Observational studyAmerican journal of ophthalmology2017
Causes of Diplopia in Patients With Epiretinal Membranes.
Observational study in American journal of ophthalmology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Macular Diplopia Caused by Epiretinal Membrane.Cureus · 2026Review
- Stereopsis and Vision-Related Quality of Life After Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment: A Prospective Cohort Study.Ophthalmology and therapy · 2026Article
- Prism Success in Patients with Diplopia and Retinal Pathology.Clinical ophthalmology (Auckland, N.Z.) · 2026Article
- Surgical Outcomes of Binocular Metamorphopsia in Unilateral Epiretinal Membrane: Risk of New-Onset Binocular Metamorphopsia After Vitrectomy.Translational vision science & technology · 2025Article
- Neurosensory binocular vision after bilateral implantation of an extended depth of focus intraocular lens with micro-monovision: a prospective cohort study.BMC ophthalmology · 2025Observational
- Relationship between binocular vision and Govetto's stage in monocular idiopathic epiretinal membrane.Scientific reports · 2024Article
- Treatment for Central-Peripheral Rivalry-Type Diplopia ("Dragged-Fovea Diplopia Syndrome").American journal of ophthalmology · 2019Article
- Test-retest reliability of the revised diplopia questionnaire.Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus · 2019Article
- IDENTIFICATION OF FACTORS RELATED TO SUBFOVEAL DETACHMENT SECONDARY TO EPIRETINAL MEMBRANE.Retina (Philadelphia, Pa.) · 2019Article
- New Onset vs Resolution of Central-Peripheral Rivalry-Type Diplopia in Patients Undergoing Epiretinal Membrane Peeling.JAMA ophthalmology · 2019Article
- Efficacy of 27-Gauge Vitrectomy with Internal Limiting Membrane Peeling for Epiretinal Membrane in Glaucoma Patients.Journal of ophthalmology · 2019Article
- Adult-onset nonparalytic, small-angle hypertropia.Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus · 2018Article
- Prevalence and Associations of Central-Peripheral Rivalry-Type Diplopia in Patients With Epiretinal Membrane.JAMA ophthalmology · 2017Article
- Central Mini-tenotomy and Environmental Modifications to Correct "Macular Diplopia" due to Sickle Cell Retinopathy in a Resource-limited Setting.Journal of the West African College of SurgeonsArticle
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6 authors.
Funding
Abstract
purposeTo describe the causes of diplopia in patients with an epiretinal membrane (ERM) and presenting diplopia.
designRetrospective observational case series.
methodsWe reviewed patients diagnosed with an ERM, who had been seen by both retinal and strabismus specialists in a tertiary medical center. Data recorded: orthoptic evaluation, retinal misregistration (optotype-frame test, and synoptophore central peripheral superimposition slides at 5 and 10 degrees), and cause of any diplopia (retinal misregistration vs strabismus vs optical/refractive error). We defined central-peripheral rivalry-type diplopia as presenting symptomatic diplopia with evidence of retinal misregistration, and where other causes did not fully explain diplopia. The frequency of each cause of diplopia in patients with ERM was determined.
resultsOf 50 patients with ERM, 25 had symptomatic diplopia and 25 had no diplopia. Eleven of 25 diplopic patients (44%) had retinal misregistration as the sole cause (central-peripheral rivalry-type diplopia), 7 (28%) strabismus (1 of 7 initally appeared to have central-peripheral rivalry-type diplopia), 1 (4%) optical/refractive error (monocular diplopia), 2 (8%) mixed retinal misregistration (central-peripheral rivalry-type diplopia) and strabismus, and for 4 (16%) diplopia cause was indeterminate. Unexpectedly, 15 of 25 patients without diplopia (60%) had evidence of retinal misregistration.
conclusionsPatients with ERM and presenting diplopia may have 1 of several causes of diplopia, most commonly retinal misregistration (central-peripheral rivalry-type diplopia). Nevertheless, diplopic patients with retinal misregistration may also have treatable strabismus or optical/refractive error as the primary barrier to single vision and therefore many potential barriers to single vision should be considered.
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