Tina Zeng

Differential Diagnoses of Diplopia Complaints Accurate assessment is essential, as this finding can signal anything from benign to serious pathology.

Determining the etiology of a patient’s complaint of double vision can be akin to a detective solving a mystery in a novel; it is best to approach the case in a stepwise fashion and ask the appropriate questions. Here, we present a four-step process with 20 questions to ask or consider during an eye exam when a patient presents with diplopia. This guide will help anatomically localize the cause of the diplopia and create a differential diagnosis.