Diplopia is a condition in which an object appears as two. There are monocular (unicular) diplopia and binocular (unicular) diplopia, with binocular diplopia being the most important. Both eyes move in coordination, but when eye muscle paralysis occurs (see column "Eye muscle paralysis"), while one eye moves normally in a certain direction, the other eye cannot keep up, and separate images are formed on the retina of each eye, causing you to see two separate images. For example, if you have double vision when looking to the right, covering your right eye in that state can result in ipsilateral diplopia, where the image on the right disappears and becomes one, or crossed diplopia, where the image on the left disappears. Ipsilateral diplopia suggests lateral rectus paralysis of the right eye, while crossed diplopia suggests medial rectus paralysis of the left eye. Some cases of double vision caused by thyroid disease, inflammation, tumors, diabetes, myasthenia gravis, etc. may be cured by treating the underlying disease or by natural progression. In other cases, surgery similar to that for strabismus may be performed. Source: Shogakukan Home Medical Library Information |
複視とは、ものが2つに見える状態です。単眼(たんがん)(性(せい))複視(ふくし)と両眼(りょうがん)(性(せい))複視(ふくし)があり、とくに重要なのは両眼性複視です。 両目は協調して動きますが、眼筋(がんきん)まひ(コラム「眼筋まひ」)が生じると、ある方向で片方の目が正常に動くのに、もう片方の目がそれについていけずに両目でばらばらの像が網膜(もうまく)に結ばれ、2つに見えます。 たとえば、右側を見るときに複視がおこるケースでは、その状態で右目を隠すと右側の像が消えて1つになる同側性複視(どうそくせいふくし)と、左側の像が消える交叉性複視(こうさせいふくし)とがあります。同側性複視では、右目の外直筋まひが、交叉性複視では左目の内直筋まひが疑われます。 甲状腺疾患(こうじょうせんしっかん)、炎症、腫瘍(しゅよう)、糖尿病、重症筋無力症(じゅうしょうきんむりょくしょう)などによる複視の一部は、原因疾患の治療や自然経過によって回復することがあります。それ以外では、斜視(しゃし)と同様の手術が行なわれることもあります。 出典 小学館家庭医学館について 情報 |
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