We all remember the trailer of IvanVasilyevich, when Uliana Andreevna, seeing a spouse, exclaims: "They will cure you and they will cure me." In the case of our heroine, she suggested that she had double vision. In fact, in the Balzac age, this is far from a rare phenomenon: in case of sclerosis, diabetes mellitus, high pressure and tumors, one of the manifestations of diseases is duplication of a picture.
And even in healthy people periodically beginsdouble in the eyes. A simple explanation is overwork, excessive alcohol, poisoning. In the morning you wake up and you do not know what kind of world you are in, and then the spouse has double vision in her hair-rollers and with a rolling pin ...
In fact, fun only for those who do not sufferthis disease. This condition brings a person a lot of unpleasant moments, he is not well oriented in space, sees poorly, and his eyes seem to break off from the inside.
Why double your eyes?
The main reason is the curvature of the eye axis.Normally, the image processing mechanism is as follows: a picture comes from the retina from both eyes, the visual analyzer superimposes them in the brain and the person sees a clear picture. And in diplopia, the picture is doubled, since initially the image was projected by the lens of one of the eyes is not there, the projection points do not coincide, therefore, a person appears "dubbing". And shifts happen both on a horizontal axis, and on vertical.
There are several factors why doubleseyes. Causes in the muscles, their weakness, so that they can not keep the eye in a symmetrical position relative to each other. This phenomenon is commonly referred to as strabismus. And it, in turn, can also be caused by several reasons. At what disease is double vision in the eyes most often, except for strabismus? In fact, there are many pathologies:
- Paralysis after a stroke, in which case the eye can lose its ability to move at all.
- Aneurysms.
- Head injuries
- Tumors and hematomas, both intracranial, and tissues that are in close proximity to the organs of sight.
- Consequences of brain or eye surgery.
"Split" can be caused by violationsoperation of the lens or ophthalmic nerve, their mechanical damage or weakening of the vessels, in particular in diabetes mellitus, or metabolic disturbances in cells, most often in hyperfunction of the thyroid gland, which violates the conductivity of the eye media.
Diplopia in case of poisoning or intoxication
In its pure form, double vision without additionalsymptoms rarely occur. Most often it is a concomitant symptom of other diseases or pathologies: injuries, tumors of different nature, vascular disorders, infectious meningitis, diphtheria or botulia.
Sometimes diplopia can be caused by poisoning or intoxication:
- Medication or alcohol.
- Due to severe infections, for example, meningitis.
- Violation of the conductivity of the muscles.An example would be a short-term diplopia after the procedure of introducing Botox, if the dosage was exceeded. In this case, it is better to check the clinic where you decided to go for beauty injections, because you can quickly turn into a monster from a beauty.
The first signs and symptoms
The first signs may be frequent.dizziness, the person cannot correctly determine the distance to the object, the picture is blurred, or one of them is brighter and the other is paler. Usually, it is difficult for a person to navigate in space, he may stumble over objects, “demolish” the doorposts.
The nature of the split pictures directly depends onexactly which muscles are damaged or weakened. If the oblique are struck, the doubling will be vertical, i.e. the object will be one above the other, if the lines are parallel. Often this condition is expressed by severe pain in the eye, the eye loses mobility.
If it became double in the eyes and there is a throbbing pain in the temples, this is a pressure drop. In hypertension, diplopia is accompanied by ripples and sudden blackouts in the eyes.
When squint diplopia - a constant companion.In this case, the affected eye is closed with glasses or special dressings, conservative treatment is prescribed: prismatic correction, gymnastics. An operation is sometimes indicated, in particular, resection or recession of the eye muscles.
Types of Diplopia
The most common diplopia is binocular. This is a muscular disorder when the eyes are not symmetrical to each other. If the affected eye is closed, then the doubling stops.
This type of diplopia most often occurs if a person has:
- Keratitis or corneal infections: refers to focal changes in the cornea, both postoperatively and caused by acute inflammation.
- Cataract or clouding of the lens. There is discomfort if a person reads something.
- Astigmatism. When the lens loses the ability to properly reflect light.
- Drying of the cornea. In this case, you can simply use drops of the type “artificial tear”.
- The displacement of the lens. Surgical intervention is necessary, since pathology is irreversible with conservative treatment.
Special cases of manifestation of the disease
With monocular diplopia, a person even withusing one eye sees a double image. The eye projects itself to a double image. Split, if you close a healthy eye, will not disappear. This happens with lens dislocation, iridodialysis, and also polycoria.
Occurs with the defeat of the muscles, and nerves of the eyeball, clamps, pinching. It happens congenital and acquired.
The following forms of monocular diplopia are distinguished:
- Refractive. Corrected by wearing glasses.
- Retinal. There is a violation of the integrity of the retina due to inflammatory processes.
- Pupillary. Development is provoked if there are additional holes in the iris.
- Aberrational. The cornea or lens has a non-uniform surface that interferes with the correct transmission of the image.
- Neurogenic. Develops with meningitis, neurosis, complex endocrine changes.
Sometimes double vision can completelya healthy person, if he looks at an object at a distance, a closer object may split in two. The brain usually “extinguishes” such irregularities of focus, and the person does not notice them.
However, in the event of persistent double vision, it is necessary to undergo examinations.
Diagnostics
If the lesion is complex anddoubling eyes is not the main symptom, but only an echo of more serious problems, the doctor will certainly refer the person to a specialist (neuropathologist, endocrinologist, neurosurgeon, rheumatologist or oncologist).
A survey of a person complaining about double vision usually includes the following tests:
- Coorimetry Allows you to determine the wrong muscle, to establish the nature of its pathology.
- Studies related to the determination of visual acuity, muscular activity.
- Performing a motor analysis of the eyelids, which will determine their symmetry and muscle tone.
- Blood test for sugar.
- MRI of the brain is sometimes prescribed.
- Test for muscle fatigue.
- Strabometry. Or measuring the angle of the squinting eye in linear terms with the help of equipment.
The special attention of parents requires squint in children. Since over time the muscles atrophy, and the child without proper treatment will not be able to get rid of this defect.
Double eyes: treatment
Treatment options depend on the severity of the disease andhis nature. If a person suffers from astigmatism and apparently the disease does not manifest itself, it will be enough just to prescribe corrective glasses. If tumors are the cause of double vision, then the only way to stop symptoms is to remove the tumor.
If it is assumed that the disease has provokedinfection, in this case, antibiotics or antibiotics are prescribed. If the character is neurological, anti-stroke therapy is carried out, pressure-reducing pills are prescribed, and in case of thyroid malfunction, a glucocorticosteroid therapy is prescribed. You can not just come and say: "Doctor, I have double vision". Treatment and the causes must be sought, based on a comprehensive examination of the person. It is not enough to exclude any one factor to solve the whole problem, usually it is a long way.
A sufficiently effective measure for treating a disease is a special exercise for the eyes.
Exercises for the eyes with partial diplopia
Such training is very simple.The man sits on the chair. On the wall you need to fix a white sheet, you can draw paper. It is necessary to draw a vertical bar. The main task is to focus as clearly as possible on the line.
At the second stage, you need to turn your head, one way or the other, without looking away. In this case, the view from the subject is not necessary to take
Exercise must be repeated regularly. If a person does not see improvements, then, most likely, surgery is necessary.
Folk remedies
Tinctures and vitamin fees can be another effective remedy for the treatment of mild forms of diplopia. The advantage of herbal treatments is that they are always at hand.
- Tincture of lavender leaves, valerian and wine.Chop the leaves of lavender, add a drop of valerian and a glass of white wine. Leave to insist on for three days. Stir liquid during this day. Drink tincture before a meal in a spoon.
- Pollen has an interesting effect (provided that it is not allergic). It is recommended to collect it and take it in a spoon for a month.
- Vitamin collection of wild rose and viburnum. From the berries must be boiled infusion, boil for 15 minutes. Strain and drink chilled a hundred grams in the morning and evening before meals.
Traditional medicine is only an auxiliary measure and in no case the main therapeutic tool.
It is important to know
The peculiarity of the disease is that it most oftenarises suddenly. Somehow to protect yourself from this is extremely difficult, especially if you are at risk. In this case, regular eye examinations may be the only way to avoid this extremely unpleasant symptom.
