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NEUROLOGY 2004;63:925-927
© 2004 American Academy of Neurology
Brief Communications

"Retinal diplopia" associated with macular wrinkling

Jason J.S. Barton, MD, PhD, FRCPC

From the Department of Neurology and Ophthalmology, Beth Israel Deaconess Medical Center and Harvard Medical School, and Department of Bioengineering, Boston University, Boston, MA.

Address correspondence and reprint requests to Dr. J.J.S. Barton, Department of Neurology, KS-452, Beth Israel Deaconess Medical Center, 330 Brookline Ave., Boston, MA 02215; e-mail: jbarton{at}bidmc.harvard.edu

Binocular diplopia is usually due to misalignment from ocular motor dysfunction. Three patients with chronic binocular vertical diplopia and small comitant hypotropic deviations due to macular displacement (heterotopia) associated with monocular retinal wrinkling are described. This maculopathy was idiopathic in two and secondary to treated retinal detachment in the third. Displacement of the macula by vitreoretinal traction is an unusual cause of binocular diplopia that requires careful ophthalmoscopy to diagnose.

Received February 26, 2004. Accepted in final form May 3, 2004.




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