Monday, April 15, 2024

Double Vision When Waking Up

No Definitive Cause Of Strabismus For Eva

Ask Dr. Julie: When Is Double Vision Serious?

After Brain imaging and other tests, CHOC experts ruled out alarming conditions like a tumor or brain bleed. Eva and Jennifer were sent home from the hospital, but they didnt have any definitive answers for what had gone awry with Evas eyesight.

At her first appointment with Dr. Rahul Bhola, medical director of CHOC ophthalmology, it became clear that Eva had acute onset strabismus, a condition where the eyes do not line up with each other. This caused debilitating double vision and headaches for Eva.

When a child of Evas age presents with strabismus, it can be very worrying, says Dr. Bhola. Thankfully, the testing carried out at the emergency department ruled out anything life threatening, and we were able to direct our attention to resolving her double vision.

Sleeping In Contact Lenses

Unless youve been prescribed extended-wear contacts by your eye doctor, sleeping in your contact lenses is not recommended.

Wearing contacts overnight raises your risk of various eye infections and reduces the level of oxygen supplied to your eyes. The lack of oxygen dries out the eyes, resulting in blurry vision when you wake.

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Treatment For Monocular Double Vision

Treatment varies depending on what is causing monocular double vision, including:

Astigmatism: Corrective glasses or contact lenses can often counteract the curvature and correct the passage of incoming light into the eye.

Laser surgery: This treatment involves reshaping the cornea with a laser.

Cataracts: Surgery is usually the best option. The surgical procedure removes the clouding and the cause of the double vision. Complications include infection, pain, and possibly continued blurry or double vision, but prompt treatment can usually resolve these.

Dry eye: If the eyes do not produce enough tears or dry out too quickly, they can become inflamed and sore. This can result in double vision. Often, a prescription for tear substitute eye drops will relieve symptoms.

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How Does Diplopia Affect My Body

The most obvious effect diplopia has on your body is the double vision itself. In addition to the physical symptoms, it can be scary when something affects your eyesight. The good news is that almost 90% of cases of double vision are temporary and have no long-term or serious implications for your health. But diplopia can decrease your depth perception, making driving or walking more difficult.

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Eye Pain: Probable Causes

Anything that affects the surface of the eye will usually lead to eye pain, says Newman. This may include a scratch, overuse of contact lenses, chemical irritant, infection or a foreign object hitting the eye surface.

Inflammation in the eye due to a specific infectious agent or a particular immune system response can also cause eye pain, says Newman.

How Can I Prevent Diplopia

There arent any ways to specifically prevent experiencing double vision, but taking good care of your eyes and seeing your healthcare provider regularly are the best ways to catch issues before they cause you pain or other symptoms. Follow these steps to maintain good eye health:

  • Give your eyes a break from looking at electronic screens throughout the day.
  • Wear appropriate protective glasses or goggles for all of your work, sports or other activities.
  • Schedule an eye exam every one to two years .

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What Are The Symptoms Of Double Vision

Patients typically easily identify double vision. In some cases the two images are completely separate, and in other cases they are overlapping. Double vision might occur in specific circumstances . In some cases the double vision may fluctuate throughout the day, being most prominent during periods of fatigue. Patients with some forms of double vision may find themselves closing one eye to improve their vision.

What Does It Mean If You Have Double Vision When You Wake Up

Lauren: Waking Up with Crossed Eyes

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Waking Up With Blurry Vision In One Eye

Blurred vision upon waking happens to a lot of people for various reasons. Most of the time, this issue resolves on its own after rubbing the eyes or blinking for a few seconds. Whether this occurs every morning or sporadically, it may raise questions regarding what type of issue may be causing this problem. One of the most common causes is dry eyes.

Tears serve the primary purpose of lubricating, protecting, and nourishing the eyes. Although tears are constantly produced, including during sleep, tears may dry out during the night and this can lead to hazy, blurry vision in one or both of the eyes in the morning. Individuals whose eyes do not completely close while they are asleep may also experience blurred vision upon waking due to dry eyes.

Furthermore, sleeping on one side of the face, particularly if excess pressure is placed on one eye way may disrupt the production of tears during the night. This may cause blurry vision in one eye upon waking. In most cases, blinking a few times or gently rubbing the eyes stimulates the production of tears that subsequently resolves blurriness by remoistening the cornea.

If blurry vision does not resolve within a few minutes of waking up or it is accompanied by addition symptoms such as dizziness, a sharp headache, or weakness, it is important to speak with a doctor.

Quick Read Which Eye Issues Are Serious

  • Never ignore severe eye pain or a sudden blurring of vision, both signs of a major problem.
  • A burning or gritty sensation in the eye can usually be treated at home.
  • Redness and itching may just be due to allergies, but seek help if its from something like pink eye.
  • Sudden eyelid drooping, floaters with flashes of light, double vision and different pupil sizes are serious concerns.
  • See an ophthalmologist at least once before age 40 for basic eye care and prevention.

Its easy to take your eyes for granted. They help you navigate the world and require little in the way of daily maintenance. But when one or both of your eyes begin to bother you, it can become a major distraction.

So how can you tell which eye issues are no biggie and which ones indicate serious trouble?

Ophthalmologists Dr. Jennifer Yu and Dr. Lisa Olmos de Koo of the Eye Institute at Harborview Medical Center and the Karalis Johnson Retina Center at South Lake Union share the deets on which peeper problems you should never ignore.

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Double Vision: Possible Causes

Any condition that impairs the muscles or nerves controlling the eyes also can result in double vision. Some of these conditions are:

  • Myasthenia gravis, an autoimmune disorder that interrupts transmission between the motor nerves and the eye muscles. This weakens the muscles that move the eyes and often the eyelids .
  • Graves disease, a thyroid condition that causes inflammation in and around the eyes. It can produce double vision by interfering with the ability of the enlarged muscle to relax. Typically, this results in vertical double vision, which worsens while looking up.
  • Multiple sclerosis , a disease that attacks the central nervous system and causes optic neuritis or inflammation of the optic nerve in 50 percent of MS patients. It often leads to decreased or blurry vision. When the brainstem is affected, it also may cause an abnormality in eye movements. The most common result is an inability to move an eye in .
  • Miller Fisher syndrome, a variant of Guillain-Barre syndrome that causes weakness of the eye muscle.
  • Diabetes and high blood pressure, which can cut off blood flow to one of the nerves that control eye muscles. This is referred to as a microvascular cranial nerve palsy or ophthalmoplegia.
  • A brain tumor, which may directly affect one of the motor nerves going to the muscles that move the eye or lead to increased intracranial pressure, which may produce a cranial nerve palsy or paralysis that inhibits eye movement.

Is This Normal Vision Changes That Could Signal A Serious Condition

Can Laser Vision Correction Los Angeles Treat Double Vision?

Vision changes are common as we age. However, problems with eyesight also can be an early indicator of a more serious injury or condition. How do you know when to seek out medical advice? Neuro-ophthalmologist Steven Newman, MD, provides clarification on some of the more common vision problems and possible causes below.

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Problems With Your Oil Glands

Meibomian glands, which are tiny oil glands around the inside of your eyelids, produce oil and water-based tears to keep the eyes moist. If the glands produce too little oil, it could result in dry eyes, not just while you sleep, but also during the day.

Dry eye testing called the Schirmer’s test is available to determine whether the glands are producing enough lubrication for the eyes.

Double Vision Caused By Eye Muscle Problems

Six muscles in your eye socket control your eye’s movement up, down, to each side and in rotation. Problems in these extraocular muscles include weakness or paralysis that prevent one eye from moving in coordination with the other. Eye muscle problems include:

  • Graves’ disease, a thyroid condition that affects eye muscles and causes vertical double vision, in which one image appears above the other
  • Strabismus , a weakened or paralyzed eye muscle that prevents the eyes from aligning properly

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Sudden Blurry Vision And Headaches

Experiencing a headache along with blurred vision can be quite frightening, especially if it is the first time this has happened without warning. Blurry vision may develop in one or both of the eyes and for some people, vision becomes dim, cloudy, or even distorted by colors and shapes that make it difficult to see.

One particular condition that is associated with the sudden onset of a throbbing or pulsing headache along with blurred vision is a migraine. However, some people experience visual disturbances such as blind spots, flashes, wavy lines, or blurry vision before the headache starts. This warning sign is known as an aura. Migraines are also linked to an extreme sensitivity to light or sound, nausea, vomiting, or vertigo. Frequent migraines that affect vision and the ability to perform daily activities should be treated by a medical professional.

Another potential cause of headache and sudden blurry vision is a specific type of high blood pressure known as pseudotumor cerebri or intracranial hypertension, a condition where cerebrospinal fluid accumulates around the brain and gradually increases pressure. The increase in pressure leads to headaches in the back of the head that tend to worsen at night or upon wakening. Lightheadedness, ringing in the ears, nausea, and vision problems may develop as well. Visual issues include blurred vision, flashes of light, or brief periods of blindness.

Looking Ahead With Aligned Eyes

Kristins story: Relief from double vision

Even prior to the surgery with trouble seeing the board in class, Eva never let her grades slip. She stayed positive and toughed it out. Now back to her 20/20 vision, shes still going strong. Shes smart, active and loves to sing, says Jennifer.

Jennifer and Eva consider Dr. Bhola an honorary member of their family. His team at CHOC turned a scary experience into a positive one, and they are so grateful.

For other families that may be going through strabismus or vision problems with their kids, Dr. Bhola advises, There are many causes of strabismus. The onset is typically in early childhood, but it can occur at any age. If you are concerned your child may have strabismus, the best course of action is to consult with a pediatric ophthalmologist.

Jennifer adds to never give up hope. She says, Theres always the possibility that it can be OK. Trust the talent and expertise of your medical team especially if they are from CHOC.

Learn more about ophthalmology at CHOC

At CHOC ophthalmology, we use innovative techniques to treat babies, children and teens that are different from methods used at adult practices, all in a pediatric setting.

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You Have A Rare Condition Called Uveitis

If your eye blurriness and dryness are accompanied by inflammation in or around the eye, you could have uveitis.

The inflammation usually happens when your body is fighting an infection or you have an autoimmune disease, according to the NEI. The most common causes of uveitis arecorneal abrasion/ eye trauma, infection, and autoimmune disease.

The prevalence of uveitis is pretty low, but the damage can be quite severe, said Dr. Diaz. Symptoms vary depending on what part of the eye is affected

“Inflammation in the front part of the eye presents with redness, light sensitivity, and pain, whereas inflammation in the back part of the eye presents with floaters, fuzzy vision, and flashing lights,” explained Dr. Diaz.

According to the NEI, treatment for uveitis usually involves steroids given in some form, from pills and eye drops to injections and implants.

Sudden Onset Of Double Vision

Each eye is moved by six muscles which are innervated by three cranial nerves . If the nerves are affected then the eye cannot move normally, which results in double vision. The 3rd nerve also innervates the upper eyelid .

First exclude monocular diplopia by asking the patient to cover each eye in turn. If the double vision persists when looking with just one eye, then this is usually due to an ocular problem and does not have a neurological cause.

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Double Vision: Probable Causes

According to Newman, structural abnormalities of the eye muscles or the nerves that stimulate them may cause double vision. When one eye sees a second image while the other eye is covered, this is known as monocular diplopia. It is most commonly caused by astigmatism or early formation of cataracts .

What Treatments Are There For Double Vision

Headache Dizziness Blurred Vision Shaking

After the causes of double vision are understood, your doctor might be able to predict approximately how long the double vision may last. Some cases recover on their own, whereas in other cases, the double vision can persist.

Based on this information, the doctor will try to offer treatments to lessen the double vision. One approach is to block vision from one eye. This can be done either by using an eye patch or by using scotch tape to cover one lens of the eyeglasses. Depending on the exact pattern of the abnormal eye movements, temporary prisms can sometimes be tried to reduce the double vision. If these are very effective, permanent prisms can be ground into the lenses of the eyeglasses. Finally, if double vision has become a permanent problem , surgery can be performed to adjust the position of the eye muscles.

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You Have Dry Eyes From Your Medications

Certain medications can reduce the amount of tears your eyes produce and cause blurry eyes in the morning. This includes allergy medications, high blood pressure medications, sleeping pills, and cold medicines that you might take before bed.

If you have unexplained or persistent blurry vision after waking up, it is recommended to share your concerns with your doctor right away. This will help rule out any serious eye health concerns or medical conditions, like glaucoma, high/low blood pressure, or diabetes. Protect your eye health. Call 602-955-2700 or go online to schedule an appointment with a Valley Eyecare Center eye doctor.

Causes Of Double Vision Due To Injury

The following injuries may result in double vision.

  • A severe head injury: Such as one caused by a fall or an automobile accident, may damage the nerves, muscles, or alignment involving one or both of your eyes
  • A black eye, or injury to your face that causes bruising around your eye: This is a common sports injury and may cause double vision in your injured eye.

This list does not constitute medical advice and may not accurately represent what you have.

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When Floaters Are Serious

Should the vitreous pull away from the retina, this can cause a retina tear, which can then lead to a retinal detachment. Permanent vision loss may follow if not treated. Fortunately, this is uncommon.

However, if you see persistent flashing lights, hundreds of floaters and especially a curtaining coming up or down over your vision, you should see your healthcare provider promptly. If caught early, retinal tears and even developing detachments can be treated, says Newman. Once the center part of the eye is involved, the chance of an excellent result following surgery decreases.

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