Question 1

what is the differential diagnosis of diplopia in patient with vertigo?

Accepted Answer

Big question: Start with what kind of diplopia - horizontal, vertical or skewed.  That will help tell you which eye muscles are involved.  Pain with eye movement is worrisome.  Diplopia that gets worse with fatigue may be a muscle issue.  Vertigo and diplopia makes one think of inner ear or brainstem difficulties, but these can be hard to differentiate.  Trauma can cause horizontal diplopia

Question 2

recent diplopia diagnosis (suppression & insufficient convergency) have not determined cause.  interested in having mri results reviewed.  thank you ?

Accepted Answer

MRI results: These should be reviewed with you by the doctor who ordered the test.  New onset of diplopia requires a medical evaluation.   An ophthalmologist is your best bet for this.

Question 3

how common is vertical diplopia?

Accepted Answer

Uncommon: Vertical diplopia is a sign of eye muscle imbalance, which may well be due to many causes, including trauma (orbital blow out fracture), certain strokes, myasthenia gravis, multiple sclerosis, brain tumors, supra-orbital ridge disease, cavernous sinus thrombosis, myositis affecting eye muscles, even rarely meds.  Need to discern the cause.

Question 4

what is diplopia (double vision)?

Accepted Answer

Seeing two images: Diplopia, or double vision, is when someone sees two images when there should only be one. It most commonly results from the eyes not being aligned, which can occur from a variety of causes.

Question 5

what can i do to address my diplopia?

Accepted Answer

See your eye doctor: The cause of your double vision needs to be determined before a proper treatment can applied.

Question 6

how can i cure physiological diplopia?

Accepted Answer

Depends on Cause: The term physiological means that there is an explanation, or a specific reason, for the double vision.

For instance, you could have double vision (diplopia) due to incongruence of your eye muscles.  Some are congenital and others may be due to a systemic illness such as thyroid disease.

One situation might require eye muscle surgery and the other might require systemic therapy.

Question 7

how common is vertical diplopia in the us?

Accepted Answer

Difficult to answer: That is difficult to answer as the causes include cranial nerve 4 palsy, myasthenia gravis, thyroid eye disease, multiple sclerosis, cataracts, strabismus, strokes in the brainstem and others.  If this is aproblem that you are experiencing you should see a neuroophthalmologist to get your questions answered and your condition treated.  Good luck and well wishes.

Question 8

can a person who has diplopia see clearly?

Accepted Answer

Depends: Is dependent on the degree of diplopia and the individual eye's visual acuity.  Severe large angle diplopia is disabling, and one eye has to be covered to see better.  Smaller diplopia can be corrected or sometimes just ignored depending on how constant it is.

Question 9

diplopia is ruining my career. what can i do?

Accepted Answer

See  strabismologist: Diplopia, or double vision, usually occurs from misalignment of the two eyes.  This can be due to eye muscle imbalance and other factors. A motility specialist, or strabismologist can assess the situation and come up with a treatment plan.   Glasses with prism may help or surgery.

Question 10

what is monocular diplopia?

Accepted Answer

Very rare: You describe a condition of seeing two objects with one eye.  This is very rare.  It has been described in certain diseases of the retina.  Rare neurological and psychiatric disorders can produce this effect.  Thorough ophthalmologic and neurological evaluation would be appropriate.

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Doctor answers about:

Diplopia differential diagnosis

A member asked:

What is the differential diagnosis of diplopia in patient with vertigo?

A member asked:

Recent diplopia diagnosis (suppression & insufficient convergency) have not determined cause. interested in having mri results reviewed. thank you ?

A member asked:

How common is vertical diplopia?

A member asked:

What is diplopia (double vision)?

A member asked:

What can i do to address my diplopia?

A member asked:

How can i cure physiological diplopia?

A member asked:

How common is vertical diplopia in the us?

A member asked:

Can a person who has diplopia see clearly?

A member asked:

Diplopia is ruining my career. what can i do?

A member asked:

What is monocular diplopia?

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