Recently acquired diplopia in adults with long-standing strabismus

Background: The evaluation and management of recent-onset diplopia in an ad ult with a history of long-standing strabismus can be perplexing and challe nging. No guidelines exist, to my knowledge, for the examination of such pa tients. Design: A retrospective medical record review Subjects: Patients seen in my practice with a history of recently acquired diplopia and a history of strabismus dating back to childhood. Results: One hundred fifty-two patients who met the enrollment criteria wer e identified. Using the treatment approach outlined herein, 132 patients we re relieved of their symptoms of diplopia. In most cases, the onset of the diplopia could be correlated with a change in the patient's ocular alignmen t, refractive needs, or refractive management. Returning patients to their motor status before the onset of symptoms or addressing the change in refra ctive needs or management usually resulted in relief of symptoms. Conclusion: In most cases, adult patients with a history of long-standing s trabismus and a recent onset of diplopia can be effectively treated.