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[Diplopia, enophthalmos and motility disorders in isolated orbital floor fractures].

In cases of pure blow-out fracture with unequivocal clinical symptoms (limitation of movement of the globe, dislocation and/or enophthalmos) and confirmed X-ray findings, early surgery is the treatment of choice. In cases where the clinical findings are less pronounced, a "wait-and-see" policy, keeping the patient under observation, seems appropriate for the sake of avoiding surgical trauma. Coronal computerized tomography offers advantages in cases where the diagnosis is questionable.

Adult↗

[Diplopia after squint operations in adults (author's transl)].

Although double vision is known to occur in adults following squint operations it should not be a contra-indication for surgery. The condition is more likely to occur in exotropia than in esophoria; suppression does not help to prevent it. Prismatic screens are suitable both for establishing indications as well as for preparation for surgery and postoperative treatment.

Adult↗

Diplopia: a focal neurologic presentation of West Nile meningoencephalitis.

This is a report of a 45-year-old white man who presented to our emergency department with a 2-day history of "seeing double" preceded by a resolving 5-day syndrome of fevers and headache. Clinical suspicion of West Nile virus central nervous system infection was confirmed on the basis of laboratory studies. The current knowledge of West Nile virus pathophysiology and clinical features are discussed. Although commonly associated with global and nonspecific syndromes, this patient presented with focal neurologic symptoms.

Diplopia↗

Orbital diplopia.

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Adolescent↗