Understanding Double Vision (Diplopia)

A Comprehensive Guide to Causes, Diagnosis, and Treatment Options

Neurology

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Last updated: Mar 24, 2025

What is Double Vision?

Double vision, or diplopia, occurs when you see two images of a single object. This condition can affect your daily activities, balance, and overall quality of life.

Types of Double Vision

  • Monocular: Persists when covering either eye
  • Binocular: Resolves when covering one eye

Common Causes

Monocular Double Vision

  • Corneal irregularities
  • Cataracts
  • Retinal problems
  • Dry eyes

Binocular Double Vision

  • Misaligned eyes (strabismus)
  • Cranial nerve problems
  • Neurological conditions
  • Thyroid eye disease
  • Head trauma

Warning Signs

Seek immediate medical attention if double vision:

  • Occurs suddenly
  • Is accompanied by headache
  • Includes weakness or numbness
  • Follows head injury

Diagnosis

Your healthcare provider may perform:

  1. Complete eye examination
  2. Neurological evaluation
  3. Imaging studies (MRI, CT)
  4. Blood tests

Treatment Options

Conservative Treatments

  • Corrective lenses
  • Eye patches
  • Vision therapy exercises

Medical Interventions

  • Treatment of underlying conditions
  • Medications
  • Surgery (when necessary)

Living with Double Vision

  • Use adequate lighting
  • Avoid driving until cleared by doctor
  • Make home modifications for safety
  • Follow prescribed treatment plan

Prevention

  • Regular eye examinations
  • Protect eyes from injury
  • Manage underlying health conditions
  • Maintain good eye health

When to Contact Your Doctor

Consult your healthcare provider if you experience:

  • Persistent double vision
  • Changes in vision
  • Associated symptoms
  • Treatment complications

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