If you see two of whatever you are looking at, you may have a condition known
as double vision, also referred to as diplopia. Double and blurred vision are
often thought to be the same, but they are not. In blurred vision, a single image
appears unclear. In double vision, two images are seen at the same time, creating
understandable confusion for anyone who has it.
What causes double vision?
There are two possible causes.
- Failure of both eyes to point at the object being viewed, a condition
referred to as "strabismus" or "squint". In normal vision, both eyes look
at the same object. The images seen by the two eyes are fused into a single
picture by the brain. If the eyes do not point at the same object, the image
seen by each eye is different and cannot be fused. The result is double vision.
Why might eyes not point in the same direction? Possibly because of a defect
in the muscles which control the movement of the eyes or in the control of
these muscles through the nerves and brain.
- Refractive. Light from an object is split into two images by a defect
in the eye's optical system. Cataracts may cause such a defect.
Strabismus is a more common cause of double vision than is refractive defect.
What are its implications?
Double vision can be extremely troubling. The brain acts to
alleviate the discomfort by suppressing, or blanking out, one of the images.
In young children, if this suppression persists over a continued length of time,
it can lead to an impairment of the development of the visual system. The suppressed
eye may get to the point where it is unable to see well, no matter how good
the spectacle or contact lens correction. Doctors call this condition "amblyopia".
Since it is a result of a defect in the interpretive mechanisms of the eye and
brain, it is more difficult to treat than a refractive condition (one having
to do with the eye's ability to bend light).
How is it treated?
Treatment of double vision consists of eye exercises, surgical
straightening of the eye or a combination of the two. Therapy is aimed at re-aligning
the squinting eye where possible without surgery and re-stimulating the part of
the visual pathway to the brain that is not working correctly.
If the double vision is due to the presence of cataracts, referral for possible
cataract surgery will be undertaken. | 