A 57-year-old male presented with a complaint of diplopia following head trauma the week prior. He was standing on a stool to change a light bulb in the kitchen when he lost his balance, fell to the tiled kitchen floor, and struck his head. He lost consciousness for less than 1 minute. He noticed diplopia immediately upon awakening without any other symptoms.
Upon further questioning, the patient said, his diplopia had not worsened or improved since onset. He described painless, binocular, vertical diplopia that worsened when he looked to the left but improved when he tilted his head to the left. Past Ocular History - Presbyopia - No prior eye surgery or trauma Past Medical History – Osteoarthritis Past Medication History - Aspirin Family History - Non-contributory Social History - He endorsed very rare alcohol consumption and denied tobacco or illicit drug use. Review of Systems -…
