CHARTING
Presented by : SADIA AKTER SAIMA
Batch: 13 th
Roll no: 32/2022
,DEFINATION
◦Diplopia is the simultaneous
perception of two image of a single
object that may be displaced
horrizontally and Verctically in
relation to each others.
,
This comprehensive study guide is designed for ophthalmology and nursing students preparing for exams in Diplopia Charting and Extraocular Muscle Assessment. Covering all essential topics from basic definitions to advanced interpretation, this document is your ultimate resource for mastering double vision assessment. Key topics include definition and types of diplopia (horizontal, vertical, diagonal), common causes (strabismus, cataract, cranial nerve palsies, diabetes, trauma, thyroid eye disease, brain tumors, myasthenia gravis), and diagnostic investigations (visual acuity, refraction, EOM testing, prism cover test, Maddox rod test, cranial nerve examination with CT/MRI). The document provides detailed coverage of assessment procedures including Diplopia Charting, Hess Chart, and Park's 3 Steps. Interpretation guidelines are thoroughly explained, including how to identify affected muscles (6th nerve palsy, 3rd nerve palsy, inferior oblique involvement), crossed vs uncrossed images, and vertical vs horizontal deviations. Advantages, disadvantages, and clinical applications are included. Updated for 2026 – Perfect for ophthalmology rotations, neurology assessments, and clinical skills exams. This guide features verified step-by-step procedures with A+ graded solutions, helping you achieve exam success with confidence.
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