diplopia while using microscope

Hi..i have joined in as an ophthalmology trainee,but find it very difficult to optain single vision in microscope..there is fusion for just 10 sec n than the two images diverge..i hv a 20/20 vision without glasses but with cycloplegic retinoscopy found myself to be hypermetrope with +3D (used cyclopentolate) no cylinder,with post mydriatic acceptance to +1D...
I feel very uncomfortable with the glasses with congestion and eyeache with the use of these glasses and using them too doesn't aid the binocularity....
Tried using the synaptophore for fusion exercise but it doesn't seem to help..fusion range for abduction is good but for adduction is slight less..another thing after doing these exercises or trying to strain on microscope for binocularity there is marked blurring for near vision..
Please HELP!!!!!



This discussion is related to microscope diplopia .

[Flavius G Pernoud III, MD]

Can you determine whether you are developing eso or exo deviation when  you accommodate? You might have convergence insufficiency or divergence excess. I would defer to a muscle expert. Have you tried dialing in plus in the oculars of the microscope? Also, when you are having the problem, try holding base out prism of various strengths between one of your eyes and the scope. Does this improve the problem or make it worse? Then try base in prisms.

[walkietalkie]

i definitely wouldn't want you to check my eyes!

[RLB7335]

This thread is 2 yrs old, but I am hoping to find out your results. I am a 71 yr old retired biology/physiology teacher who still dabbles in amateur microscopy and have the same problem. I am seeing a neuro-opthomolgist soon. I'd like to know your outcome.

RLB