicion of neurological pathology. However, characteristic facial findings suggested sagging eye syndrome, confirmed by orbital magnetic resonance imaging. This case highlights the importance of clinicians paying close attention to distinctive facial features in patients with acute binocular diplopia.
View Article and Find Full Text PDFCharacteristics of two subtypes of nonacute acquired comitant esotropia with distance diplopia.
J AAPOS
February 2025
Department of Ophthalmology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts. Electronic address:
Purpose: To determine demographic and sensorimotor characteristics of patients with nonacute acquired comitant esotropia with distance diplopia (NACEDD).
Methods: History, demographic, and sensorimotor characteristics of all patients ≥10 years of age presenting with esotropia and gradual-onset distance diplopia at Boston Children's Hospital (2017-2022) were collected. Definition of NACEDD required absence of inflammatory, autoimmune, mechanical, or neurologic causes of strabismus.
Common Forms of Adult Esotropia Require Augmented Surgical Dosing.
Am J Ophthalmol
February 2025
From the Stein Eye Institute and Department of Ophthalmology (V.Y.), University of California, Los Angeles, California, USA; Department of Neurology (J.L.D.), University of California, Los Angeles, California, USA; Bioengineering Department (J.L.D.), University of California, Los Angeles, California, USA; Neuroscience Interdepartmental Program (J.L.D.), University of California, Los Angeles, California, USA. Electronic address:
Introduction: Age-related distance esotropia (ARDE) in older adults is commonly caused by sagging eye syndrome. Decompensated esophoria (DE) is a progressive esotropia in younger adults. We evaluated claims that dosing of medial rectus (MR) recession must appreciably exceed customary recommendations to avert surgical undercorrections in treatment of DE and ARDE.
View Article and Find Full Text PDFRelationships between tilt angles of rectus muscles and positions of rectus muscle pulleys in patients with sagging eye syndrome.
Jpn J Ophthalmol
January 2025
Department of Ophthalmology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, 2-5-1 Shikata-cho;Kita-ku, Okayama City, Okayama, 700-8558, Japan.
Purpose: To examine the relationship between the rectus muscle (RM) angle and RM pulley displacement in patients with sagging eye syndrome (SES) without myopia.
Study Design: Retrospective cross-sectional case series.
Methods: High-resolution quasi-coronal magnetic resonance imaging (MRI) data from 20 orbits of ten Japanese patients with SES but without high myopia were analyzed.
Strabismus Surgery in Patients Aged Over 80 Years: Indications, Safety, and Outcomes.
Am J Ophthalmol
January 2025
From the Stein Eye Institute and Department of Ophthalmology (V.Y., S.L.P., J.L.D., Q.M., F.G.V.), University of California, Los Angeles, California, USA. Electronic address:
Objective: Strabismus in the elderly can cause functional and psychological difficulties, particularly due to the impact of diplopia. Surgical intervention may alleviate diplopia and diminish psychosocial impact. However, the complexity of strabismus types, along with related ocular conditions and general health issues, pose unique challenges.
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