Survey of Ophthalmology
Volume 51, Issue 1 , Pages 68-74, January 2006

A Diplopia Dilemma

  • Mark Saunders, FRANZCO

      Affiliations

    • Departments of Ophthalmology
    • ,
  • Celeste Guinane, BAS

      Affiliations

    • Departments of Ophthalmology
    • ,
  • Martin MacFarlane, FRACS

      Affiliations

    • Neurosurgery, Christchurch Hospital, Christchurch, New Zealand
    • ,
  • Ken Tarr, FRANZCO

      Affiliations

    • Neurosurgery, Christchurch Hospital, Christchurch, New Zealand
    • ,
  • M. Tariq Bhatti, MD

      Affiliations

    • Departments of Ophthalmology
    • Neurology
    • Neurological Surgery, University of Florida College of Medicine, Gainesville, Florida USA
    • Corresponding Author InformationReprint address: M. Tariq Bhatti, MD, College of Medicine, University of Florida, Department of Ophthalmology, PO Box 100284, Gainesville, FL 32610-0284.
    • ,
  • David W. Pincus, MD, PhD

      Affiliations

    • Neurological Surgery, University of Florida College of Medicine, Gainesville, Florida USA

PETER SAVINO AND HELEN DANESH-MEYER, EDITORS

Abstract 

A 38-year-old man experienced double vision with pupillary abnormalities and convergence retraction nystagmus. A mass, which responded to radiation therapy, was seen as the cause of his dorsal midbrain syndrome. The neural control of vertical eye movements is reviewed and the management of a third ventricular-pineal region mass discussed.

Key words: convergence retraction nystagmus, diplopia, dorsal midbrain syndrome, skew deviation, third ventricular tumor, vertical eye movement control

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 The authors reported no proprietary or commercial interest in any product mentioned or concept discussed in this article. Drs. Bhatti and Pincus gratefully acknowledge the assistance of David Peace, MS, Medical Illustrator, University of Florida Brain Institute, Department of Neurological Surgery. We also wish to express appreciation for the editorial assistance of Mabel Wilson. This mansucript was supported by an unrestricted departmental grant from Research to Prevent Blindness, Inc., New York, NY.

PII: S0039-6257(05)00195-5

doi:10.1016/j.survophthal.2005.11.004

Survey of Ophthalmology
Volume 51, Issue 1 , Pages 68-74, January 2006

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