Nonsurgical treatment of neurologic diplopia.

The ocular motor pathways are complex and disorders of these pathways can be devastating for patients, in some cases leading to loss of employment and independence. Surgical intervention for these cases is not always warranted, possible, or even safe for some patients, and nonsurgical and orthoptic treatments can provide significant relief. This paper will discuss various treatment options, including eye exercises, prisms, optical manipulation, occlusion, and lifestyle changes.