A 78-year-old female presents for evaluation of diplopia. She recently underwent bilateral cataract surgery with multifocal IOLs and no longer requires glasses to see clearly. However, she now experiences constant diplopia if she is not wearing glasses with prism correction.
Neurological problem
May be some neurological problem
May be patient had pre existing dioplopia but couldn’t not notice due to cataract.After cataract surgery she now getting the problem. Pre operative ocular motility wasn’t tested!!
Might be multifocal IOL get decentration
Her examination findings would suggest that this has been a life-long problem, not directly related to the cataract surgery.
Nice Quiz