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Dear Patients,

Both offices are now open and In order to avoid crowding and to stay on top of additional disinfection procedures, appointment slots will be limited. What you can expect:

  1. Face coverings required, non-touch temperature reading, hand washing upon arrival.
  2. Disinfection of touch surfaces in addition to our usual sanitation procedures as well as barrier films on certain high-touch areas.
  3. Digital frame measurement technologies for all spectacle orders to replace face-to-face measurements.
  4. On-site, but non-facing payment options.
  5. Elimination of paper and electronic forms in the office.

Your cooperation in completing medical questionnaires at home, prior to your visit, is greatly appreciated. Also while we welcome patients along with one guardian when needed, additional friends and family members who do not have an appointment may be asked to wait outside. We’re all excited to see you soon.

Advanced Eyecare Optometric Center in Irvine and Dana Point, California
Home » Eye Library » Vision Problems » Double Vision

Double Vision

If you see two of whatever you are looking at, you may have a condition known as double vision, also referred to as diplopia. Double and blurred vision are often thought to be the same, but they are not. In blurred vision, a single image appears unclear. In double vision, two images are seen at the same time, creating understandable confusion for anyone who has it.


What causes double vision?
There are two possible causes.



  • Failure of both eyes to point at the object being viewed, a condition referred to as “strabismus” or “squint”. In normal vision, both eyes look at the same object. The images seen by the two eyes are fused into a single picture by the brain. If the eyes do not point at the same object, the image seen by each eye is different and cannot be fused. The result is double vision. Why might eyes not point in the same direction? Possibly because of a defect in the muscles which control the movement of the eyes or in the control of these muscles through the nerves and brain.
  • Refractive. Light from an object is split into two images by a defect in the eye’s optical system. Cataracts may cause such a defect.

Strabismus is a more common cause of double vision than is refractive defect.


What are its implications?
Double vision can be extremely troubling. The brain acts to alleviate the discomfort by suppressing, or blanking out, one of the images. In young children, if this suppression persists over a continued length of time, it can lead to an impairment of the development of the visual system. The suppressed eye may get to the point where it is unable to see well, no matter how good the spectacle or contact lens correction. Doctors call this condition “amblyopia”. Since it is a result of a defect in the interpretive mechanisms of the eye and brain, it is more difficult to treat than a refractive condition (one having to do with the eye’s ability to bend light).


How is it treated?
Treatment of double vision consists of eye exercises, surgical straightening of the eye or a combination of the two. Therapy is aimed at re-aligning the squinting eye where possible without surgery and re-stimulating the part of the visual pathway to the brain that is not working correctly.


If the double vision is due to the presence of cataracts, referral for possible cataract surgery will be undertaken.

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