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Double Vision



WHEN TO SEE YOUR DOCTOR


* Any instance of double vision should be brought to the attention of your doctor.

What Your Symptom Is Telling You

Andy Capp—the comic strip Cockney with an overfondness for beer—knows he's stayed at the saloon too long when he comes home and sees two wives standing at the doorway. But double vision is no laughing matter.

"Some people who report double vision are actually seeing a fainter, ghost image or overlapping shadow vision, rather than two distinct images," says George Sanborn, M.D., associate clinical professor of ophthalmology at the Virginia Commonwealth University/ Medical College of Virginia in Richmond. This is often an early sign of cataracts, he says.

If you see two totally separate images, it means that your two eyes are not pointed at the same target. This misalignment can be from an abnormality in the muscles or nerves that control the eyes' movement. Graves' disease, for example, is a thyroid condition that gradually thickens the eye muscles so that they no longer move properly. And if you're seeing double and also feel dizzy, there's a chance that a stroke is affecting the nerves that control your eye alignment.

You may also begin to suddenly see double if you receive a blow to the head.

Symptom Relief

No matter what the cause, if you're seeing double, see your doctor on the double. "Double vision is a natural warning bell that something may be seriously wrong," says Dr. Sanborn. Depending on the cause of your problem, you may require either eyeglasses or surgery to help re-align the eye muscles. As for shadow images, they will generally vanish once cataracts are surgically removed and special glasses are prescribed.