What Is Vertical Diplopia?

Diplopia refers to the anomaly in which two objects look like two objects when looking at an object. There are many reasons for diplopia, and diseases of the brain nerve or the brain itself may cause diplopia. As long as one or more of the six muscles that control the rotation of the eyeball are inflamed, trauma, or neurologically impaired, the muscles of the eyes are uncoordinated and diplopia can be performed. Monocular diplopia should find the cause of eye diseases and treat eye diseases; binocular diplopia can be treated with opticians, drugs or surgery as appropriate.

Basic Information

English name

Diplopia

Visiting department

Ophthalmology

Common causes

Alcoholism, botulinum poisoning, brain tumors, cavernous sinus thrombosis, diabetes, intracranial aneurysms, myasthenia gravis, stroke, eye trauma, etc.

Common symptoms

Seeing an object with two eyes feels like two objects

Causes of diplopia and common diseases

Alcoholism

Diplopia is a common symptom of this disease, which can be accompanied by confusion, multilingualism, bad breath, drunk gait, nausea, vomiting, and possibly conjunctival infection.

2. Botox poisoning

Typical symptoms of botulinum poisoning include diplopia, dysarthria, difficulty swallowing, drooping of the upper eyelid, vomiting, and diarrhea, followed by progressive weakness, extreme paralysis, hyporeflexia, and diplopia.

3. Brain tumor

Diplopia can be one of the early symptoms of brain tumors. It can include strabismus, emotional instability, decreased consciousness, headache, vomiting, generalized tonic-clonic seizures, hearing loss, blindness of vision, abnormal pupil reflection of light, nystagmus, and movement. Weakness and paralysis.

4. Cavernous sinus thrombosis

Can often cause diplopia and restricted eye movements. Other symptoms include exophthalmia, orbital and eyeball edema, diminished or disappeared pupillary reflexes, impaired vision, edema of the optic disc, and fever.

5. Diabetes

Long-term illness can lead to diplopia of the third group of cerebral nerves, which leads to diplopia. Diplopia often starts quickly and is accompanied by eye pain.

6. Encephalitis

It can cause diplopia and strabismus. However, the disease is often caused by high fever, accompanied by severe headache and vomiting. Patients have meningeal irritation. Reduced consciousness, ataxia and paralysis.

7. Intracranial aneurysm

Diplopia and deflection of the eyeball may be accompanied by drooping of the upper eyelid, dilated pupils on the affected side, and patients often complain of severe unilateral forehead pain with intermittent attacks. When the aneurysm ruptures, the headache worsens. Other symptoms include nystagmus, muscle weakness, paralysis, tonic spasm, hyperreflexia, difficulty swallowing, dysarthria, impotence, mood changes, and frequent urination.

8. Myasthenia gravis

The disease can initially cause diplopia and drooping of the upper eyelid, which can worsen during the day. When other muscles are involved, nasal sounds, difficulty chewing, and difficulty swallowing can cause life-threatening respiratory muscle weakness.

9. Migraine

Most of them occur in young people. The diplopia caused by this disease often lasts for several days after the headache is relieved, with severe unilateral eye pain, ptosis, extraocular muscle paralysis, emotional changes, and sometimes depression and mild Consciousness changes.

10. Orbital tumor

Progressive tumors can cause diplopia, exophthalmos, and blurred vision.

11. Orbital cellulitis

Orbital soft tissue and eyelid infections can cause sudden diplopia, including eyeball deflection and pain, purulent exudation, eyelid edema, bulbar conjunctival edema and redness, protruding eyes, nausea, and fever.

12. Orbital rupture

This injury can usually cause diplopia and upward gaze, and obvious periorbital edema, diplopia can cause gaze in other directions. The orbital and eyelid subcutaneous articulation is continuous, and patients may occasionally have dilated pupils and disappearance of reflections.

13. Stroke

When this disease affects the vertebrobasilar arterial blood supply, diplopia can often be caused, as well as hemiplegia and paralysis, ataxia, dizziness, aphasia, altered consciousness level, visual field blindness, numbness around the mouth, vague speech, difficulty swallowing, nervousness, Sweat and heat-resistant.

14. Transient ischemic attack

Transient cerebral ischemia is a precursor to stroke and is often accompanied by diplopia, dizziness, hearing loss, tinnitus, and numbness. It can last from a few seconds to 24 hours.

15. Eye trauma

After ocular trauma, fibrosis restricts eye movement and can cause diplopia.

Diplopia

Strabismic amblyopia

Strabismus causes diplopia and confusion, which makes the patient feel uncomfortable. The amblyopia caused by the macula is suppressed for a long time, which is called strabismic amblyopia.

Foggy

That is, blurred vision is an early symptom of angle-closure glaucoma, which is a common type of glaucoma.

3. Rainbow

The so-called color halo is also the color halo. Iris appears in front of the eyes. This is due to the spectroscopic effect caused by the change in the refractive power of the eye. Colored halo. Rainbow vision is a common symptom of eye diseases.

Double check

1. Test vision.

2. Double vision inspection, to detect the distance between the sighted objects and whether there is distortion when looking at things, whether the imaging is horizontal double vision or vertical double vision.

3. When neurological disease is suspected, monitor the state of the nervous system and perform CT examination.

Double vision treatment principle

1. Monocular diplopia to find out the cause of eye diseases and treat eye diseases, such as wearing glasses and cataract extraction surgery.

2. There are four treatments for diplopia:

(1) Wearing glasses: For small-angled eye position deviation, you can use glasses to reduce symptoms.

(2) Caused by weakness or paralysis of the external eye muscle: treatment of myasthenia.

(3) Cerebral nerve or brain disease: drug treatment or surgical operation, such as brain tumor resection.

(4) Ocular muscle surgery: correct strabismus, or fix the extraocular muscles that are stuck after trauma.