“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
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.
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.
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.
