Double Vision Diplopia-What Causes It?

Eye Care & Surgery Center NJ Bladeless LASIK Laser Cataract Surgeon Blog

Tuesday, November 27, 2012

Double Vision Diplopia-What Causes It?


Dr. Jacobs

NJ Ophthalmologist Ivan Jacobs, M.D. explained, “Double vision, which we also refer to as diplopia, generally results from either a misalignment of your eyes or a structural problem with the part or parts of the eye that let light into it.” “There are two types of double vision. The first type is called binocular diplopia. The second type is referred to as monocular diplopia.”

Monocular diplopia can be differentiated from binocular diplopia by a simple test. If the double vision stops when you cover one eye, then you are suffering from binocular diplopia.  If the double vision persists even with one eye covered, that means you are experiencing monocular diplopia.

There are many different causes for diplopia. The problem can arise from the eyes themselves, the surrounding orbit, or the central nervous system. Causes of double vision include corneal infections or scars, cataract, eye muscle weakness from thyroid problems, nerve damage from diabetes or multiple sclerosis, autoimmune disease such as myasthenia gravis, brain tumors or aneurysms, strokes, head trauma, orbital trauma, direct eye trauma and even migraine headaches.


Double Vision

Double vision can occur by itself with no other symptoms. However, depending on the cause other symptoms may be present with diplopia that can include:

  • Droopy Eyelids
  • Pain with Eye Movements
  • Headache
  • Nausea
  • Misalignment of one or both eyes causing a "wandering eye" or "cross-eyed" appearance
  • Weakness of the other muscles in your body  
“Double vision that's new or unexplained requires urgent medical attention. With so many potentially serious causes for diplopia, it's important to discover the reason without delay”, said Dr. Solish. A thorough history and physical examination are critical to localizing a disease process and guiding further tests and studies to identify and treat the cause. If you or someone you know experiences double vision, it is important that they schedule an appointment for an examination. Please feel free to call The Eye Care & Surgery Center at 908-789-8999, visit The Eye Care & Surgery Center or facebook.com/eyecareandsurgerycenter.

The Eye Care & Surgery Center is staffed by a team of Board Certified NJ Ophthalmologists who are subspecialty Fellowship trained New Jersey eye surgeons, Opticians, technical and administrative staff who provide eye examinations for adults and children, surgery for cataracts, intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, diagnosis and treatment of diseases of the retina including diabetes and age related macular degeneration (AMD) and diagnosis and treatment of glaucoma, reconstructive and cosmetic facial surgery including eyelid surgery and facial and skin rejuvenation as well as contact lenses, eyeglasses, eyewear and optical services.

With locations in Westfield and Warren and Iselin, The Eye Care & Surgery Center is a leading NJ eye care practice serving the central and northern New Jersey including Old Bridge, East Brunswick, Sayreville, Milltown, North Brunswick, Kendall Park, Somerset, Dunellen, Bridgewater, Manville, Bound Brook, Raritan, Edison, Colonia, Woodbridge, Metuchen, Avenel, Carteret, Piscataway, Middlesex, Somerville, South Plainfield, North Plainfield, Roselle Park, Garwood, Clark, Kenilworth, Cranford, Gillette, Berkeley Heights, Stirling, Scotch Plains, Summit, Chatham, Watchung, Pluckemin, Rahway, Plainfield, Mountainside, Springfield, New Providence, Basking Ridge, Bedminster, Bernardsville, Millington, Union, Elizabeth, Linden, Jersey City, Irvington, Orange, West Orange, Livingston, Short Hills, Florham Park, Madison, Bloomfield, Montclair, Clifton, Garfield, Wayne, Parsippany, Troy Hills and Paramus, New Jersey.