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Neuro-ophthamology and Strabismus

Comer RM, Dawson E, Plant G et al.

Moorfields Eye Hospital, London, UK.

 Eye 2007;21:413–8.

Editor’s note: Among 171 patients presenting with diplopia over a period of 1 year at Moorfields Eye Hospital (London, UK), 165 complete records were available for the present review of causes and outcomes. The diplopia was monocular in 19 patients (12%). Cranial nerve palsies accounted for 98 (67%) of the 146 cases of binocular diplopia, of which 58 (59%) were diagnosed as microvascular. Overall, 87% of these microvascular palsies resolved spontaneously by 5 months and 95% by 12 months. Trauma and decompensated congenital fourth nerve palsy were the next most common causes of cranial nerve palsy.

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