There is a correlation between strabismus and binocular diplopia. Strabismus occurs when the visual axes of both eyes are not parallel and eye position is skewed; strabismus can cause the occurrence of diplopia, such as acute common internal strabismus, intermittent external strabismus, and paralytic strabismus, but not all strabismus will result in diplopia, and most patients with strabismus will not feel diplopia. The true meaning of diplopia is that both eyes see things in pairs. In addition to ophthalmic diseases causing diplopia, central or systemic diseases can also cause it. In contrast, monocular diplopia can be caused by other ophthalmic diseases such as cataracts and lens hemianopia.
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