Double Vision or Astigmatism? Your Eye Symptoms - Ophthalmology

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Is it double vision or astigmatism?


Hello Doctor: I previously inquired about whether my issue was double vision or astigmatism.
Recently, I have noticed that aside from seeing distant decorative lights and TV subtitles at night, whenever the background is dark or deep-colored, there is a slight ghosting effect on objects, although it is not very pronounced, it still makes me a bit anxious.
I just got a new pair of glasses yesterday, and the measurement showed that my astigmatism has not worsened, but the prescription for both eyes has increased by more than 50 degrees.
I also noticed that when I look through the upper part of the lenses, the ghosting disappears.
If it were double vision, wouldn’t it remain? I have three questions for you: 1.
Could this be due to prolonged use of glasses with an incorrect prescription, leading to eye strain? 2.
I have an appointment for a follow-up at a major hospital in early May; will it be too late to see the doctor then? 3.
Is this double vision, or am I overthinking it? Thank you for your response, Doctor.

Xiao Yu, 20~29 year old female. Ask Date: 2018/04/08

Dr. Cai Wenyuan reply Ophthalmology


Hello: Based on your description, it does not seem to be diplopia.
Please follow up with your physician during your next visit.
Wishing you safety and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2018/04/08

More Info


Hello! Thank you for reaching out with your concerns regarding double vision and astigmatism. Based on your description, it sounds like you are experiencing some visual disturbances that could be related to either astigmatism or a condition known as diplopia (double vision). Let's break down your questions and provide some insights into your symptoms.

1. Could long-term use of glasses with an incorrect prescription cause eye fatigue?
Yes, wearing glasses with an outdated or incorrect prescription can indeed lead to eye fatigue. When your eyes are forced to work harder to focus through lenses that do not provide the correct correction, it can lead to discomfort, blurred vision, and even headaches. This is particularly true if you have been wearing glasses that are more than 50 degrees off from your current prescription. Over time, this strain can contribute to symptoms like double vision or ghosting, especially in low-light conditions where your pupils dilate and the effects of astigmatism can become more pronounced.

2. Is it too late to see your eye doctor for a follow-up in May?
It’s never too late to seek medical advice, especially when it comes to your vision. If you are experiencing new or worsening symptoms, it’s advisable to see your eye doctor sooner rather than later. While waiting for your scheduled appointment in May may not pose an immediate risk, if your symptoms are causing significant discomfort or affecting your daily activities, you should consider reaching out to your eye care provider for an earlier appointment. They can perform a comprehensive eye exam to assess your current vision status and determine if any changes to your prescription or additional tests are necessary.

3. Is this double vision or am I overthinking it?
The presence of ghosting or slight double vision, particularly in low-light conditions, can be indicative of astigmatism, especially if you notice that the symptoms improve when looking through certain parts of your lenses. Astigmatism occurs when the cornea is irregularly shaped, causing light to focus on multiple points in the eye, leading to blurred or distorted vision. If the double vision disappears when you look through a different part of your lens, it suggests that your symptoms may be more related to the optics of your glasses rather than true diplopia, which typically does not resolve with changes in viewing angle.

In conclusion, your symptoms could very well be linked to astigmatism and the use of an outdated prescription. It is essential to have a thorough eye examination to determine the exact cause of your visual disturbances. Your eye care professional can assess your visual acuity, check for any underlying conditions, and provide the appropriate corrective measures. Remember, maintaining regular eye check-ups is crucial for preserving your vision and overall eye health. If you have any further questions or concerns, don’t hesitate to reach out to your eye doctor. Your vision is important, and addressing these issues promptly can help ensure that you maintain clear and comfortable sight.

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