Working Up Double Vision

In this video, Dr. Kimberly Gokoffski shares tips for working up double vision. She begins by making sure the patient has binocular and not monocular diplopia. Next, she evaluates ductions and versions, using uses saccadic velocities to differentiate neurogenic, muscarinic and restrictive etiologies. Using the slo-mo function on the iPhone can help evaluate left-to-right saccades and determine the relative speed of each eye. Her final step is to make sure there are no localizing signs.

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