The two-minute approach to monocular diplopia

  • AK Tan
  • Faridah HA
Keywords: Monocular diplopia, metamorphopsia, pinhole, red reflex


Objective: To describe a quick and simple diagnostic approach to monocular diplopia.

Background: Diplopia is a common visual complain in casualty departments, general practice clinics, neurologic clinics as well as ophthalmic clinics. Monocular diplopia, however, is uncommon. Many well established clinical examination methods are available to address diplopia. Some require special equipments which are not easily available or unfamiliar outside of ophthalmic clinic. We describe a simple two-minute diagnostic approach to monocular diplopia.

Conclusion: Basic knowledge and understanding of simple clinical examination techniques enhances diagnostic skill and allow proper localization of underlying disorders.


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American Academy of Ophthalmology. 2007-2008 Basic science and clinical course. Section 5: Pediatric ophthalmology and strabismus. San Francisco: American Academy of Ophthalmology; 2007. p. 52.

How to Cite
TanA., & HAF. (2012). The two-minute approach to monocular diplopia. Malaysian Family Physician, 5(3), 4. Retrieved from
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