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Doctor insights on: Causes Of Monocular Diplopia

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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.

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. ...Read more

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Dr. Howard Pomeranz
364 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 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. ...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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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Can myasthenia cause diplopia that last for 14 days constantly or does it only cause fleeting symptoms?

Myasthenia: It could do either. Fluctuations in vision can change over the course of a day or remain constant for days/weeks at a time. Treatment should help to resolve symptoms. ...Read more

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Can you tell me is diplopia that i can control a cause for concern?

Neuro-opthalmologist: The real question is whether or not a cause can be identified. It is unusual to have diploplia start de novo with no history of trauma. There are a host of different types of diploplia that can range from upward vs side to side diploplia vs individual eye diploplia, for example. The causes can range from tumor to ms to idiopathic. A good evaluation by a neuro-opthalmologist can help. ...Read more

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Are there any ways to reduce diplopia caused by divergence insufficiency other than using prisms in glasses? (I.e. Exercises to do?)

Are there any ways to reduce diplopia caused by divergence insufficiency other than using prisms in glasses? (I.e. Exercises to do?)

Work w/ good Dr.: Find an experienced eye doctor and discuss the possibilities. Many adults are not able to correct such problems w/out prisms. I'm one. Ask about contact lense therapy and even surgical options too. I agree - it would be great to find exercises that work. Best! ...Read more

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Recent Diplopia diagnosis (suppression & insufficient convergency) Have not determined cause. Interested in having MRI results reviewed. Thank you ?

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. ...Read more

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Transient episodes of diplopia that changes with head movement what is the likely cause?

Get evaluated : Especially if new, symptoms like this should be urgently evaluated to determine the nature of the double vision and possible causes. Some causes can be life threatening. ...Read more

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Do lesions have to be in brainstem to cause acute diplopia lasting 14 days in MS or is it a general sympton anyway?

Relapse: Do you have MS? or is your problem cerebrovascular disease associated with PFO and maybe paradoxical emboli?? If there is diplopia in MS, lasting 2 weeks, this would be a relapse, and area of inflammation would be usually in brainstem, and maybe visible on MRI. Diplopia is NOT a general symptom in MS and varies from pt to patient. ...Read more

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