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Diplopia is a disorder of the visual system in which image doubling occurs.

The pathology may be associated with deviation of the eyeball, as a result of which the image falls on the main part of the retina, and not on the central fovea.

Diplopia always covers binocular vision, that is, if you close one eye, the doubling of the image will disappear. Depending on the type of disease, monocular diplopia occurs, but this is a rare phenomenon that is caused by trauma to the iris. The peculiarity of this disease is that when the second eye is closed, the doubling of the image does not disappear.

Is diplopia curable? How can you eliminate double vision?

A disease such as diplopia brings many inconveniences.

Many patients resort to traditional methods, but this does not always give positive result, because sometimes illness caused by various diseases, not just mechanical damage.

Diplopia is completely treatable, but can cause various complications in the presence of chronic diseases that disrupt the functioning of the visual system. Doctors advise at the first symptoms of pathology contact the clinic.

Features of the treatment of the disease— combination efficiency traditional methods And home gymnastics for the eyes on a par with surgical intervention. Each procedure is selected individually, depending on the cause of double vision.

Diagnostic methods

  • Visual examination patient after he complained of ghosting.
  • Required blood analysis, which will indicate possible diseases such as diabetes mellitus or myasthenia gravis.
  • Proserine test is a diagnostic method in which a special drug is administered ( Prozerin) to reduce the severity of diplopia and alleviate the patient's condition. The drug fills the cells and creates a supportive effect in which the eye responds better to focusing.

  • CT (computed tomography) and MRI of the head. Magnetic resonance imaging allows you to see the structure of the brain and identify possible disorders (tumors, injuries or hemorrhages).
  • In addition to consultation with an ophthalmologist and neurologist, you will need additional examination by a neurosurgeon.

The entire diagnosis of diplopia is to recognize causes that led the patient to this condition. It is necessary to take into account all previous symptoms and pay attention to even minor details.

Important! The diagnosis of diplopia should be established only after full examination of the patient And auxiliary analyses.

How to get rid of the disease?

Diseases of different etiologies suggest therapy for the primary disease. This should be done by a neurosurgeon or neuropathologist. If diplopia occurs due to injury, you will additionally need to consult an ophthalmologist. The doctor determines the need for plastic surgery of the eye muscles.

Surgery is allowed only after injury. During surgery, a muscle is shortened or moved backward to compensate for the work of another muscle.

Applies also optical correction- improving the clarity of the patient’s vision using prismatic glasses ( up to 6 diopters for each eye).

Most effective method therapy is considered set of exercises, which is aimed at restoring binocular vision. This gymnastics is easy to do at home.

The essence of it is to draw a line on a piece of paper and attach the picture to the wall. The patient must keep the image in his field of vision while turning his head left and right. By focusing attention, the patient will improve muscle function and learn to concentrate on one subject.

This exercise should be done daily from 2 to 6 times per different time days(changes in illumination also have a good effect on visual function). Such physical exercises are done for varying degrees of the disease, and for preventive purposes to improve visual acuity. Distance from the leaf - from 50 cm, gradually increase it.

Kashchenko exercises: what is it?

There is a set of exercises developed by T. P. Kashchenko, the essence of which is to work with prisms. It includes three main stages:

  • stimulation of diplopia;
  • the formation of bifixation - a reflex that makes it possible to connect split images;
  • consolidation of this reaction.

For each of these stages there are separate exercises that must be carried out in medical institution under the supervision of an ophthalmologist.

T. P. Kashchenko developed a method mergers images using binocular images.

This method is in connecting successive figures, which contain the same elements and belong to both the right and left eyes. The author of the method is confident that the merging of images that appear sequentially can form single image.

For prevention diplopia necessary:

  • treat all inflammatory processes that are associated with the nervous system;
  • take blood tests in a timely manner and keep your sugar levels under control;
  • avoid a sharp increase in blood pressure;
  • Closely monitor the hormonal system and hormone levels.

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Binocular and monocular diplopia. How to treat these forms of the disease?

Binocular diplopia- the most common type of disease that requires treating the cause of the disorder. The therapy is aimed at developing the reflex of connecting images when doubling the image.

Monocular diplopia found in in rare cases. Reasons for the appearance of the disease - cataracts, glaucoma or astigmatism. Treatment is aimed at eliminating the underlying disease. Often the symptoms are only partially eliminated.

If astigmatism is considered the cause of monocular diplopia, the patient may be advised corrective lenses.

Photo 1. This is what an eye with monocular diplopia looks like. Cornea irregular shape, so there is an incorrect focus on the retina.

If the problem arose due to cataracts, you will need surgical intervention to eliminate pathology.

How to cure a disease in children

Diplopia occurs in children due to poor mobility of the eyeballs, there are cases of temporary illness after viewing films in 3D format. The symptoms are difficult to recognize; parents should pay attention to how the child behaves and ask him about how he sees various items.

Attention! Very often, children do not feel the changes and may ignore the symptoms of diplopia. If a child often squints, his eyes look at objects from different angles, Parents should consult a specialist.

Defects and disorders of nerve fibers can be corrected whenever possible. To do this, the neurologist must establish connection between visual function and brain function. Typically, such treatment and additional exercises can completely eliminate the disease in a child. If a teenager develops monocular diplopia, this often means an early stage of cataract. In such cases, treatment is carried out through surgery.

Diplopia is a visual disorder in which, as a result of deviation of the visual axis of one of the eyeballs, a double image is formed at the final point of the visual analyzer, in the occipital cortex of the brain.

In fact, diplopia occurs when the focus of the image of the object in question is not on the central fovea of ​​the retina of the affected eye, but on any other part of it.

Classification

Depending on whether this disorder is caused by damage to only one eyeball or becomes a visual disorder with both eyes, they are distinguished:

  • monocular diplopia – rare option a disorder that develops against the background of an eye injury with separation of the iris, the formation of two false pupils or subluxation of the lens. With such diplopia, even when closing the unaffected eye, double vision does not disappear
  • binocular diplopia is a common variant of the disorder that occurs against the background of damage to the extraocular muscles, pathology of the tissues surrounding the eyes (hematoma, suppuration of retrobulbar tissue), diseases nervous system

In this case, diplopia disappears as soon as one eye is included in the act of vision (closed with a hand or squinted)

Causes

All conditions that can potentially lead to the development of diplopia are divided by ophthalmologists and neurologists into:

  • disorders that occur in the work of the central link of the visual analyzer - pathological processes affecting the cerebral cortex and the optic nerve pathways
  • disturbances in the tone of the muscles that ensure the friendly functioning of the eyeballs - these conditions can lead to a displacement of one eye away from the central axis or to a change in its mobility
  • pathological processes occurring in the orbit - they lead to a change in the normal position of the eyeball
  • eye injuries.

Among all these causes, diplopia is most often provoked by neurogenic and muscular diseases, leading to the development of paresis or paralysis of the oculomotor nerves - in this case, friendly and coordinated eye movements are disrupted.

Such diseases include ocular myasthenia gravis (severe muscle weakness) or multiple sclerosis (a pathology in which the destruction of the normal structure of the nerve fiber disrupts the normal transmission of nerve impulses along the nerve fibers).

Much less frequently, diplopia can develop against the background of:

  • injuries of the facial skull, which are accompanied by a fracture of the lower wall of the orbit and concomitant pinching of the extraocular muscles
  • tumor processes localized in the area of ​​the facial skull and accompanied by germination of the walls of the orbit, limited mobility, and then complete fixation of the eye on the affected side
  • head injuries complicated by damage to the oculomotor nerve
  • disorders of the structure and pathology of blood vessels (aneurysms of the internal carotid artery), leading to pinching of the oculomotor nerve
  • diseases of the soft tissues of the orbit - hematomas, suppurations

In addition, it must be remembered that the appearance of signs of diplopia may indicate damage to the structures of the brain stem - the sections in which the nuclei of the cranial nerves responsible for eye movements are located.

In this case, it is necessary to conduct a comprehensive examination that will confirm or refute the presence of infections in the patient that affect the central nervous system (rubella, mumps, diphtheria, tetanus, botulism), brain stem tumors, and various intoxications (including drugs and alcohol).

It is possible to develop diplopia (double vision) against the background of severe endocrine diseases - thyrotoxicosis and diabetes mellitus.

Transient diplopia can be one of the symptoms of hysteria, hysterical psychosis and other mental illnesses.

Symptoms of the disease

The most common complaints that force the patient to seek qualified medical help are:

  • double vision – persistent, not going away over a significant period of time
  • development of severe and prolonged dizziness
  • violation of normal orientation in space due to the inability to correctly assess the location of objects

Depending on exactly how binocular vision is impaired, the doctor can make an assumption about which particular group of extraocular muscles is affected in the patient:

  • with damage to the rectus muscles, objects are located parallel
  • when the oblique muscles are affected, objects are located on top of each other

During the examination of the patient, a deviation of the eye towards healthy, normally functioning muscles (away from the affected one) is always detected. A pronounced limitation or complete absence of movement of the eyeball in the direction of the damage is also detected, as well as a forced position of the head or its rotation in the direction of the damage, which helps to get rid of double vision or reduce it.

Diseases in which the central nervous system may be affected may also be accompanied by diplopia, but in this case, binocular vision impairment clearly fits into clinical picture diseases - with botulism, this symptom occurs as one of the first manifestations of the infection, while in patients suffering from rubella, diphtheria and mumps - only in severe cases and at the height of the disease.

Treatment of diplopia

Modern treatment options for diplopia depend on timely recognition of this condition and effective treatment of the diseases of which it has become a symptom.

When infections of the central nervous system are detected (botulism, tetanus, diphtheria, meningitis), the development of diplopia is an alarming sign and the patient should be immediately hospitalized in the infectious diseases department to clarify the diagnosis and prescribe the necessary treatment.

In case of head injuries (directly of the facial skull), the patient needs to be hospitalized in the department of maxillofacial surgery or neurosurgery of a multidisciplinary hospital, while if a fracture of the base of the skull is suspected, in a traumatology or neurosurgical department.

In cases where diplopia develops after an eye injury or with an accurate diagnosis of damage to the oculomotor muscles, the question of the location and possibilities of treatment should be decided by an ophthalmologist or neurologist - hospitalization in an ophthalmology or neurology department, or outpatient treatment by doctors of these specialties may be required.

Every person who has diplopia and their loved ones need to remember that this seemingly harmless symptom may be the first sign of a serious illness or injury to the body.

Therefore, the patient needs immediate consultation with a qualified doctor and a set of additional studies that will help clarify the nature of diplopia and the reasons for its development - only after this can treatment be prescribed.

Diplopia is a vision pathology expressed in doubling of images visible objects, which occurs as a result of a change in the location of the visual axis. Actually, double vision occurs due to the fact that images are focused instead of the central fovea in a different area, this occurs due to deviation of the eyeball.

Diplopia is always a disorder of binocular vision and is fully called binocular diplopia. This defect disappears immediately as soon as one eye is covered. True, sometimes (extremely rarely) with eye injuries that are associated with a separation of the root of the iris, forming two false ones, or with subluxation, monocular diplopia occurs. It is characterized by the ability to see two images of an object at once with one eye, and this state does not stop when the other eye is closed.

Causes of diplopia

The development of diplopia is caused by various disorders of the central parts of the visual analyzer, as well as pathologies of muscle balance, which arise as a result of a weakening of the functions of the eye muscles when it is damaged. This leads to restriction in the movement of the eyeball or its displacement to the side. In addition, diplopia can be provoked by neurogenic causes or pathological processes localized directly in.

As a rule, diplopia occurs due to weakening (paresis) or complete paralysis of the extraocular muscles, which disrupts coordination in the movements of the eyeballs. This loss of mobility occurs due to damage to the muscles responsible for the movements of the eyeball (myasthenia gravis - muscle weakness), as well as damage to the nerves that control these muscles.

However, the causes of diplopia can be:

  • pathological processes in the orbital cavity, provoking displacement of the eyeball;
  • orbital disorders arising as a result of fractures of the lower wall of the orbit, in which the eye muscle is pinched;
  • hematomas and tumor processes that cause restrictions in the movement of the eyeball or its complete immobility;
  • carotid artery aneurysm compressing the oculomotor nerve;
  • head injuries and damage to the oculomotor nerve.

Lesions of the oculomotor nerves can cause numerous pathologies of a neurological nature (tumor processes inside the skull, tuberculous meningitis, etc.). In addition, diplopia is one of the symptoms of infectious processes in the brain stem, indicating that the central nervous system is involved in the process (diphtheria, rubella, mumps, tetanus), or drug and alcohol intoxication. Diplopia also occurs with botulism, thyrotoxicosis, multiple diabetes and diabetes mellitus. It can develop against the background of injuries or operations on the brain, as well as as a result of surgical treatment, with psychoneuroses and states of hysteria.

Symptoms of diplopia

Diplopia manifests itself:

  • double vision,
  • persistent dizziness,
  • difficulties in assessing the location of objects.

Symptoms of diplopia always depend on the location of the pathological process. For example, damage to the rectus muscles entails parallel double vision, and oblique muscles affected by the disease can cause the “arrangement” of objects one above the other during double vision. With diplopia, the eye always deviates from the affected muscle in the opposite direction. The degrees of deviation are very different: sometimes it is the absence or restriction of movement of the eyeball towards the affected muscle; sometimes there is a forced position of the head, with a characteristic turn or tilt towards the affected muscle, which eliminates double vision.

Infectious diseases, meningitis, vascular diseases brain, intracranial tumor processes and fractures at the base of the skull give clearly defined signs of diplopia that characterize the corresponding condition. For example, with botulism, diplopia is one of the first symptoms, and patients with diphtheria experience a similar condition at the height of the disease.

The main task of treating diplopia is to identify and immediately eliminate its causes. The form of emergency care is dictated by the course of the underlying disease. For example, for diphtheria, botulism, meningitis, immediate hospitalization to the infectious diseases department is indicated, for fractures in the skull to the neurosurgical or trauma department. In other cases of diplopia, hospitalization is carried out when the underlying disease is particularly severe or the general condition of the victim.

If diplopia is a consequence of only an ophthalmological disease, then treatment is usually carried out in the eye department of a hospital or in a specialized eye center.

Not all conditions and disorders are separate diseases. Some of them may occur in certain, sometimes different, pathologies. So diplopia is a syndrome that characterizes both anomalies of the eye itself and deviations in its adnexal apparatus.

Functioning of the eye

A person has binocular vision. This means that both his eyes are on the same plane; they look at one point at the same time at the same angles. As a result, due to the displacement effect, a person receives single image seen. Moreover, this is a three-dimensional image, and its main parameters are commensurate with space.

Binocular vision is ensured by the consistency of eye movements. As a result, rays from visible objects fall on symmetrical areas of the retina. Most of all this concerns macular spot. It is important that both eyes have the same optical function. The movement of the eyes itself is carried out thanks to the extraocular muscles. They receive the same innervation, which makes their movements absolutely friendly.

Characteristics of pathology and its causes

Diplopia refers to a vision pathology that results in double vision of all visible objects. The general mechanism of this doubling is the difference in the direction of the photons. Therefore, rays from objects do not hit the retina symmetrically. When processing information in the occipital lobes of the brain, a person sees a double image of all objects. All these symptoms of diplopia are observed due to several immediate causes.

  • Violation of the congenital functioning of the eye muscles.
  • Pathologies of the optical system of the eye: avulsion or rupture of the cornea, subluxation of the lens.

According to these reasons, two main types of diplopia are distinguished. When the alignment of the eye muscles is impaired, binocular diplopia is observed. It is named so because its symptoms appear only when seeing with both eyes. If one of them is covered, the doubling disappears. The person sees clearly.

The second group of reasons leads to so-called monocular diplopia. Its symptoms do not go away if the healthy eye is covered. In order for double vision to disappear, it is necessary to close the affected eye. In the case of bilateral lesions, it is impossible to distinguish between monocular and binocular diplopia.

As for the disorders leading to double vision, they occur with these pathologies.

  • Eye injuries. Most often they lead to monocular double vision as they lead to direct damage to the optical system. These causes can cause damage to the cornea, iris, lens and its ligaments. Any of these cases violates the straightness of the photon flow. When the cornea is damaged, several lines are formed and the same object can be reflected repeatedly on the retina at the same time. different places. Subluxation of the lens is characterized by deviation of the rays and their projections on the inappropriate area of ​​the retina. If both eyes are injured, binocular diplopia is often observed.
  • Eye diseases accompanied by a violation of the architectonics of the anterior chamber and optical apparatus. Most often it is glaucoma, iridocyclitis with damage to the lens ligaments. The latter can often cause subluxation. These causes of diplopia can affect one or both eyes.
  • Damage to the extraocular muscles. May be associated with injuries or diseases (encephalitis, intracerebral hemorrhages, echinococcosis of the brain, intracranial formations). But the result is always the same - binocular double vision.

Clinic and diagnostics

Diplopia is easy to detect. The patient himself feels double objects. Also, if the extraocular muscles are damaged, double vision can be suspected by the presence of strabismus. It is much more difficult to establish the cause of this syndrome.

According to medical rules, diagnosis begins with. The doctor must find out when and under what circumstances the patient developed double vision. Naturally, the appearance of double vision after an injury indicates damage to the eye muscles and/or its optical system.

The gradual onset of diplopia, especially when combined with a general deterioration of vision, is a sign of formations of the cranial cavity. This is not necessarily an oncological process. Double vision can occur when fin echinococcus develops near the oculomotor and optic nerves.

The sudden appearance of bifurcation of objects in people suffering from hypertension against the background of crises and headaches indicates a possible hemorrhage during a hemorrhagic stroke. The same picture is typical for some cases of traumatic brain injury. If the formation of a hematoma occurs near the nerve trunks that control the functioning of the eye muscles.

Encephalitis is characterized by headaches and high fever. At the same time, the patient has meningeal symptoms and may develop symptoms of focal brain damage.

Congenital cases of diplopia are almost always associated with dysfunction of the eye muscles, which leads to strabismus. Most in the first stages have a functional nature of the disorder. They can be completely corrected by wearing special glasses and other non-drug methods.

The next stage is instrumental methods. General ophthalmological tests are performed first when diplopia is suspected. Visual acuity is determined. Here it is already possible to differentiate binocular and monocular visual impairment. After which an eye examination is required. Ophthalmoscopy can reveal the integrity of the structures of the optical system and the condition of the fundus.

If a brain pathology is suspected, the patient is sent for a computed tomography or magnetic resonance imaging scan. These techniques make it possible to clearly visualize pathologies of the cranial cavity.

Principles of treatment

After establishing the cause, treatment of diplopia is possible conservatively or surgical methods. It is completely aimed at eliminating the cause. Since symptomatic treatment has never been developed due to complete futility. The only means that can slightly correct visual impairment is special prismatic lenses. They are made individually. By shifting the direction of light, they can be used to achieve almost complete symmetry in both eyes. But this method is possible only if the friendly work of the muscles is preserved and minor disturbances of the optical system.

Conservative therapy includes various methods of non-drug effects on the eyes and laser therapy. This includes special eye exercises and ophthalmic correction methods (diploptic, orthoptic and convergent). Conservative treatment also includes etiotropic therapy for various diseases that cause diplopia.

Surgical treatment is most often aimed at eliminating disorders of the optical system of the eyes and restoring the convergence (friendliness) of the work of the extraocular muscles. It can also be carried out in combination with other methods. Sometimes surgery is required for “non-ocular causes” of double vision.

Diplopia, or double vision, is a common visual impairment characterized by the formation of two images instead of one when viewing objects. As a rule, this defect does not cause serious discomfort, but if it becomes a permanent companion in life, you should pay attention to your health and consult a doctor. In some cases, diplopia is a signal of serious disorders in the body that require timely diagnosis and treatment.

Why do I see double?

In a healthy person, when forming an image of surrounding objects, the focus falls on the central point of the eye, due to which a “correct” picture appears. When the visual axis shifts, the projection occurs not on the center of the retina, but in another place - as a result, a “double” of it appears and the person sees two objects superimposed on one another, with a slight deviation.

The causes of diplopia can be external or internal factors that affect the nervous system and structures of the eyeballs:

  • weakening of the muscles and nerves that control coordinated eye movements;
  • ophthalmological disorders: lens damage, strabismus, etc.;
  • infectious diseases affecting brain structures (tetanus, meningitis, diphtheria);
  • neoplasms, hematomas and other pathologies that cause limited mobility of the eyeball, its displacement or fixation;
  • facial injuries resulting in pinching of the eye muscles or disruption of the integrity of one of the walls of the orbit;

  • mechanical damage leading to damage to nerve endings;
  • alcohol or drug intoxication, severe poisoning (for example, botulism);
  • carotid artery aneurysm, in which the nerves involved in eye movement are compressed by the bulging wall;
  • some autoimmune and hormonal diseases (diabetes mellitus, thyroid dysfunction, Lyme disease);
  • surgical interventions on the brain, surgical treatment of ophthalmological disorders.

In some cases, the defect occurs due to dysfunctions of the nervous system - neuroses, vegetative-vascular dystonia, attacks of hysteria.

For reference: can occur in absolutely healthy people– after serious physical or mental stress, looking at small objects for a long time, etc.

Symptoms of diplopia

The main manifestation of diplopia is doubling the image when looking at any objects, and they can differ in characteristics and also shift relative to each other. With dysfunction of the oblique muscles, the “pictures” are one above the other, and if the pathological process has affected the rectus muscles, parallel doubling is observed. In addition, the defect can be partial (appears only in a certain area of ​​the visual field) or complete, diagnosed when viewing distant or close objects.

Other signs of pathology include dizziness and the inability to control one’s movements when trying to pick up an object. Due to the fact that a person sees things in duplicate, he may miss or let the item fall to the floor.

Other signs depend on the cause that caused the diplopia. With head injuries, the patient may suffer from nausea and headaches; with infectious diseases, fever, general intoxication of the body, and respiratory manifestations. Diplopia can accompany attacks of certain diseases - for example, VSD or migraine, and disappear after taking sedatives and painkillers.

It should be noted that for some dangerous conditions that threaten human life (botulism, methyl alcohol poisoning), double vision is the only symptom. The defect can also be observed during a stroke (in in this case it is accompanied by partial muscle paralysis, speech and coordination disorders), retinal detachment, and also after serious head injuries. If, with the development of diplopia, there is a possibility of serious intoxication or brain damage, the patient should immediately call an ambulance.

Types of diplopia

Diplopia is usually divided into two forms – binocular and monocular. The most common diagnosis is binocular vision dysfunction, in which the visual axes, which are parallel in healthy people, shift. Monocular diplopia is diagnosed quite rarely, and the mechanism of its development is to project the image into two different points retina. In addition, there is another type of pathology, the most difficult to correct – cross-double vision, when two images are superimposed on each other.

Binocular and monocular diplopia, in turn, are divided into different types, which are distinguished depending on the causes, characteristics and clinical course of the pathology.

Table. Types of binocular diplopia.

Type of pathologyFeatures of the flow
Motor The most common form of the defect, which develops when the muscles responsible for eye movement are damaged, and is often accompanied by strabismus
Sensory The mechanism of development of this type of pathology is associated with progressive strabismus and impaired ability to fix an object with both eyes
Mixed A rare form of diplopia that develops as a complication of surgical treatment or as a result of the influence negative factors on eye tissue

Table. Types of monocular diplopia.

Type of pathologyFeatures of the flow
Refractive The most harmless disease that responds well to treatment with special exercises, as well as optical correction (wearing glasses or lenses)
Pupillary Develops due to the presence of additional holes in the iris and can only be treated surgically
Aberrational The cause of the pathology is defects in the surface of the cornea and lens, which can be caused by certain ophthalmological diseases
Retinal Distortion of the sphericity of the retina during inflammatory and dystrophic processes, as well as in cases of vascular dysfunction
Neurogenic One of the most complex forms of the disease, the etiology of which is not fully understood. Observed in infectious diseases, hormonal disorders, hysteria

For reference: binocular diplopia can be easily distinguished from monocular diplopia (in the first case, the defect disappears when one eye is closed), but otherwise the diagnosis and its correction should be carried out by a doctor.

Diplopia in children

IN childhood Diplopia is most often the first sign of strabismus, but otherwise the causes of this defect do not differ from those that cause double vision in adults. In addition, in children the disease often causes complications due to certain difficulties in diagnosis - the child often cannot distinguish normality from pathology, as a result of which he has no complaints of double vision. The development of the disease can be recognized by the following signs: children with visual impairments squint their eyes, have poor spatial orientation, and their eyeballs may be asymmetrical. If you have such manifestations, you should consult a doctor as soon as possible in order to promptly identify and eliminate the disorder.

Diagnosis of diplopia

The main goal of diagnosis for diplopia is to identify the cause that caused the defect. First of all, the patient’s history and complaints are collected (events preceding double vision, other symptoms, etc.). Next, the patient’s vision is monitored: the doctor asks to direct his gaze to a moving light source, after which a special map of the coordinates of the resulting images is drawn up, from which the affected area can be determined.

An important role is played by ophthalmological and neurological tests, which include:

  • assessment of muscle tone and the condition of the nerves that control eye movements;
  • determination of features and types of diplopia;
  • examination of eye structures, assessment of basic vision parameters (color perception, refractive power, visual acuity);
  • identification of concomitant pathologies: narrowing or dilation of the pupils, deterioration of reflexes, drooping of the upper eyelid, strabismus, etc.

Additional tests include blood sugar tests to rule out diabetes, ultrasound, CT and MRI of the head to detect tumors, abscesses, hematomas and other tissue lesions. In some cases, patients require consultation with a neurologist, infectious disease specialist, oncologist and other specialized specialists.

Treatment of diplopia

Elimination of double vision, which occurs as a result of an infectious disease, neurological pathology, injury or ophthalmological disorder, is aimed at eliminating the root cause of the disorder. Infections such as botulism, meningitis or tetanus require immediate hospitalization of the patient in the infectious diseases department, and in the case of head and facial injuries - in traumatology or the neurosurgery department. Sometimes (when serious damage extraocular muscles and nerves, retinal detachment, hematomas or tumors) patients require surgical intervention.

If necessary, patients are prescribed optical correction of the defect - wearing special glasses that improve vision characteristics. They are made individually for each patient and have a lens with an offset center. The optimal correction option is the use of 6 prismatic diopters for one eye.

In the absence of dangerous pathologies, diplopia can be corrected using special exercises which the doctor must select. As a rule, they include eye movements up and down, left and right, clockwise, as well as “drawing” diagonals and geometric shapes. Before and after performing the exercises, you need to close your eyes tightly several times and sit for several minutes in a relaxed state.

Attention: Self-medication for diplopia can lead to serious consequences, so if the disorder occurs suddenly, is accompanied by additional symptoms, or does not disappear after a long rest, you should consult a doctor.

Treatment with folk remedies

Traditional recipes for the treatment of diplopia can also be used in the absence serious illnesses as a complement to therapy prescribed by a doctor. Most effective means decoctions and infusions of medicinal plants with anti-inflammatory and strengthening effects are considered.


Along with the use of the above remedies, it is necessary to include in the diet carrots, fatty fish, pumpkin, spinach and other foods that contain substances beneficial to eye health.

Prevention of diplopia

To prevent the development of diplopia, the following recommendations should be followed:

  • give up bad habits(smoking, alcohol);
  • lead an active lifestyle, play sports, spend more time in the fresh air;
  • control blood pressure and sugar levels to prevent diabetes and hypertension;
  • When exposed to the sun or performing hazardous work, protect your eyes with special glasses;
  • when working at the computer, take breaks from time to time and do eye exercises;

  • promptly treat infectious and neurological diseases;
  • undergo preventive examinations with an ophthalmologist.

At first glance, diplopia seems to be a harmless visual impairment, but in some cases it can be a signal of a serious pathology, so if it develops, you should consult a doctor as soon as possible.

Video - How to distinguish astigmatism from diplopia