Doctor insights on:
Very mild diplopia but treatment is going on and now light pain in legs. Should I see my neurologist as I have my engagement after 6 days. Scared what?
Definately: Yes, you should see a neurologist I am very concerned with your symptems. ...Read more
Prism or patching: Most important is to establish the cause of the double vision. Once we know the cause, options for treatment are: 1). Addressing the underlying cause, 2). Prism power in the glasses lenses, 3). Covering one eye, or 4). Eye muscle surgery. This depends on how much the eyes are misaligned, whether the findings are stable or changing, and the patients preference. ...Read more
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
Yes: Thyroid disease and orbitopathy is one of the many causes of diplopia. As tissues within the orbit enlarge from the disease process they can cause the globe to shift which can lead to dipolopia. Treatment depends on the stage of disease and can include oral medications, surgery and glasses. ...Read moreSee 1 more doctor answer
Careful evaluation: Double vision has many causes. If it as a result of misalignment of the eyes, then examination by an ophthalmologist or neurologist is appropriate. Careful investigation is required. Once the cause has been found, and if the diplopia persists, prisms can be incorporated into glasses to correct the double vision. Occasionally sugery is required to reposition the eyeballs. ...Read moreSee 1 more doctor answer
I have double vision and floaters for more than 10 years without any treatment. Should I get a treatment after so long?
Observe/operate: Following an orbital fracture there can be some temporary swelling and muscle trauma that can lead to double vision. This swelling can lead to temporary double vision. This should resolve within a week or so. If not surgery will most likely be required. ...Read moreSee 3 more doctor answers
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
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. ...Read more
No: A patch over one eye is commonly used to eliminate the handicapping doubling of vision in diplopia. Depending upon the cause of the diplopia, there may be spontaneous improvement while wearing the patch, but it is not credited to the patch. Diplopia, if newly present always should have an evaluation by an ophthalmologist as some of the underlying causes are serious. ...Read more
None that work: The most important issue is cause for double vision. If there is a specific nerve or muscle problem, this needs to be evaluated and treated specifically. Most patients with double vision need to patch one eye in order to read or function in a normal manner. Just trying to exercise the eyes does not help. The brain will shut off one eye to avoid confusion. ...Read more
One image above othe: Means that patient sees two images when there is only one object, with the images oriented one on top of the other, as opposed to side-by-side. They can also be diagonally oriented too. Because of multiple causes, some serious, patients with diplopia need to see an eye md or neurologist asap. ...Read moreSee 1 more doctor answer
Crossing the eyes: Voluntary diplopia is caused by the individual forcing the eyes to not look at the same place at the same time. Crossing your eyes is the typical way one can create voluntary diplopia. It is harmless and under the individual's control. ...Read more