Cj. Sandy et al., Phacoemulsification and opaque intraocular lens implantation for the treatment of intractable diplopia, OPHTHAL SUR, 31(5), 2000, pp. 429-431
Intractable diplopia secondary to paralytic strabismus may be treated with
the occlusion of the affected eye. Established treatments include occlusion
with a patch, opaque spectacles or contact lenses, and perfoming upper lid
lowering procedures or tarsarrhaphies. Two cases are presented in which in
tractable diplopia was resolved by performing clear lens phacoemulsificatio
n and the insertion of an opaque intraocular lens. Both patients reported a
resolution of their diplopia having been dissatisfied with other forms of
treatment. Although opaque intraocular lens insertion is not recommended as
the initial treatment of choice in such cases, it offers a valuable treatm
ent option for those patients in whom other forms of therapy have failed.