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- Patient Comments: Double Vision - Causes
- Patient Comments: Double Vision - Symptoms
- Patient Comments: Double Vision - Diagnosis
- Patient Comments: Double Vision - Treatment
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- What is double vision?
- What causes double vision?
- What are the symptoms and signs of double vision?
- How do health-care professionals diagnose the cause of double vision?
- What is the treatment for double vision?
- What types of doctors treat double vision?
- Is it possible to prevent double vision?
- What is the prognosis for double vision?
What is the treatment for double vision?
Once the underlying cause has been determined, treatment is tailored to the underlying condition.
Diplopia stemming from refractive errors (myopia, hyperopia, astigmatism) can be corrected with glasses or contact lenses. Dry eyes are treated with artificial tears, punctal plugs, warm compresses, and a variety of other treatments. Cataracts are removed with surgery, and posterior capsule opacification (after cataract surgery) is treated with laser. It is uncommon for the cause of monocular diplopia to be a medical emergency.
Binocular diplopia on the other hand can be caused by life-threatening conditions, and emergency treatment may be necessary. This is particularly the case with aneurysms, head trauma, stroke, and other neurologic conditions. Any onset of diplopia with accompanying neurologic symptoms such as headache, nausea, dizziness, loss of balance, etc., should be evaluated immediately.
Diplopia produced by chronic diseases (see causes above) may subside with treatment of the underlying disease. If eye muscles are engorged (such as from Graves' disease) or entrapped (as after traumatic orbital fracture), surgery of the muscles or surrounding tissue may correct the problem.
Convergence insufficiency, or inability to align the eyes when focusing on a near object, is a common benign cause of intermittent binocular diplopia when reading. It can improve with eye exercises ("pencil pushups" prescribed by the eye doctor).
Often glasses with prisms can be worn to correct binocular diplopia. If the diplopia is expected to resolve, temporary prisms (Fresnel prisms) can be added to glasses and later removed when the eyes realign.