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Double Vision (cont.)

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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.

For example, diplopia stemming from refractive errors (myopia, hyperopia, astigmatism) can be corrected with glasses or contact lenses. Dry eyes may be treated with artificial tears, anti-inflammatory drops, punctal plugs, warm compresses, and a variety of other treatments. Many corneal irregularities are treatable with medication, laser, or surgery. Cataracts are treated with surgery, and posterior capsule opacification (after cataract surgery) is treated with laser. Binocular diplopia is occasionally caused by vision-threatening or life-threatening conditions requiring urgent or emergent treatment. 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.

In many cases, double vision may subside with treatment of the underlying disease.

Double vision produced by poor blood supply to the nerves in diabetes will often resolve over time as the blood sugar is brought under better control. If eye muscle movements are restricted due to scarring (such as chronic Graves' disease) or entrapment (as after traumatic orbital bone 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) or with use of prisms.

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.

Medically Reviewed by a Doctor on 10/9/2017


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