“How to manage diplopia?”
A mild diplopia was discovered in 2012 - one up one down. I do not see double, my vision was just blurry. A neurophthalmologist after seeing no change after several months put a prism on my prescription.
The doctor left that practice and the optometrist at the office wanted to do a 2 hour MRI exam. I had a previous bad experience during an MRI. Do I need this exam? It has been 9 years now of no change, and I have other conditions that could explain the diplopia, e.g. age 76, developing cataracts, etc.
The doctor left that practice and the optometrist at the office wanted to do a 2 hour MRI exam. I had a previous bad experience during an MRI. Do I need this exam? It has been 9 years now of no change, and I have other conditions that could explain the diplopia, e.g. age 76, developing cataracts, etc.
Male | 76 years old
Complaint duration: 9 years
Medications: Blood Pressure
Conditions: Diplopia
5 Answers
Fatima Qureshi
Optometrist
If diplopia was corrected with prisms, then it’s good. You need to get your cataract checked and see if it's progressing and causing blurry vision.
Cze H. Low
Ophthalmologist
After 9 years, you are not likely to have anything significant. I agree with your conclusions. However a CT scan maybe easier for you. Prisms will help . Surgery on the muscles is difficult and unpredictable. Since you ate not disturbed, it may be best left alone. See an ophthalmologist strabismus specialist for a second opinion. Otherwise just leave it alone.
Cataracts CAN cause double vision.Diplopia is really a muscle issue. That should be easy to differentiate. You should likely see a comprehensive cataract surgeon and perhaps a retinal specialist to rule out retinal versus cataract induced refractive reasons for “blurry” vision instead of diplopia of cranial nerve origin. Very few of the latter are non progressive over a decade!
Respectfully,
Wesley K. Herman, MDf
Respectfully,
Wesley K. Herman, MDf
See another neuroophthalmologist for another opinion.
David J. Pinhas
Ophthalmologist
Sounds very chronic. If you want to have a better understanding of your double vision, I would recommend seeing a pediatric ophthalmologist. They are the experts at determining the cause of double vision.
Best Regards,
David J. Pinhas, M.D.
Best Regards,
David J. Pinhas, M.D.
