[Post-cataract surgery diplopia: etiology and treatment].
OBJECTIVE
To know the causes and treatment of diplopia observed after cataract surgery.


METHODS
We make a descriptive retrospective study on 19 cases with persistent binocular diplopia following cataract surgery.


RESULTS
They were classified by aetiology in four groups: myotoxic effects in surgery act (47.4%), alteration in binocular vision (amblyopia, previous strabismus or long sensory deprivation) (47.4%), refractive alterations (5.2%) and previous disease. Initially, treatment with prisms, was tolerated on 47.4%; surgery was required on 36.8%, botulinicum toxin on 5.3% and penalty on 10.5% to avoid diplopia. Eventually, 36.8% of patients went on with diplopia, just only one lay equal, disappearing on 63.2% because binocular vision was recovered or suppressed by themselves or by penalty.


CONCLUSIONS
Diplopia after cataracts surgery, is a serious complication that surgeons must take into account. In spite of the different treatments used, it is not easy to get its disappearance.
Domingo Gordo B
Departamento de Oftalmología, Hospital General Universitario Gregorio Marañón, Madrid, España.
Merino Sanz P
Arrevola Velasco L
Acero Peña A
Luezas Morcuende JJ
Gómez De Liaño Sánchez P
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002387:Cataract Extraction / Q000009:adverse effects*; D002648:Child; D004172:Diplopia / Q000209:etiology* / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies