Convergence insufficiency in idiopathic Parkinson's disease responsive to levodopa

Strabismus. 1999 Sep;7(3):169-74. doi: 10.1076/stra.


We report a patient with pathologically proven idiopathic Parkinson's disease (IPD) who developed diplopia secondary to convergence insufficiency during his motor "off" periods. Diplopia resolved with onset of motor benefit from levodopa. Neuro-ophthalmologic examination demonstrated convergence insufficiency during motor "off" periods that was alleviated after onset of motor benefit from levodopa. This is the first reported case of convergence insufficiency in IPD responsive to levodopa.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Antiparkinson Agents / therapeutic use*
  • Brain / pathology
  • Convergence, Ocular*
  • Diplopia / etiology
  • Exotropia / drug therapy*
  • Exotropia / etiology
  • Eye Movements
  • Fatal Outcome
  • Humans
  • Levodopa / therapeutic use*
  • Male
  • Middle Aged
  • Parkinson Disease / complications*
  • Parkinson Disease / drug therapy
  • Parkinson Disease / pathology


  • Antiparkinson Agents
  • Levodopa