Double Vision - Treatment

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Depending on the diagnosis, what was the treatment for your double vision?

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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.

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See what others are saying

Comment from: Jen, 35-44 Female (Patient) Published: October 30

I have glasses with prisms to correct my double vision. My eye doctor has also suggested seeing a surgeon to have the diplopia corrected.

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Comment from: IN DE, 75 or over Male (Patient) Published: March 26

A sudden onset of double vision occurred in Dec 2013. I was sent for MRI and there was no evidence of cranial palsy on radiology report. It was lack of blood flow to the 3rd ocular nerve of left eye, said the specialist. No cure was put up with it. I found I could have prism glasses made. I had 4 sets made over 12 months, all of which failed. I was hospitalized as I could not draw breath. I collapsed and broke my collar bone. Food went down the airways and I nearly chocked to death. Then I could not swallow, then chew. I went on google and found I had myasthenia gravis (MG). I could not speak and thought I was going to die. I went to the general practitioner for second opinion and blood test. I was admitted to hospital in crisis. I started medication and in two days no double vision and eye lids now wide open. Specialist gave incorrect diagnosis and failed to carry out an ice, Tensilon and blood test which would have identified MG. Out of pocket 30,000 dollars, pain and suffering over 4 months, broken clavicle and unnecessary eye surgery. Since found, MG has affected hearing and now I have to buy hearing aids costing 8000 dollars. Treatment will now take another 8 months before I will be able to resume a normal life. My advice, always get a second opinion.

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