TY - JOUR
T1 - Effectiveness of prisms in the management of diplopia in patients due to diverse etiologies
AU - Tamhankar, Madhura A.
AU - Ying, Gui Shuang
AU - Volpe, Nicholas J.
PY - 2012/7/1
Y1 - 2012/7/1
N2 - Purpose: To study the effectiveness of prisms in the management of diplopia from different etiologies and over a broad range of ocular misalignment. Methods: In this retrospective cohort study, resolution of diplopia in 94 patients who were prescribed prisms was studied. Results: Among 94 patients, 88% reported complete or partial resolution of double vision (95% confidence interval: 84.1% to 95.6%) with highest improvement noted in the divergence insufficiency and skew deviation group (100%) compared to 64% improvement noted in patients with convergence insufficiency. More than 85% of patients who were prescribed greater than 10 diopters of prism and those with oblique prism prescriptions also reported resolution of diplopia. Eighty-nine percent of the cohort continued with prism use and 11% opted for strabismus surgery. Conclusion: In this study, prisms were effective in alleviation of diplopia over a broad range and for different etiologies of double vision.
AB - Purpose: To study the effectiveness of prisms in the management of diplopia from different etiologies and over a broad range of ocular misalignment. Methods: In this retrospective cohort study, resolution of diplopia in 94 patients who were prescribed prisms was studied. Results: Among 94 patients, 88% reported complete or partial resolution of double vision (95% confidence interval: 84.1% to 95.6%) with highest improvement noted in the divergence insufficiency and skew deviation group (100%) compared to 64% improvement noted in patients with convergence insufficiency. More than 85% of patients who were prescribed greater than 10 diopters of prism and those with oblique prism prescriptions also reported resolution of diplopia. Eighty-nine percent of the cohort continued with prism use and 11% opted for strabismus surgery. Conclusion: In this study, prisms were effective in alleviation of diplopia over a broad range and for different etiologies of double vision.
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U2 - 10.3928/01913913-20120221-02
DO - 10.3928/01913913-20120221-02
M3 - Article
C2 - 22372716
AN - SCOPUS:84866329007
VL - 49
SP - 222
EP - 228
JO - Journal of Pediatric Ophthalmology and Strabismus
JF - Journal of Pediatric Ophthalmology and Strabismus
SN - 0191-3913
IS - 4
ER -