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Notes Date Page of Dyskinesia 1 other Diplopia or eye deviation Time started Time Stopped Speech problems Most contraction Tonicdorsal phosphenes Right GPi Left GPi None Milliamps Ventral / Volts Rate 0 off anode - cathode case Pulse width Most dorsal electrode Dorsal electrode Ventral electrode Most ventral electrode DBS Adjustment Electrode Selection Patient name Medical Record no.
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How to fill out diplopia or eye deviation

01
Start by understanding what diplopia or eye deviation is.
02
Observe and analyze the symptoms, such as double vision or misalignment of the eyes.
03
Consult with an ophthalmologist or optometrist for accurate diagnosis and guidance.
04
Follow the recommended treatment plan provided by the medical professional.
05
In case of temporary diplopia, try wearing an eye patch or using corrective lenses.
06
Practice eye exercises and visual therapy as prescribed.
07
In some cases, surgery or other medical interventions may be required.
08
Regularly monitor the progress and follow up with the healthcare provider for adjustments if necessary.
09
Maintain a healthy lifestyle and take care of your overall eye health.
10
Keep an eye on any changes in symptoms and report them to the doctor immediately.

Who needs diplopia or eye deviation?

01
Individuals experiencing double vision (seeing two images instead of one) may need diplopia or eye deviation treatment.
02
People with eye muscle weakness or disorders that cause misalignment of the eyes can benefit from this treatment.
03
Patients with conditions like strabismus, amblyopia (lazy eye), or certain neurological disorders may require diplopia or eye deviation management.
04
Anyone seeking improved vision and visual comfort can explore options for diplopia or eye deviation correction.
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Children and adults alike who want to overcome the challenges posed by diplopia or eye deviation can benefit from this treatment.
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Diplopia, also known as double vision, is when a person sees two images of a single object. Eye deviation is a condition where one eye turns in a different direction than the other eye.
Individuals who have been diagnosed with diplopia or eye deviation are required to report this condition.
The individual can fill out a form provided by their healthcare provider or the relevant government agency with details of their condition.
The purpose of reporting diplopia or eye deviation is to ensure that the individual receives appropriate medical treatment and to assess any impact on their ability to perform daily tasks.
Information such as the date of diagnosis, severity of the condition, treatment plan, and any limitations on daily activities must be reported.
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