Double Vision in the Mirror: Is It an Eye Issue? - Ophthalmology

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Mirror diplopia


Hello Doctor: I have myopia of about 200 degrees in both eyes, along with astigmatism.
When I open my mouth in front of a mirror, I notice that my teeth appear double.
Is there a problem with my eyes?

Haipa de ren, 20~29 year old female. Ask Date: 2021/02/17

Dr. Gao Pilin reply Ophthalmology


Hello, those who are afraid: This double vision may be caused by reflections from a mirror, as mirrors have both outer and inner reflections, which can create the appearance of double vision.
At the Department of Ophthalmology, Puzi Hospital in Taiwan: Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM, and Wednesday from 2:00 PM to 4:30 PM.
Please note that online responses are for reference only; it is necessary to seek medical attention at a healthcare facility if needed.
I hope to have the opportunity to serve you.
Gao Pilin.

Reply Date: 2021/02/17

More Info


Double vision, or diplopia, can be a perplexing symptom, especially when it occurs in specific situations like looking in a mirror. In your case, where you experience double vision while looking at your teeth in the mirror, it could be related to several factors, particularly given your history of myopia (nearsightedness) and astigmatism.

First, let's clarify what double vision is. Diplopia occurs when a person sees two images of a single object. This can happen in one eye (monocular diplopia) or both eyes (binocular diplopia). In your situation, since you mentioned that the double vision occurs when you look in the mirror, it is likely binocular diplopia, which means it involves both eyes.

The presence of myopia and astigmatism can contribute to visual distortions. Myopia causes distant objects to appear blurry, while astigmatism leads to distorted or blurred vision at all distances due to an irregular shape of the cornea or lens. When you open your mouth, the change in facial structure and the angle at which you view your teeth can exacerbate these refractive errors, leading to the perception of double images.

Another potential cause of your symptoms could be related to eye alignment. Conditions such as strabismus (misalignment of the eyes) can lead to binocular diplopia. If your eyes are not properly aligned, the brain may receive two different images, resulting in double vision. This misalignment can be subtle and may not be noticeable until you are in a specific position, such as when you are looking in the mirror.

Additionally, fatigue, stress, or prolonged screen time can also affect your eye muscles and lead to temporary diplopia. If you have been experiencing increased visual demands, such as using digital devices frequently, this could contribute to your symptoms.
Given your situation, it is crucial to have a comprehensive eye examination by an eye care professional. They can assess your visual acuity, check for any refractive errors, and evaluate the alignment of your eyes. They may also perform tests to rule out any underlying conditions that could be contributing to your double vision.

In summary, while your myopia and astigmatism can play a role in your experience of double vision, it is essential to consult with an eye care professional to determine the exact cause. They can provide tailored advice and treatment options, which may include updated prescriptions for glasses or contact lenses, vision therapy, or other interventions to help manage your symptoms. Remember, addressing any visual disturbances early on can help prevent further complications and improve your overall quality of life.

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