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Doctor insights on: Double Vision At Night

Possible cataract.: If you are experiencing what you describe as "double vision" only at night, especially when looking at headlights you are more than likely sufferring from "tmb." this stands for "too many birthdays." you are more than likely of an age where you might have aging cataracts in one or both eyes. The reflection of oncoming headlights off of the cataract can result in the symptoms that you describe. ...Read more

Neuroophthalmologist: One eye turning inward (esotropia) in a 51 year old sounds like it could be an isolated 6th nerve palsy. While this is likely a mini-stroke of one of the abducens nerves to one of the lateral rectus (extraocular) muscles, it could be the sign of high blood pressure, diabetes, or even a space-occupying intracranial lesion. See an ophthalmologist or neuro-ophthalmologist. An MRI or ct is possible. ...Read more

See eye doctor.: There are many possible reason. You need to see an eye doctor and be examined. ...Read more

Possible cataract.: If you are experiencing what you describe as "double vision" only at night, especially when looking at headlights you are more than likely sufferring from "tmb." this stands for "too many birthdays." you are more than likely of an age where you might have aging cataracts in one or both eyes. The reflection of oncoming headlights off of the cataract can result in the symptoms that you describe. ...Read more

Double vision: The most common cause of double vision is misaligned eyes. Misalignment that causes "stacked" vision is less common, and should be evaluated by an ophthalmologist. ...Read more

It certainly can be: A lot of people have a "phoria": the inability to keep the 2 eyes looking together when they are tired. This is quite common, and usually lasts for only a few moments. Phorias do not need to be treated. If you experience double vision at random times of the day or the double vision does not go away, you should see an eye doctor. You may want to see one anyway if only to reassure you. ...Read more

See opthalmol vs neu: you need to see a neurologist or ophthalmologist or both. These visual images could be related to something with your brain physiology or your eyes system. Ask your physician about giving you some help to see one of the specialist ...Read more

Mild muscle weakness: Most common explanation would be a slight misalignment of the eyes when tired. This kind of double vision should go away when you close either eye. Other possible causes would not go away when one eye is closed. A type of glasses lens called prism may be able to help this symptom. You should be seen by an eye md for diagnosis and treatment recommendations. ...Read more

See a doctor: I recommend seeing a doctor so that they can make a proper diagnosis and give you something to get rid of the condition or relieve symptoms. ...Read more

Many causes of: Your symptoms. You need to see your primary care doctor urgently to evaluate this. ...Read more

Maybe: Cranial nerve palsies will give you double vision in both daylight and ghost images at night. Usually abnormalities of the cornea (astigmatism) leads to see ghost images as well as cataracts. Best to check with your ophthalmologist. ...Read more

Could be: Certainly could be. Monitor your blood pressure over the next few days, drink plenty of fluids, and if the double vision comes back you should have evaluation with your primary doc. ...Read more

ER-now: Any head trauma with double vision requires immediate ER evaluation and CT scan of your brain: NOW ...Read more

One eye or two: Double vision with one eye means either dry eyes or uncorrected astigmatism. If you close one eye and the double vision goes away, this would be a eye muscle or neurological disease. ...Read more

Neuromuscular issues: It sounds like you need a thorough work-up to make clear the cause of these symptoms. Seeing a neurologist might be a good place to start - or if you have a bright family doctor who can at least get the 'ball rolling'. There are different possibilities that come to mind including Lyme disease, vitamin B12 deficiency, MS, uncontrolled diabetes, heavy metal poisoning, and more -hope you get help. ...Read more

Muscle imbalance: The most common cause is muscle imbalance between the eyes. If this is the cause then covering each eye will eliminate the double vision. If you cover each eye and it is still blurry, you most likely need glasses. An eye care professional can correct these problems. ...Read more

Many causes: Temporary doubling can occur from drug overdose, alcohol, and other drugs. Constant double vision can occur from trauma, muscle paralysis, vascular events in the brain and breakdown of fusion. Doubling in one eye can be caused by astigmatism, cataracts and certain corneal changes. Best to see your ophthalmologist if you have this problem ...Read more

Usually: Most cases of double vision can be fixed with prisms and/or eye muscle surgery. ...Read more

Cause?: Do you know your diagnosis? Many reasons for double vision - from congenital strabismus, internuclear ophthalmoplegia, brain tumors, meningitis. .. Best person to answer this in your particular case is a neuro-ophthalmologist (rare to find, there are only a few hundred in the country). May need to ask your md to refer you to the nearest medical school. ...Read more

Diplopia: Doubling of vision can occur for many reasons. The most common is misalignment of the eyes which can be from trauma or damage to nerves leading to the eye muscles. Have you had an event from which one might predict you would get doubling of vision? You could ask about that in another question. ...Read more

Depends: In adults, double vision occurs from a breakdown of the coordination between the eyes. If this is due to a loss of the brain coordination centers work, then prisms can be helpful. If it is due to muscle paralysis, then prisms usually do not work, but some forms of surgery may help. In extreme cases, patching may be the only option. Check with your ophthalmologist for visual doubling. ...Read more

Double vision causes: One way to test yourself: cover either eye with your hand. If the double vision is still present with one eye occluded, then this is "monocular diplopia" and rarely neurologically threatening. Most causes of monocular diplopia are optical: astigmatism, cataracts, macular pucker etc. However, if the double vision disappears with either eye covered, this is potentially more serious. ...Read more

Mono vs binocular: One way to test yourself: cover either eye with your hand. If the double vision is still present with one eye occluded, then this is "monocular diplopia" and rarely neurologically threatening. Most causes of monocular diplopia are optical: astigmatism, cataracts, macular pucker etc. However, if the double vision disappears with either eye covered, this can be more serious & need to see eyemd. ...Read more

Several options: Often we can use prisms, botox, eye muscle surgery, or exercises. ...Read more

In most cases,: Yes. But more importantly, has the cause be determined. Double vision can be sign of significant, even lethal, disease. See a physician if this a new problem. ...Read more

Diplopia: Diplopia means that either one eye alone or both eyes together are not seeing a clear sharp image. There can be overlapping images or separate images. Common causes of monocular diplopia are astigmatism, cataracts and corneal abnormalities such as keratoconus. Binocular diplopia is usually due to neurological problems that cause misalignment of the two eyes. ...Read more

Subjective: Objectively, eye alignment can be measured using cover testing. It can be quantified with prism testing. ...Read more

Many causes: Potentially very serious symptom which needs prompt evaluation by an ophthalmologist or neurologist. Possible causes are cranial nerve palsy, tumors, thyroid disease, muscle problems like myesthenia gravis, multiple sclerosis. Less serious causes are possible too. ...Read more

Depends on cause: This will depend on the cause of the double vision and can be from seconds to permanent. See an ophthalmologist. ...Read more

Diplopia: Seeing two images most commonly occurs when the eyes are out of alignment. This can occur from nerve, muscle or tissue damage from trauma, or vascular accidents. Doubling can occur in one eye from astigmatism, lens opactities and macular disturbances. See your ophthalmologist for the proper diagnosis and treatment. ...Read more