Common "Decompensated Tropia" queries answered by top doctors | iCliniq

Decompensated Tropia

Decompensated tropia is a misalignment of the eyes that causes double vision from a problem with the eye muscles. It is called 'tropia' if the misalignments are always present. When the patient is tired or when the fusion is broken, the eye starts to drift. Such misalignments are called 'phoria'. When true double vision occurs due to the eye muscles weakening with age, it is known as decompensating phoria.

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Can my diplopia be a sign of MS?

Query: Hello doctor, I am a 23-year-old female. Can you please explain to me the clinical presentation of decompensated phoria? I have had diplopia for over two years now, binocular, horizontal, and worse on distant gaze. I have had an MRI as well, but no lesions were found in my brain stem or other areas....  Read Full »


Dr. Anand Yattinamani

Answer: Hi, Welcome to icliniq.com. Diplopia for distance vision is more common in neurological conditions. If you do not have any neurological problems (ruled out by MRI), other problems can be considered. In your case, as you have high myopia, it can be due to decompensated tropia (phoria). In myopia, t...  Read Full »

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