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Saturday, July 31, 2010
 
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Double Vision

Question

My son is 35 and recently he has been experiencing double vision when he tips his head right, but it goes away when he holds his head straight. He has seen an ophthalmologist, who has contacted a neurologist and they have set up an MRI. He has no other symptoms. He does not smoke. This started several days ago. I want to be sure we are on the right track. What other tests, lab, etc. should we be having done?

Advice 1

He is getting this diplopia possibly due to nystagmus and it could be various things. I agree with a neurology consult an MRI and basic blood tests.

Advice 2

I think you are on the right track. Lab work should, at this stage, just contain the basics. Blood sugar is important as paralysis of one of the nerves that controls eye movement occurs in diabetes. It¡¯s hard to give more of an answer without more specific information. Good luck

Advice 3

I think that your son is being handled properly. The double vision may be caused by problems in the eyes or outside the eyes, as a possible result of many different disease processes. It could be anything from an infection to an inflammation to a tumor. After MRI, his doctor should have some ideas about the cause of his double vision. He may need to have some more tests done to further specify or confirm the diagnosis.


 


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