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October 1950


AMA Arch Ophthalmol. 1950;44(4):517-522. doi:10.1001/archopht.1950.00910020527004

AS EARLY as 1842 Dieffenbach observed that diplopia might occur suddenly after operation for squint, although it had not been present prior to operation. In recent years there has been much discussion of this dreaded complication among practicing ophthalmologists, but little has been written about it. My interest was stimulated by being so unfortunate as to have a case of intractable postoperative diplopia. It is difficult to determine who suffers more in this experience, the patient or the ophthalmologist. In the collection and correlation of what little information was available on this subject, the literature for the past fifteen years was reviewed, and personal communications were received from seven ophthalmologists who have had wide experience in muscle surgery.

The term intractable postoperative diplopia in this discussion is applied to those cases of double vision which occur after an operation on the extraocular muscles usually in cases of comitant squint with

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