135: The golden gateway to success: Managing diplopia in the adult patient

Abstract

Do you often find yourself in a fog trying to manage adults with diplopia? Does it seem like it's often an uphill struggle? Every practice has its share of adult patients who can't seem to get it together. This course will give you some insight on how to hold these patients at bay by using preoperative sensorimotor testing and postoperative orthoptic intervention. Our panel of orthoptists and ophthalmologists will share tips and pearls to improve your success in treating these patients. Using case examples, they will address topics such as: When is prism adaptation helpful? How can you minimize the risk of postoperative diplopia in a previously asymptomatic patient? How can you use prisms in free space as well as the synoptophore to help guide surgical plans? Are fusional amplitudes important and can they help predict outcome? When is postoperative diplopia desirable and when is it unacceptable? When do you consider reoperation? The careful collection and interpretation of clinical data in the adult patient with diplopia can make the difference between a successful or failed surgical plan. Find out what you need to do to clear the fog and cross the bridge to success. Questions and comments from the audience will be encouraged.