Central Mini-tenotomy and Environmental Modifications to Correct "Macular Diplopia" due to Sickle Cell Retinopathy in a Resource-limited Setting.

Epiretinal membrane causing binocular diplopia, also denoted "macular diplopia," is a well-established entity, which is often difficult to treat. Mini-tenotomy is a surgical procedure to treat diplopia due to small-angle deviations. In this case report, we describe the successful management of a patient with "macular diplopia" secondary to sickle cell retinopathy using a central mini-tenotomy of the left superior rectus muscle and environmental adaptations to diminish peripheral retinal fusion.