Yes: Hypertropia, or vertical ocular misalignment, will cause symptomatic double vision if acute or decompensating. Some people have congenital hypertropias (4th nerve paresis) and adapt often with a head tilt and generally don't experience double vision. Symptomatic double vision can be treated with prism glasses mostly, but some may need surgery. See an ophthalmologist.
Answered 6/13/2018
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