or if symptoms persist longer than 3 months, in treatment of chronic cases
Management Category
Early referral indicated for acute diplopia
Possible Management by Ophthalmologist
Identification of underlying pathology, and referral onwards, as appropriate
Medication
Surgery
Botox Injections
Possible Management by Orthoptist
Alleviation of diplopia by various techniques including
Prism therapy,
Occlusion
Use of compensatory head posture
Orthoptic exercises
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The eyes.nhs.scot website (“Website”) is intended as a reference source for education and clinical
decision support and is intended for use by ophthalmic healthcare professionals.
The Website is not intended for use by the general public and does not replace the advice of a healthcare professional.
Members of the public should seek advice directly from their optometrist.
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The most up-to-date versions of The College of Optometrists’ CMGs can be accessed
at https://www.college-optometrists.org/clinical-guidance/clinical-management-guidelines.
The information on the Website provides guidance and related information for the differential diagnosis, possible
management by optometrists (treatment and advice), management category and possible management by ophthalmologists.
Users should note that that the guidance on the Website will not be suitable for every situation and is not intended to be a
substitute for specialist expertise and clinical judgement. Users should also note that this guidance should not be adhered to
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