Opaque intraocular lens for correction of intractable diplopia and torticollis

Description

A 72-year-old woman was referred to our hospital for treatment of persistent diplopia and bilateral large angle of esotropia (>50 prismatic dioptres): She had a 12-year previous history of double vision attributed to double paralysis of the VI nerve after a traffic accident. In order to avoid double vision, she permanently misplaced her head in torticollis by turning it all the way to the left. The left eye was the fixator and the view of the right eye was occluded by the nose (figure 1). Due to this, the patient suffered cervical contractures and experienced poor quality of life.

Figure 1

Torticollis and large bilateral esotropia.

On examination, best-corrected visual acuities were 20/70 in the right eye and 20/30 in the left eye. Orthoptic assessment revealed a complete paralysis of both VI cranial nerves with total absence of abduction. The...

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