Toledo RY, Rodríguez MP, Díaz RGY, Pina GMJ, Toledo RE

Language: Spanish
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ABSTRACT

Background: Acute isotropy in the elderly is a non frequent strabismus of late appearance, after the age of seven and can be seen at advanced age. The starting is rough; it is characterized, from the clinical point of view, by diplopia, concomitance and normal binocular relationship. Objective: To offer a clinical and surgical teaching of acute concomitant diplopia in the elderly related to physical stress, out of been non frequent. Case presentation: a 29 year old female patient who came into the eye consultation on August, 2014 complaining of right eye sudden inner deviation after sinking in a river, it was accompanied by permanent double vision. On eye examination she was performed a detailed sensorial exploration and definitely diagnosed as having concomitant isotropy. Conclusion: Franceschetti´s concomitant isotropy in the elderly is a special non frequent form of strabismus. The patient was performed surgical treatment needed to fulfill an ocular lining and restoration of binocular vision.