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Geriatric Orthoptics & Non-Paretic Diplopia in Adults (Paperback)
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Geriatric Orthoptics & Non-Paretic Diplopia in Adults (Paperback)
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Elderly patients are often afflicted with the onset of a convergent
strabismus as a sign of aging, without any other neurologic
disorder. Unfortunately, physicians and even ophthalmologists are
generally unaware of this fact. Consequently, such patients fail to
find timely help for their double vision. In addition, there are
other geriatric alterations (such as cataracts, glaucoma and
age-related maculopathy), which are connected with binocularity
disorders but do not always result in double vision. These masked
diplopia are only perceptible as the closing of one eye and the
patients complaint of seeing clouds. Erroneous diagnoses have a
dramatic outcome for many elderly people whose ability to read is
vitally important for their quality of life. Studies on this topic
and suggestions for improving the patients situation are contained
in this book. The book also covers intractable diplopia, or "horror
fusionis", which is particularly difficult to understand.
Examinations of the micromotility of the eyes could explain some of
the puzzling observations. Although eye muscle palsies are
generally outside the scope of this books focus, connections
between neuro-ophthalmology (e.g. in Parkinson's disease) and
reading problems due to convergence insufficiency are discussed.
Finally, this book examines what happens in adulthood to the
numerous patients whose squints were operated on during childhood.
Many of these patients later suffer problems such as double vision,
which may be misinterpreted as eye muscle palsy. This book is not a
textbook of orthoptics. It seeks to provide advanced training for
ophthalmologists based on the authors personal experiences
collected over fifty years of practice as an ophthalmologist and
specialist for strabismology at the Medical University of Viennas
eye clinic and in her own office. As far as the author is aware, it
is the first book to be published exclusively on this topic. The
previously unpublished research and experiences it contains should
provoke the interest of colleagues and orthoptists whose elderly
patients present with binocularity, a condition which sadly remains
underestimated.
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