Objective:

To determine the relationship between time of evolution and elimination of binocular diplopia in patients with oculomotor paresis or paralysis.

Methods:

A descriptive, longitudinal and prospective study was carried out, from May 2018 to June 2019, of a series of cases that were assisted in consultation of the Pediatric Ophthalmology Service at Ramón Pando Ferrer Cuban Institute of Ophthalmology and that met the inclusion criteria. The variables evaluated were sex, evolution time, treatment options, elimination of diplopia, fusion and stereopsis.

Results:

The largest number of cases were assisted in consultation between one week and less than one month of evolution of the disease and more than six months. The relationship between sex, etiology and time of evolution in attending the outpatient clinic was not significant. 66.7% of the studied sample solved only with medical treatment, including 100% of patients with less than one week of evolution. All patients with evolution time of lesser than six months eliminated diplopia and a statistical difference was found (p = 0.04) between these variables. 76.7% achieved fusion and 56.7% stereopsis.

Conclusions:

Most of the patients with evolution time of lesser than six months eliminated diplopia only with medical treatment, including 100% of patients with less than one week of evolution, observing a relationship between recovery and chronicity of diplopia. Diplopia.