Abstract
ENT pathology causes diplopia in a minority of patients. Because the various ENT conditions that can produce diplopia are relatively unusual they often escape early detection. We describe the various ENT disorders that can produce diplopia and illustrate this with our experience between 1992 and 1998. We wish to emphasise the benefit which can be obtained from undertaking an ENT history and examination in arriving at the correct diagnosis.
Similar content being viewed by others
Article PDF
References
Morris RJ . Double vision as a presenting symptom in an Ophthalmic Casualty Department. Eye 1991;5:124–9.
Bullock P, Hewitt S, Jones N, McGurk M, McConachie N, Pitts J, et al. Orbit and eye injuries. In: Jones NS, editor. Craniofacial trauma. Oxford: Oxford University Press, 1997:126–36.
Moriyama H, Nakajima T, Honda Y . Studies on mucoceles of the ethmoid and sphenoid sinuses: analysis of 47 cases. Otol 1992;106:23–7.
Beasley NJP, Jones NS . Paranasal sinus mucoceles: modern management. Am J Rhino 1995;9:251–6.
Lund VJ . The orbit. In: Mackay I, Bull TR, editors. Scott-Brown's otolaryngology. Vol 4. 6th ed. Oxford: Butterworth Heinemann, 1997:24/1–24/19.
Nugent GR, Sprinkle P, Bloor BM . Sphenoid sinus mucoceles. J Neurosurg 1970;72:443–51.
Muneer A, Jones NS . Unilateral abducens nerve palsy: a presenting sign of sphenoid sinus mucocoeles. J Laryngol Otol 1997;111:644–6.
Setti DS, Lau DP, Chan C . Sphenoid sinus mucocoeles presenting with isolated oculomotor nerve palsy. J Laryngol Otol 1997;111:471–3.
Ho JHC . An epidemiological and clinical study of nasopharyngeal carcinoma. Int J Radiat Oncol Biol Phys 1978;4:182–97.
Lund V . Malignant melanoma of the nasal cavity and paranasal sinuses. J Laryngol Otol 1982;96:347–55.
Conley J, Pack GT . Melanoma of the mucous membranes of the head and neck. Arch Otolaryngol 1974;99:315–9.
Freeman MH, Desanto LH, Devine KD, Weiland LH . Malignant melanoma of the nasal cavity and paranasal sinuses. Arch Otolaryngol 1973;97:322–5.
Trimble R . Diplopia as a presenting sign of neoplasia. Trans Ophthalmol Soc UK 1980;100:498–500.
Albert DM, Rubenstein RA, Scheie HG . Tumour metastasis to the eye: incidence in 213 adult patients with generalised malignancy. Am J Ophthalmol 1967;63:723–6.
Hayes JG, Petersen M, Kakulas BA . Multiple myeloma with bilateral orbital infiltration and polyneuropathy. Med J Aust 1980;2:276–7.
Sundaresan N, Noronha A, Hirschauer J, Signeira EB . Oculomotor palsy as initial manifestation of myeloma. JAMA 1977;238:2052–3.
Homer JJ, Johnson IL, Jones NS . Middle ear infection and sixth nerve palsy. J Laryngol Otol 1996;110:872–4.
Daghistani KJ, Jamal TS, Zaher S, Nassif OI . Allergic Aspergillus sinusitis with proptosis. J Laryngol Otol 1992;106:799–803.
Jones NS, Strobl A, Holland I . CT findings in 100 patients with rhinosinusitis and 100 controls. Clin Otolaryngol 1997;22:47–51.