Objective:

To explore the use of custom soft contact lenses (SCLs) as an alternative treatment for diplopia, emphasizing the importance of effective management.

Key Findings:

• Custom SCLs provide a versatile and cosmetically appealing alternative to traditional methods for treating diplopia, with careful fitting being crucial.
• Monovision intentionally blurs one eye to improve near vision and suppress diplopia.
• Occlusion uses opaque SCLs to block vision in one eye, effective for intractable diplopia.
• Directional prism in custom SCLs can correct small vertical deviations.

Interpretation:

Custom SCLs can significantly improve visual function and comfort for patients with diplopia, but careful fitting and selection are essential to avoid complications.

Limitations:

• Monovision and occlusion can sacrifice binocular depth perception, impacting distance judgment.
• Patients with vertical phorias may experience discomfort with certain lens designs, necessitating careful assessment.

Conclusion:

Custom SCLs are a valuable tool for managing diplopia, enhancing both visual function and patient appearance, with a focus on individualized treatment plans.