Here is a summary of an article about a intervention that tempts me especially: the placement of an implant black. This summary
from the website of the French Association of Pediatric Ophthalmology and strabologie www.afsop.fr, and was written by Alain and Pierre Pêchereau Lebranchu.
antidiplopique treatment: black implant?
Subject: adjusting to the double vision is very variable depending on the patient, ranging from near indifference to a situation totally unbearable. In the latter case, insertion of an implant black seems to be a logical solution.
Materials and methods: Three patients suffering from intractable diplopia, it was proposed placement of an implant black. The implant was placed in the dominant eye after cataract surgery by phacoemulsification made.
Results: Despite its name, black implant passes a significant amount of light to a very low visual acuity and collect certain light sources. The decrease in luminance causes mydriasis allowing the entry of stray light at night. In all three cases, the only black implant placement resulted in a significant improvement in diplopia, but not its disappearance.
In all three cases, the creation of a miosis first by pilocarpine and by pupilloplastie surgery, resulted in the disappearance of diplopia.
Discussion: Some patients with diplopia and in a situation of extreme suffering develop a research strategy of double vision. There is a real addiction to double vision. To break this vicious circle, it is necessary to remove almost all visual information of eye dominated.
Conclusion: The treatment of diplopia by removing any visual information of an eye is possible. It is important to note that this solution is reversible if a serious accident occurred in the right eye.
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