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Diplopia- This is an ophthalmological pathology, manifested by dysfunction of the oculomotor muscles and bifurcation of the object at which the patient is looking. Translated from Greek, “diploos” means double, and “opos” means eye, i.e. this deviation implies doubling the image received by the eye.

With normal vision, an object is visualized clearly by both eyes. This image is obtained due to the formation in the brain general view one thing or another. With diplopia, the outlines of the object in question bifurcate, and at the same time the displacement of the visual axis of the eye can be vertical, horizontal or diagonal. The reason for this split lies in the deviation eyeball and because of this, the visualization is not projected onto the central fossa, as is normal, but onto another area of ​​the retina.

Typically, diplopia is not an independent disease, but a concomitant manifestation of some other disease. In some cases, this pathology is congenital. Why does diplopia develop? What types of this pathology are there? How is it manifested, diagnosed and treated? You will get answers to these questions in this article.

The main reason for the development of diplopia is the displacement of the eyeball in the orbit. This condition of the visual organs can be provoked by the following factors or diseases:

All of the above factors can lead to:

Forms of diplopia

When diplopia occurs, the doctor carries out a number of diagnostic measures and determines the form of vision deviation. Depending on the characteristics and causes of the pathology discussed in this article, experts distinguish the following types of diplopia:

1. Binocular diplopia. This type is most often detected by ophthalmologists. With it, the visual axes are not parallel, and the brain forms two pictures that seem to overlap each other. As a result, the object appears bifurcated. If the patient closes one eye, then the picture is visualized as single and clear.

Typically, this pathology is detected when the position of the eyeballs is deviated from the norm. They are able to move down and up, spread apart, and move inward. With such violations of the normal position of the eyes, vision is not able to remain normal and the resulting image of the object begins to double.

It is typical that with strabismus in children, such a deviation from the norm does not occur, since the child’s brain can “remove” the picture from the affected eye. This means that vision is actually achieved through one healthy eye. As a result, the child's binocular vision is impaired, but he is able to see relatively normally. In adults, strabismus almost always leads to diplopia and is characteristic of childhood adaptation is observed very rarely. Binocular diplopia is also divided into strabogenic, motor, sensory orbital and mixed.

2. Monocular diplopia. Found infrequently. With this visual impairment, examining an object causes the image received by the brain to be displayed in two different parts of the retina at once. If the patient closes the second eye, the double vision does not disappear.

This form of diplopia can be caused by congenital abnormalities of the eye structure or traumatic lesions (for example, keratoconus, lens subluxation, etc.). Experts distinguish between the following types of monocular diplopia: retinal, aberration, refractive, pupillary.

Doctors warn! Monocular diplopia is a sign of a serious disease and always requires a comprehensive diagnosis to identify the root cause of this visual impairment. This measure will allow you not to miss time and begin timely treatment of a dangerous illness.

Do not self-medicate, use our form to find a doctor:

Depending on how the visualization bifurcation occurs, the following forms of diplopia are distinguished:

Diplopia may be temporary. Such vision deviation can be a consequence of severe traumatic brain injury or concussion, taking toxic medications or alcohol intoxication. In a number of clinical cases, temporary diplopia is provoked by excessive fatigue of the oculomotor muscles. If after some period of time it does not go away on its own and causes pain and eye fatigue (for example, due to injury to the spinal column or skull), then the patient needs to see a doctor and undergo a comprehensive diagnosis to identify the cause and assess the condition of the visual organs.

Sometimes called diplopia strong-willed. This type does not relate to pathological conditions, since a person independently controls eye movements (brings them inward, turns them to the sides, etc.). Volitional diplopia is an individual physiological feature and does not cause any inconvenience. This condition does not require treatment.

Symptoms

Typically, patients with diplopia when visiting an ophthalmologist complain of double images of objects. This symptom occurs when a person looks at an object with both eyes. Thus, monocular diplopia “announces” its presence. Double vision can be partial, complete, or double vision occurs only in a certain area of ​​the visual field.

The severity of diplopia is individual and depends on the distance at which the object in question is located. In a number of clinical cases, double vision occurs when looking at distant objects, and sometimes when looking at nearby things.

Pictures of the same object that appear with diplopia have varying degrees of contrast and brightness. One of the images is usually shifted horizontally and vertically and is located at one angle or another to the other image.

As the pathology worsens, the patient loses work skills, it is difficult for him to perform some household work, manage vehicles and even move around. With binocular diplopia, the patient tries to close the eye in order to see the desired object normally.

In addition to visual impairment, patients with diplopia complain of frequent episodes of dizziness. In some cases, this symptom disappears or weakens when one eye is closed or in a stationary position. Sometimes severe dizziness is accompanied by a feeling of nausea.

In some cases, patients with diplopia cannot adequately control their movements when trying to place an object on Right place. They do not see the edge of the necessary object (for example, a table, cabinet, etc.), they may miss it and drop the thing on the floor.

Other manifestations of diplopia are usually associated with the underlying cause of this vision pathology. These may be symptoms of meningitis, vascular pathologies, infections, injuries, cancer, etc.

Methods for diagnosing and treating diplopia

Diplopia is diagnosed based on the patient’s complaints of double vision and analysis of data from a number of studies conducted confirming dysfunction of one of the extraocular muscles. To do this, the following procedures are performed:

If diplopia is accompanied by strabismus, then the patient is also subject to diagnostic studies such as diplopic projection and coordimetry.

The examination of the patient can be supplemented by ultrasound, CT and MRI. If necessary, the ophthalmologist prescribes consultations with specialized specialists: neurologist, rheumatologist, endocrinologist, oncologist, dermatologist, psychiatrist, neuro-ophthalmologist.

The method of treating diplopia is determined by the underlying disease that caused such visual impairment. If the cause of double vision lies in ophthalmological, neurological or infectious causes, then the patient is first offered therapy for the underlying ailment. Depending on the root cause of visual impairment, the patient may be recommended removal of a neoplasm (during a tumor process), removal (puncture) of a hematoma, therapy for a stroke or underlying inflammatory, infectious, endocrinological or neurological disease.

Diplopia itself can be treated using the following techniques.

Diplopia is a visual impairment in which the image visible object doubles as a result of deviation of the visual axis of the eye. The cause of double vision is a deviation of the eyeball, as a result of which the image is projected not on the central fossa, but on another point of the retina.

Causes

Most often, diplopia occurs due to paralysis or paresis of one of the extraocular muscles.

Conditions that can lead to the development of diplopia:

• disorders that arise in the work of the central link of the visual analyzer - diseases affecting the cerebral cortex, pathways optic nerve;
• disturbances in the tone of the muscles that ensure the friendly functioning of the eyeballs, which leads to a displacement of one eye to the side or to a change in its mobility;
• pathological processes in the orbit that lead to a change in the normal position of the eyeball;
• traumatic eye injuries.

Symptoms of diplopia

The main signs of diplopia are as follows:

• double vision;
• difficulties in determining the location of objects;
• frequent dizziness.

Manifestations of the disease depend on the location of the pathological process. When the oblique muscles are affected, double vision places the image of objects one above the other. If the rectus muscles are affected, parallel double vision appears.

Often, in order to get rid of double vision, the patient turns or tilts his head in the direction of the lesion.

The two images of an object that occur with diplopia usually differ in contrast and brightness. One of them is slightly shifted vertically and horizontally and is located at an angle to the second.

Diagnostics

Diagnosis of diplopia is based on the patient's complaints of double vision. During the examination, the doctor conducts a test control of the patient’s vision while he is looking at a moving light source, and plots the coordinates of the resulting images on the map. This method allows you to determine the affected eye muscle.

IN modern medicine To identify the damaged eye muscle, coordimetry is used, which is carried out using an ophthalmocoordimeter.

A special cover test is also used in diagnosing diplopia. It makes it possible to assess the position and state of eyelid mobility.

Additionally, the conjunctiva, refraction (the refractive power of the eye), color perception, and visual acuity are examined.

Types of disease

Diplopia is divided into binocular and monocular. The most common type is binocular diplopia. Binocular diplopia comes in different forms:

• sensory;
• motor;
• mixed.

IN in rare cases Monocular diplopia develops. Exist following forms monocular diplopia:

• refractive;
• aberration;
• pupillary;
• retinal.

Patient Actions

Double vision may indicate serious illness, therefore, if this symptom appears, you must consult a doctor (ophthalmologist, neurologist).

Treatment of diplopia

Treatment of secondary diplopia of infectious, ophthalmological or neurological etiology involves treatment of the underlying disease. Treatment of diplopia as the underlying disease is carried out by a neurologist or neurosurgeon. In the treatment of diplopia of traumatic origin, an ophthalmologist takes part, who performs plastic surgery or resection of the eye muscles. Surgery on the eye muscles, as a rule, can only be performed six months after the injury.

If necessary, optical correction of diplopia is carried out using prismatic glasses, which can significantly improve the clarity of vision. The optimal correction for the treatment of diplopia is considered to be 6 prismatic diopters for each eye. IN in some cases It is allowed to wear glasses with even greater prismatic compensation.

Functional therapy for diplopia consists of performing a special set of exercises according to Kashchenko in order to restore binocular vision abilities and expand the visual field. Exercises for merging objects using red glass and the like are also recommended.

Complications

Diplopia may occur without other general or specific symptoms. Sometimes this disorder is accompanied by pain in the eyes, increased eye fatigue, headache, and blurred vision. The appearance of these symptoms may indicate the development of a more serious disorder.

Prevention of diplopia

Prevention of diplopia involves the following measures:

• timely treatment of inflammatory diseases nervous system;
• prevention of vascular accidents (monitoring blood pressure levels, blood sugar concentrations, etc.);
• monitoring hormone levels thyroid gland in blood.

This visual impairment can develop for various reasons of an ophthalmological, neurological, or infectious nature. What diplopia is, symptoms, treatment, causes of the disease, as well as what to do, what eye exercises are suitable - I will tell you about all this today:

What is eye diplopia?

Diplopia is a vision pathology in which double vision occurs caused by deviation of the axis of one or the other eye. Objects that a person with diplopia looks at look double. In this case, the focus of the object under consideration is not located in the center of the retinal fovea, but on some other part of it.
There are binocular, monocular, paralytic and crossed diplopia.

Diplopia - causes of eye disease

The reasons that contribute to the development of this visual impairment may be different. Let's focus on the main ones:

Dysfunction of the central link of the visual analyzer, pathological processes developing in the cerebral cortex or the optic nerve pathways.

Weakening of the tone of the muscular system, which ensures the coordinated work of the eyeballs, resulting in a displacement of the eye from the central axis, or its mobility is limited.

Various pathological conditions of the orbit that change the normal, natural position of the eyeball

Some eye injuries.

Less commonly, pathology occurs due to trauma to the skull or the presence of tumors. The cause may be vascular pathology, for example: aneurysm of the carotid artery, as well as hematomas, suppuration of the soft tissues of the orbit.

It is important to note that the described disorder often occurs as a result of tumors and various lesions of the brain stem. More precisely, those parts of it where the nuclei of the brain nerves that are responsible for
eye movements.

In addition, the cause can be various infectious diseases that affect the central nervous system, for example: rubella, mumps, diphtheria, tetanus, botulism, as well as intoxication, in particular, drug or alcohol.

Eye diplopia - symptoms of pathology

Vision healthy person characterized by normal, without distortion, vision of an object with both eyes. In the absence of any defects, the brain projects a single picture.

With diplopia, a person looking at one object sees two identical images. In this case, the picture may be clear, or it may have a blurry image. In the second case this violation usually combined with other vision pathologies. To return the picture to naturalness, to combine two images into one, a person has to close one eye.

About how diplopia is corrected, what its treatment consists of

For effective correction and normalization of vision, the main cause that caused this disorder should be identified. To do this, you need to contact an ophthalmologist or neuroptologist. The doctor will prescribe an examination, based on the results of which a treatment regimen will be developed.

Prisatic correction will help reduce the symptoms of visual impairment. Glasses or lenses are individually made for each patient. According to indications, glasses can be made where the center of the lenses is shifted. This contributes to additional vision correction.

However, prisatic correction has another side, namely, a decrease in visual acuity. That is why wearing glasses must be supplemented with special exercises aimed at strengthening visual acuity and reducing the symptoms of double objects.

Let's look at some well-known exercises for eye diplopia that are easy to do at home:

Diplopia will not overcome you - exercise will protect you!

On a light, plain wall, attach a sheet of white paper with a black stripe drawn on it. Sit in a chair opposite, about a meter away. Look at the stripe, the image of which will appear double. Focus your gaze on it, then slowly, little by little turn your head to one side, then the other, while not letting the black stripe out of sight. The main thing is to try to see the image as a whole, not split, and hold it for as long as possible.

This exercise is effective for correcting vision with partial diplopia. With its sensory variety, another exercise will help:

Draw two identical black stripes on two sheets of paper. As in the first option, mount the sheets side by side on the wall, sit opposite. Focus your gaze on the stripes, trying to merge them into single image. As you repeat the exercise, hang the striped sheets further apart, increasing the distance.

Instead of drawn stripes, you can use any objects, such as pencils. Do the exercises daily, several times a day. Do each for 10-15 minutes.

If treatment for the disorder, vision correction, and exercises are ineffective, the doctor may recommend surgical treatment. During the operation, recession of the eye muscles (their movement) or resection (their shortening) is performed.

In any case, if there are signs of the described visual impairment, double image, you should consult a specialist. Be healthy!

Diplopia is an ophthalmological pathology associated with double vision. Objects entering a person's field of vision appear double as a result of the deviation of the axis of one of the eyes. Such disturbances can be caused whole line causes of an ophthalmological, neurological or infectious nature.

Causes of diplopia

The development of diplopia can provoke a displacement of the eyeball in the orbit. It is often caused by eye injuries, for example, pinching of the eye muscles caused by a fracture of the orbital wall. Abnormal position of the eyeball is also caused by hematomas of the eye tissue.

Another possible cause of diplopia is damage to the oculomotor nerve. It can be triggered by a carotid aneurysm, intracranial tumors, or meningitis of tuberculous etiology.

The causes of diplopia are also infectious processes affecting the brain stem due to rubella, mumps, diphtheria or tetanus. Severe alcohol or drug intoxication can also cause diplopia.

Double vision or diplopia is often observed against the background of botulism, thyrotoxicosis, multiple sclerosis or hysterical attacks. The cause of diplopia, as one of the types of postoperative complications, can be manipulation of the eyes during surgical treatment of retinal detachment, strabismus or cataracts.

Symptoms of diplopia

The main complaint of patients with diplopia is double vision. In most cases, double vision of objects in the surrounding reality occurs when seeing with two eyes. This is how binocular diplopia manifests itself. Double vision can be partial and displayed only in a certain area of ​​the visual field or complete. The manifestation of diplopia also varies individually depending on the distance of the objects in question. In some cases, doubling occurs only when looking at closely located or, conversely, exclusively at distant objects.

Two images of the same object, resulting from diplopia, have different brightness and contrast. One of them is usually slightly offset vertically, as well as horizontally and is located under certain angle to the second image.

Due to progressive diplopia, the patient loses work skills. It may be difficult for him to perform homework, manage transport, and sometimes just move around. To restore image clarity, a person with binocular diplopia has to close one of their eyes. For patients with another type of disease, monocular diplopia, this measure does not help.

Types of diplopia

Binocular diplopia is the most common form of double vision. With binocular diplopia, the visual image of both eyes is not projected at the corresponding points of the retina. The visual axis shifts, and a patient with binocular diplopia sees a double image of objects. Binocular diplopia can be motor, sensory or mixed, permanent or temporary, neuroparalytic, orbital, caused by trauma, strabogenic due to strabismus, etc.

Monocular diplopia is a rarer pathology of double vision. Image disturbances in in this case occur even with vision in one eye. Monocular diplopia is caused by the projection of an image onto two simultaneously different points retina of one eye. Monocular diplopia is most often caused by subluxation or partial opacification of the lens. Monocular diplopia can also be caused by iridodialysis (separation of the iris from the ciliary body as a result of eye injury) or polycoria (congenital pathology of the iris structure with several holes).

Diagnosis of diplopia

The primary diagnosis of diplopia is established based on the patient's complaints about double images. Further diagnosis of the disease continues with the help of test monitoring of the vision of a person whose gaze is directed at a moving light source.

By mapping the coordinates of the resulting images, the doctor is able to diagnose which of the eye muscles is affected. A more modern method for determining the damaged extraocular muscle of the eye is coordimetry using an OK ophthalmic coordimeter.

Diagnosis of diplopia also involves a mandatory assessment of the position and mobility of the eyelids using the Cover test. Additionally, the conjunctiva of the eyeballs is examined, visual acuity, refraction and color perception are checked.

Treatment of diplopia

Treatment of secondary type diplopia of neurological, infectious or ophthalmological etiology involves treatment of the underlying disease.

Treatment of diplopia as an underlying disease is the responsibility of a neurologist or neurosurgeon. An ophthalmologist who performs resection or plastic surgery of the eye muscles takes part in the treatment of diplopia of a traumatic nature. In this case, surgery on the eye muscles is allowed, as a rule, only 6 months after the injury.

Optical correction of diplopia is carried out using prismatic glasses. They can significantly improve the patient’s clarity of vision. The optimal correction in the treatment of diplopia is 6 prismatic diopters for each eye.

In rare cases, glasses with greater prismatic compensation may be worn. Fresnel prisms can have a power of up to 20 dioptres, however, even when compensating for 15 dioptres, they affect visual acuity and create the effect of an iris around visible objects.

Functional treatment of diplopia consists of performing special exercises according to Kashchenko to restore binocular vision abilities and expand the field of view, as well as exercises for merging objects using red glass, etc.

Video from YouTube on the topic of the article:

The information is generalized and is provided for informational purposes. At the first signs of illness, consult a doctor. Self-medication is dangerous to health!

Comments on the material (56):

1 2 3

I quote Peter:

Good afternoon. After surgery on the kidney and bladder I took ciprofloxacin and levofloxacin, now I see a double image of objects. How to treat?

I quote Victoria:

Hello everyone, the following facts: 20 days ago I had sports injury. Immediately I saw double images. After hospitalization and a CT scan, I was diagnosed with an orbital floor fracture that would need to be treated surgically with a film. According to the doctor, the operation went well, nothing was pinched (nothing visible), and the chances of recovery were pretty good. Now, fourteen days later, the diplopia is still there, right after sleep it takes me about an hour until I can "correct" my look. During the day, the effect of double vision weakens, but in the evening it intensifies again. In an open space outside, this double vision is especially annoying. Diplopia was noticeably less before surgery.
now my questions:
- What is the probability of diplopia disappearing?
- how long should I wait?
- Can you somehow counteract this?
- is it possible that the tumor is still present inside after fourteen days and is causing diplopia?

I quote Alexey:

Hello. A week ago I hit my eye and started seeing double. I saw an ophthalmologist and said it was an eye contusion. The question is whether diplopia will go away with concussion, and if so, how long it will take and whether it needs to be treated. (the doctor did not say how to treat diplopia, he only said drops).

1 2 3

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Diplopia is double vision of objects in the field of vision. Diplopia is rarely an independent pathology. However, sometimes diplopia appears immediately after birth and is not accompanied by other eye diseases. The pathology causes quite unpleasant sensations for patients.

Double vision, or double vision, causes very rapid eye fatigue from the images of the picture and from the fact that the patient has to squint and look closely to fixate the gaze.

Types of diplopia

There are 4 types of diplopia, including:

1. Binocular. The patient looks at the object with both eyes, but the picture is not displayed normally due to a change in the visual axis of one organ of vision.

2. Monocular. The patient looks at the object with only one eye, but the image appears on two areas of the retina. This phenomenon often accompanies cataracts, polycoria, and iridocyclitis.

3. Paralytic. Occurs against the background of paralysis of the oculomotor muscle.

4. Cross. Causes severe inconvenience to the patient. The image is transmitted in the form of a picture with crossed objects.

Double vision of objects in the field of vision develops when the eye is unable to move normally. This causes doubling of the picture.

In most cases, diplopia appears due to damage to the eye muscles, diseases of the nervous tissue that provides innervation to the extraocular muscles.

Sometimes diplopia is diagnosed with injuries to the orbit of the eye, significant hemorrhages in the structure of the eye, which can limit the movement of the eyeball. Diplopia can also be secondary, for example, due to trauma to the skull.

Diplopia often accompanies diabetes mellitus (secondary diplopia). Usually, with proper correction of diabetes, pathological phenomena disappear on their own, but in many cases they periodically reappear.

The risk of diplopia is quite high with a disease such as carotid aneurysm. An aneurysm can compress the oculomotor nerve, which leads to double vision. Similar phenomena are observed when the nerve is compressed by edema that develops against the background of thyrotoxicosis.

Diplopia due to damage to the optic nerve can also occur with infectious lesions - tuberculosis, rubella, mumps, diphtheria, tetanus. Intracranial neoplasms and tumors can also compress nerve roots and lead to diplopia.

Cases of doubling of objects are also recorded when the dosage of botulinum toxin administration is exceeded. Botulinum toxin preparations are used to eliminate wrinkles.

If too high a dose of the drug is injected into the area of ​​the wrinkle localized on the eyebrow, double vision may appear. This occurs due to disruption of nerve and muscle conduction, but after appropriate treatment and blood purification, the condition may improve.

Symptoms of diplopia

A healthy person looks with both eyes and sees one object. Thus, in the absence of visual defects, one picture is formed in the brain. If a patient develops diplopia, then the person has two identical images of the same picture in his field of vision.

In this case, the picture, as a rule, has clear contours, without any distortion. Some types of diplopia can produce a blurry image, but in this case the pathology is combined with other visual impairments.

The patient immediately pays attention to such a symptom, since it is simply impossible not to notice it. A person tries to restore vision by closing his other eye.

Diagnostics

During the history taking, the patient describes complaints of diplopia. The ophthalmologist must prescribe a series of studies to identify its cause. To correctly diagnose, two main examinations are required: coordimetry and provoking diplopia.

To carry out coordimetry, the viewing areas of the eyes must be divided using special green and red filters. If such devices are superimposed, the picture disappears. This is how it is determined how an object is captured by both eyes.

To perform the coordimetry method, you need a screen, as well as glasses with colored lenses and flashlights of the same shades. The patient should be in semi-darkness. A screen with lined squares (5*5 cm) is attached to the wall. The total screen size is 2*2 m.

In its central part there are 9 marks, and their location should be consistent with the work of the oculomotor muscles.

The subject is located one meter from the screen and puts on glasses. Next, he looks at the screen, and his head should remain in a fixed position, his eyes opposite the central zone of the screen.

To determine the function of the right eye, the patient takes a flashlight with a red glow, and glasses with a red lens cover the right eye.

Using a green flashlight, the doctor highlights nine marks on the screen, while the patient must show the points of light with his flashlight.

The flashlight in the patient's hands is not visible due to the red lens covering the eye. In this regard, it is clearly visible only Green Lantern doctor

With diplopia, the spots of light are combined, and the ophthalmologist marks the inaccuracies on the same screen, only presented on paper in a reduced form. The patient's second eye is examined in the same way. All results are summarized and analyzed in a summary table.

If the work of the eye muscles is impaired, then the fields of vision change and the points on the screen shift greatly. Where the muscle is affected, the field becomes significantly shorter. At the same time, a healthy muscle tries to balance the balance, as a result of which pathological changes are felt even on its part.

The method of provoking diplopia is to evaluate the picture and is also performed using colored glasses. The red glass adapts to the right eye, and with the second eye the patient determines the nature of the position of the picture.

Then the study is repeated on the other side, as a result of which it is revealed in which organ of vision the diplopia occurs.

To perform the examination, you need a 1.5 * 1.5 m screen with thin slits cut out, which are located at some distance from each other. Under these slots there are lamps that can be controlled remotely.

In semi-darkness, the patient sits 50 cm from the screen, and looks towards the approximate center of the screen. After preliminary determination of which eye is “guilty” of diplopia, red glass is attached to this organ of vision.

The lights light up alternately. In this case, the patient can visualize red and white stripe through the cracks in the screen. He marks the location of the red stripe with chalk. This produces 9 marks, between which the distance is measured, and the data is entered into a computer or on paper.

There is another way to detect diplopia - using light bulbs. Flashing the beam of a flashlight within the patient’s line of sight allows you to determine how many luminous points he sees.

If the patient marks 2 points, then he must describe in more detail their location and the distance between them. This is necessary to diagnose the nature of the muscle damage and its location.

Treatment of diplopia

Diplopia must be treated without fail, as it causes severe inconvenience in the patient’s life. Various methods are used for therapy to eliminate or correct the underlying pathology - the cause of diplopia.

Most often, a neurologist and an ophthalmologist are involved in treatment, since for the most part diplopia is a consequence of damage to the optic nerves.

The phenomena of diplopia can be significantly reduced if you use prismatic correction techniques. For this purpose, special glasses are selected that will individually suit the patient. Unfortunately, there are also negative aspects of this treatment - for example, a decrease in visual acuity.

That is why diplopia in children should not be corrected using prismatic glasses, or at the same time using additional methods to improve visual function. Sometimes patients are recommended special glasses with an offset center, which improve the visibility of objects.

There are also special exercises that are prescribed to improve vision in a patient with diplopia, as well as to strengthen eye tissue. Most of them can be done freely at home.

Here is one of them: a person is a meter away from a light wall, on which a piece of paper with a dark stripe is placed. The patient must choose a head position in which this strip will be displayed clearly and in a single quantity. Then the person focuses his vision on the strip and smoothly turns his head to the sides.

You should try to ensure that the strip remains single for as long as possible.

This exercise is quite effective if performed at least 2 times a day, but is suitable only for patients with partial diplopia.

Thus, sensory diplopia requires a completely different type of activity. The patient must visually combine two pictures located within the field of view into one whole. Moreover, such images should be at a small distance from each other. As you repeat the exercise, this distance gradually increases.

Surgical correction of pathology

There are also methods of surgical correction of pathology, which are recommended in the absence of results from other treatment methods. These include recession of the eye muscle, during which the muscle moves backward and the cut fascia is sutured to the sclera.

Another type of operation is muscle resection, which is aimed at reducing its length to compensate for the work of the affected muscle.