Double Vision| Binocular

Double vision that resolves with one eye closed

Your Path

  • Double Vision| Binocular

Etiology

  • Any process that affects ability of eyes to move in a coordinated fashion
  • Can be due to cranial nerve issue: e.g. stroke, tumor, mass impinging on CN3, 4 or 6; invasive infections (fungal, bacterial) causing cavernous sinus thrombosis
  • Can be due to NMJ or muscle issue: e.g. myasthenia, muscle entrapment w/Graves ophthalmopathy, muscle entrapment in orbital fx
  • Can be due to peripheral motor disease: e.g. Guillain Barre
  • Autoimmune/Inflammatory: IgG4 related, Sarcoidosis, GPA, other

Symptoms

  • Resolves when one eye closed
  • Present when look in direction of impaired movement, resolves when look in directions of preserved movement

Physical Exam Findings

  • Exam to assess for level of dysfunction of CNs and/or extra-occular muscles that move eye→ loss of coordinated bilateral movement

Sub-Diseases

Other Diagnoses

Links