It depends on why there is the double vision. Often the picture can be offset by changes in musculature of one eye vs another or by difficulty with convergence. You need to determine which by examination. Then you need to have a direct plan to address these issues. Depending on where the difficulty is you can consider partial patching with the Transpore tape to get a single picture. I would use this for times when it is essential to decrease the double vision but not 100% as you need to also look at trying to remediate the problem not just compensate for the difficulties. So a compbination of patching and eye exercises would be initially where I would start. The situation generally resolves in a short period of time post surgery if you follow the above. If not then I would have the patient follow up with a neuro-optometrist who has significant experience in working with these types of patients. I see this problem regularyly (as in at least 1 -2 weekly) after stroke or brain injury. Sue D > From: spark...@rcn.com> To: OTlist@OTnow.com> Date: Mon, 16 Feb 2009 08:08:53 -0500> Subject: Re: [OTlist] Double vision> > Thank you. I believe the double vision is a direct result of the surgery. I> will have to talk to my supervisor. thanks> > -----Original Message-----> From: otlist-boun...@otnow.com [mailto:otlist-boun...@otnow.com]on> Behalf Of ehthiers> Sent: Sunday, February 15, 2009 20:56> To: OTlist@OTnow.com> Subject: Re: [OTlist] Double vision> > > Besthing to do is find a neuro optometrist. Let them help the person first.> I know we work with developmental/ neuroptometrists in our area. First see> if they can correct for it, prisms, special patiching, etc. Does the person> get it all the time? Is it just from vision or also from vestibular issues?> > Elizabeth Thiers, OTR/L> FECTS> ehthiersfe...@earthlink.net> > > > -----Original Message-----> > From: otlist-boun...@otnow.com> > [mailto:otlist-boun...@otnow.com] On Behalf Of Ron Carson> > Sent: Saturday, February 14, 2009 3:39 PM> > To: Diane Randall> > Subject: Re: [OTlist] Double vision> >> > The only compensation that I know of for double vision is> > patching one eye. Of course, there are complications> > associated with patching.> >> > Ron> >> > ----- Original Message -----> > From: Diane Randall <spark...@rcn.com>> > Sent: Saturday, February 14, 2009> > To: otlist@otnow.com <otlist@otnow.com>> > Subj: [OTlist] Double vision> >> > DR> My supervisor is just finishing up an eval on a patient who has> > DR> double vision secondary to brain surgury. Has anyone had> > a patient> > DR> with this particular deficit and can offer ideas on compensation> > DR> strategies to perform adls/safe functional mobility. etc? Thanks> >> >> >> > DR> --> > DR> Options?> > DR> www.otnow.com/mailman/options/otlist_otnow.com> >> > DR> Archive?> > DR> www.mail-archive.com/otlist@otnow.com> >> >> > --> > Options?> > www.otnow.com/mailman/options/otlist_otnow.com> >> > Archive?> > www.mail-archive.com/otlist@otnow.com> > > --> Options?> www.otnow.com/mailman/options/otlist_otnow.com> > Archive?> www.mail-archive.com/otlist@otnow.com> > > > --> Options?> www.otnow.com/mailman/options/otlist_otnow.com> > Archive?> www.mail-archive.com/otlist@otnow.com -- Options? www.otnow.com/mailman/options/otlist_otnow.com
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