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.