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Double vision Treatment (Diplopia) - London

Q: What are the common symptoms of Double vision?

Patients who have double vision express their symptoms as:Seeing a duplicate of one image in your visionHeadaches, dizziness & nauseaPainful eye movements and/or weak sensation of the eyesDifficulty reading, driving & performing daily routine tasksIf you are experiencing any of the symptoms above and you are seeking a diagnosis and treatment for your double vision symptoms, you can speak to our friendly specialists on0208 445 8877for more information about booking a consultation.

Monitor your double vision symptoms with our private ophthalmologist

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In most cases double vision is usually a temporary and uncommon issue

If you have blurry vision, you may need your eyes checked and your glasses corrected with a new prescription to correct the astigmatism.

However, if you are still experiencing double vision, a comprehensive eye assessment with our ophthalmologist is recommended to determine the health of your eyes.

Double vision symptoms and vision testing

Our patients describe double vision astigmatism as seeing one image as two, blurring between one another.

If your double vision is persisting or you are experiencing double vision in frequent episodes, you may be:

If you see two distinct images side-by-side or one above the other, and one of the images disappears when one eye is covered, then there may be a neurological problem that needs to be investigated.

Private consultation & treatment for double vision

Our specialists understand that double vision can cause headaches, reading difficulty and general discomfort when performing daily, routine tasks.

If you are concerned about your double vision, we can provide you with an all-inclusive private consultation to investigate and diagnose the cause of your double vision symptoms.

Once we’ve identified the underlying cause of your double vision, our ophthalmologist will find you the best suitable treatment.

What is included in my private consultation?

A private consultation with our ophthalmologist is an all-inclusive cost of £200

This includes:

A comprehensive consultation with your dedicated ophthalmologist (inclusive of all eye assessment and eye scans)
A medical diagnosis of your eye condition with treatment planning
A signed prescription (if required) and/or vision correction treatment planning
A dedicated eye care team to support you throughout your eye care journey

Seeing Double? Quick Guide to Causes, Risks & Next Steps

Not sure why you’re seeing double? This quick guide shows typical patterns, what they might mean, and exactly what to do now, from simple self-care and booking a review to urgent red flags that need same-day attention.

Double Vision (Diplopia): Symptoms, Risks & What To Do

Use this quick matrix to tell urgent from non-urgent causes and see the typical tests and next steps.

Scenario / Type	Typical Symptoms	Possible Causes	Risk Level	What To Do Now	Common Tests	Usual Treatments / Next Steps
Binocular (gone when one eye is closed)	Two images that fuse when either eye is covered	Eye muscle/nerve imbalance, nerve palsy, thyroid eye disease, trauma	Varies	Stop driving; book same-day/urgent assessment if sudden onset	Cover test, ocular motility, pupil exam, alignment measurements	Prism glasses/patch; treat cause (e.g., inflammation, thyroid); surgery if persistent
Monocular (persists with one eye covered)	Ghosting/doubling in one eye only	Dry eye, corneal irregularity, cataract, lens/optic issues	Usually Low	Arrange routine clinic review; use preservative-free tears if dry	Refraction, corneal topography, slit-lamp, tear film tests	Treat underlying cause (dry eye therapy, cataract surgery, surface smoothing)
Sudden double vision + headache/weakness/speech trouble	Acute onset, may have droopy lid or unequal pupils	Stroke/TIA, aneurysm, intracranial process	Emergency	Call emergency services or go to A&E immediately	Neurologic exam, urgent imaging (CT/MRI), bloods	Hospital management of underlying cause; do not delay
After head/eye injury	New double vision, eye pain, bruising, nausea	Orbital fracture, muscle entrapment, concussion, nerve palsy	Urgent	Attend urgent care/A&E; avoid nose blowing if fracture suspected	Ocular motility, CT orbit, slit-lamp, pressure check	Protective measures, surgery if entrapment, symptom relief (prism/patch)
Intermittent & worse with fatigue	Comes and goes, often late in the day	Decompensated strabismus, myasthenia gravis, thyroid eye disease	Moderate	Book prompt clinic review; rest eyes, avoid driving when symptomatic	Fatigue tests, ice-pack test (MG), thyroid bloods, Hess/orthoptics	Prisms, orthoptic exercises, treat systemic cause; surgery if persistent
With diabetes or vascular risk factors	Sudden binocular diplopia, often one direction worse	Microvascular cranial nerve palsy (III/IV/VI)	Needs Work-Up	Same-day clinic assessment; manage BP, glucose; stop driving	Pupil check, alignment charting, vascular screen ± imaging	Often resolves over weeks; temporary prism/patch; control risk factors
After cataract/refractive surgery (one eye)	Ghosting in the operated eye	Residual refractive error, dry eye, corneal surface changes	Usually Low	Book routine review; use PF tears; note when symptoms occur	Refraction, topography, tear film tests, slit-lamp	Glasses/tweak, surface treatment, occasional enhancement if indicated

This guide is informational. New double vision, especially with headache, weakness, speech trouble, or after injury, needs urgent assessment. Do not drive until cleared.

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Our Most Important Benefits For Double vision

Thinking about laser eye surgery? It’s natural to have questions about what it can do for you. From vision improvements to advanced safety features, here are the key benefits and facts that will help you understand why more people than ever are choosing laser vision correction.

What is Double vision (diplopia)?

Double vision (also known as diplopia) is a condition which creates a duplication in your eyesight. For example, when you look at one object, you will see two objects. This causes distortion and blurriness as well as other discomforting side effects for everyday routine tasks. Double vision symptoms may be temporary or long-lasting which requires an accurate diagnosis to resolve the condition.

What are the common symptoms of Double vision?

Patients who have double vision express their symptoms as:

Seeing a duplicate of one image in your vision
Headaches, dizziness & nausea
Painful eye movements and/or weak sensation of the eyes
Difficulty reading, driving & performing daily routine tasks

If you are experiencing any of the symptoms above and you are seeking a diagnosis and treatment for your double vision symptoms, you can speak to our friendly specialists on0208 445 8877for more information about booking a consultation.

How can I treat my double vision (diplopia) if the cause is neurological?

If our ophthalmologist suspects the cause of your double vision is due to a neurological condition, our neurology specialist will examine you for further investigations. This will include MRI scans for a thorough assessment and understanding.

How does patching eye treatment help with double vision (diplopia)?

Patching your eyes helps reduce double vision symptoms by blocking the double image being produced in your eyesight. Eye patching is a form of occlusion therapy, which takes time to train and stop symptoms from occurring again. Eye patching is an effective treatment and can be a suitable treatment for both children and adults.

What causes Double vision (diplopia)?

Double vision can be caused by refractive errors, misaligning eyes, development of cataracts or an underlying neurological condition. When you visit My-iClinic for a private consultation, our ophthalmologists will carry out eye assessments and any further investigations needed to diagnose the cause of your double vision symptoms.

What happens if I don’t seek treatment for double vision?

Double vision may go away on its own. The condition can be easily corrected if the cause is a refractive error (corrected by glasses for double vision, contact lenses or vision correction treatment). If, however, your double vision is not caused by a typical refractive error, there may be a more serious cause and it is best to have an eye assessment to investigate the issue. If you are concerned with any double vision symptoms, please contact our specialist on 0208 445 8877 for more information about an assessment.

Is it normal to have double vision in one eye?

Monocular double vision (double vision in only one eye) is very uncommon and is usually caused by dry eye syndrome, astigmatism or cataracts. If you are experiencing double vision in one eye, we can carry out ophthalmic assessments to investigate the cause of your symptoms and find a suitable treatment.

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