Double Vision: When to Seek Medical Attention - Ophthalmology

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Diplopia issues


Hello doctor, I would like to ask if not paying attention can cause double vision? I was watching a video and wasn't very focused, but I noticed that the characters in the video appeared as two.
However, when I closed my eyes and looked again, they returned to normal.
Everything else looks normal.
Should I see a doctor for this?

Zhao, 10~19 year old female. Ask Date: 2020/12/02

Dr. Gao Pilin reply Ophthalmology


Hello Zhao: You may be experiencing strabismus, which could be either exotropia or esotropia.
It is recommended that you visit an ophthalmologist for an examination.
The ophthalmology department at Puzi Hospital in Taiwan is available on Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and on Wednesday afternoons from 2:00 PM to 4:30 PM.
Please note that online responses are for reference only; it is essential to seek medical care at a healthcare facility if necessary.
I hope to have the opportunity to assist you.
Best regards, Gao Pilin.

Reply Date: 2020/12/02

More Info


Double vision, or diplopia, can be a perplexing and concerning symptom that may arise from various underlying causes. Your experience of seeing double images while watching a video, especially when not fully concentrating, raises important questions about the nature of your vision and whether medical attention is warranted.

Firstly, it is essential to understand that double vision can occur due to several factors, including issues with eye alignment, focusing problems, or neurological conditions. In your case, the fact that closing one eye resolves the double vision suggests that it may be a binocular issue, meaning it involves both eyes working together. When you close one eye and the double vision disappears, it indicates that your eyes are not perfectly aligned when both are open, leading to the perception of two images.

The transient nature of your symptoms—only occurring when you are not fully focused—could be related to fatigue, stress, or even the way your brain processes visual information when attention is divided. This phenomenon is sometimes referred to as "visual fatigue" or "transient diplopia," which can happen when the eye muscles become strained or when the brain struggles to fuse the images from both eyes effectively.

However, while occasional double vision may not always indicate a serious problem, it is crucial to monitor the frequency and context in which it occurs. If you find that the double vision persists, becomes more frequent, or is accompanied by other symptoms such as headaches, dizziness, or changes in vision, it is advisable to seek medical attention. A comprehensive eye examination by an ophthalmologist can help determine if there are any underlying issues, such as strabismus (misalignment of the eyes), refractive errors, or neurological concerns that need to be addressed.

In addition to an eye examination, the doctor may perform specific tests to assess your eye alignment, muscle function, and overall visual acuity. They may also inquire about your medical history, any recent injuries, or other symptoms that could provide clues to the underlying cause of your double vision.

In conclusion, while your experience of double vision while watching a video may not seem alarming, it is essential to remain vigilant about your symptoms. If the double vision continues or worsens, or if you experience any additional concerning symptoms, do not hesitate to consult with a healthcare professional. Early intervention can often lead to better outcomes and peace of mind regarding your visual health. Remember, your eyes are a vital part of your overall well-being, and taking proactive steps to address any changes in your vision is always a wise choice.

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