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Doctor insights on: Bilateral Monocular Diplopia

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Dr. Howard Pomeranz
368 Doctors shared insights

Double Vision (Definition)

When two separate images which are displaced in space are perceived at the same time due to a ...Read more


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What is monocular diplopia?

Doubling - one eye: This is the condition in which doubling of the image is seen with one eye alone. This can be due to cataract, corneal distortion, astigmatism or macular distortion.

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What is causing monocular diplopia?

What is causing monocular diplopia?

Monocular diplopia: Usually caused by a refractive problem correctable with glasses. Rarely can be caused by other types of eye problems. See your eye doctor to find the cause.

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What is monocular diplopia/polyopia and how is it treated?

Extra images from ey: Most visual doubling is when the two eyes are out of alignment (strabismus). But some conditions cause extra images from one eye including uncorrected astigmatism, cataracts, macular distortions and corneal disturbances. Most of these can be treated successfully by your ophthalmologist.

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I have chronic monocular diplopia, ideas, what to do?

I have chronic monocular diplopia, ideas, what to do?

Have evaluation: Have you seen an ophthalmologist (not an optometrist) about this. Diplopia in one eye can be due to lens aberrations, high astigmatism, or macular pathology. Your ophthalmologist may be able to find the cause or may refer you to a retinal specialist.

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Monocular diplopia associated with astigmatism--any treatment?

Monocular diplopia associated with astigmatism--any treatment?

Depends on cause: Most cases of monocular diplopia are caused by dysfunctional tear syndrome. The first step is to assess and treat tear film abnomality. Next common causes are lens abnormalities. Corneal irregularities also cause this most are obvious but some can only be discovered with computerized analysis of the cornea. Retinal edema can cause this as can optic nerve disease but with decreased vision.

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What are causes of vertical monocular diplopia? My mother & I have had this our whole lives. Most noticible at close range. I have slight astigmatism.

Likely astigmatism: Monocular diplopia (double vision when only one eye is open) really only has a few causes. Uncorrected astigmatism is probably the most common of these. Other causes can be things like cataract or dry eye disease. It's pretty easy for an ophthalmologist to figure out what is going on with you so it might be worth a visit.

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I have Monocular diplopia but eye doctor doesn't find anything wrong with my eyes, and had a MRI found nothing, any other possibilities?

Monocular diplopia: Is seeing two of everything and does not go away when one eye is covered. In other words, it is occurring in only one eye. This problem is always with the eye itself, usually with the cornea or lens. It is also possible that you have a refractive error.

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Monocular Diplopia, halos, and glare. Ghosting images, blurry far away. 3 eye doctors said eyes healthy, MRI said brain healthy. What could it be?

Monocular Diplopia: Monocular Diplopia is almost always due to something in that eye: cataract (PSC), irregular astigmatism (send us copy of your Pentacam), irregular nerve (send us copy of your nerve photos and HRT and HVF), and/or tear film abnormality (send us copy of your Lipiscan). Consult with us to help solve this issue.

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Blurry vision with glasses- monocular diplopia-eye redness-gradual. Doc says allergy, steroid drops did not work. Had brain MRI -clear. What is it?

Number of causes: There are several causes of monocular diplopia, from lens to retinal disorders. It might be valuable for you to be referred to an ophthalmologist who can do a detailed examination of front-of-the-eye to back-of-the-eye potential issues.

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I have monocular and binocular double vision meaning covering any eye doesn't make a difference, what does this mean the cause could be?

I have monocular and binocular double vision meaning covering any eye doesn't make a difference, what does this mean the cause could be?

Double vision: True binocular diplopia is due to misalignment of the eyes. This can be due to a CNS or PNS lesion. "Double vision" in just one eye is ALWAYS an eye problem, NEVER a brain or nerve problem. So one is nervous system, the other is eye. These are very important diagnostic distinctions. "Eye" is what ophthalmologists do; "nervous system" is what neuro-ophthalmologists do.

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How do I know I have diplopia?

How do I know I have diplopia?

Double vision: That is the definition, and if you see two where there is only one, you have it. Many causes, and if it were to be present see a doctor asap acquired eye muscle imbalance is not good.

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What does it mean if I have diplopia?

Double vision: Could mean a number of things, it depends if you are seeing double out of one eye or both eyes together. Sudden onset of diplopia could be serious, so see your eyemd right away. Monocular diplopia often happens as cataracts worsen, and is bothersome, leading to cataract surgery, which usually corrects the problem. Binocular diplopia is an eye muscle and brain problem in most cases.

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What does intemmittent diplopia mean?

See two, sometimes: There are many possible causes of intermittent double vision. First question is: does it always go away when you close one eye? Eye muscle imbalances, media opacities like cataract or corneal scars, thyroid conditions, cranial nerve weaknesses (palsies), raised pressure inside the skull, medication side effects, muscle weakness like myesthenia and many other causes are all possible. See an eye md.

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What should I do if vertical diplopia?

What should I do if vertical diplopia?

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.

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Can there be any special lenses for correcting diplopia?

Sometimes: Diplopia occurs in two forms. Incomitant in which the doubling is greater as the eye moves into the area of doubling. And comitant in which the doubling is constant at all eye movements. Prisms can be incorporated in lenses to correct the constant diplopia of comitant disease. It does not work for incomitant diplopa.

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Cause and cure for diplopia?

Patch one eye: Each eye sees a different world. The brain usually fuses the images and gives you a sense of depth. If the difference is too much, you will see double (diplopia). Just cover up one eye so the brain gets only one image. The cause is usually an eye muscle problem or brainstem lesion. You need a thorough neurological evaluation.

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How dangerous is diplopia while driving?

Serious problem: Diplopia, the seeing of two images at the same time due to misalignment of the eyes, is a very disturbing pattern for someone who acquires this. When driving, you cannot tell which is the real image and which is the secondary image. You should avoid driving, or temporarily cover one eye. Hopefully you are driving to the neuro-ophthalmologist to evaluate your diplopia.

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Should I undergo voluntary binocular diplopia?

Should I undergo voluntary binocular diplopia?

Clarify please: Diplopia is a symptom. It can be voluntary, if one crosses eyes. I am not sure if I understand the question - do you mean to ask if you should undergo some type of corrective surgical procedure for diplopia? Please clarify.

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Couldstress cause visual disturbances such as diplopia?

Couldstress cause visual disturbances such as diplopia?

No: Stress could perhaps cause difficulty with focus and might even be associated with blurred vision, but true double vision would be caused by structural or metabolic problems associated with a multitude of causes.