Conditions that can cause binocular double vision:
Eyes and eye appendages (H00-H59).
- Cataract (cataract)
- Keratoglobus – spherical protrusion of the cornea.
- Keratoconus – progressive, cone-shaped deformation of the cornea of the eye.
- Lens (sub-)luxation – displacement of the lens.
- Normosensory late strabismus – usually acute form of strabismus occurring between the third and seventh year of life.
- Orbitaphlegmone – diffuse inflammation of connective tissue in the area of the eye socket.
- Pseudoparalysis of the eye muscles
- Pterygium conjunctivae (from Greek pteryx “wing” and Latin coniungere “to join”) – vascular tissue proliferation of the conjunctiva, which spreads to the cornea.
- Strabismus (strabismus)
Endocrine, nutritional, and metabolic diseases (E00-E90).
- Diabetes mellitus (diabetes).
- Endocrine orbitopathy (EO) – disease in which there is exophthalmos (protrusion of the eyeballs).
Cardiovascular system (I00-I99).
- Aneurysm of cerebral vessels – bulging of the wall of cerebral vessels.
- Apoplexy (stroke)
- Extracranial carotid stenosis – narrowing of the carotid artery outside the bony skull (extracranial).
- Intracranial hemorrhage (bleeding within the skull; parenchymal, subarachnoid, sub- and epidural, and supra- and infratentorial hemorrhage)/intracerebral hemorrhage (ICB; cerebral hemorrhage)
- Sinus cavernosus thrombosis – occurrence of blood clots (thrombosis) in the large collecting veins of the brain (venous sinus).
Infectious and parasitic diseases (A00-B99).
- Botulism – poisoning with paralytic symptoms caused by botulinum toxin.
- Syphilis (lues; venereal disease).
- Trichinae (trichinellosis) – infectious disease caused by the parasites of the species Trichinella (nematodes/threadworms).
Musculoskeletal system and connective tissue (M00-M99).
- Orbital myositis – inflammatory muscle disease affecting the eye muscles.
- Giant cell arteritis (RZA; large vessel vasculitis) – most common form of systemic vasculitis (inflammation of blood vessels) in patients over the age of 50.
Neoplasms – tumor diseases (C00-D48).
- Brain tumors, unspecified
Psyche – nervous system (F00-F99; G00-G99).
- Encephalitis (inflammation of the brain).
- Guillain-Barré syndrome (GBS; synonyms: Idiopathic polyradiculoneuritis, Landry-Guillain-Barré-Strohl syndrome); two courses: acute inflammatory demyelinating polyneuropathy or chronic inflammatory demyelinating polyneuropathy (disease of the peripheral nervous system); idiopathic polyneuritis (diseases of multiple nerves) of spinal nerve roots and peripheral nerves with ascending paralysis and pain; usually occurs after infections.
- Brain abscess (encapsulated inflammation of the brain), unspecified.
- Pituitary exophthalmos – protrusion of the eyeballs caused by changes in the pituitary gland.
- Meningitis (meningitis).
- Migraine
- Multiple sclerosis (MS)
- Myasthenia gravis (MG; synonyms: myasthenia gravis pseudoparalytica; MG); rare neurological autoimmune disease in which specific antibodies against the acetylcholine receptors are present, with characteristic symptoms such as an abnormal load-dependent and painless muscle weakness, an asymmetry, in addition to the local also a temporal variability (fluctuation) in the course of hours, days or Weeks, an improvement after recovery or rest periods; clinically can be differentiated a purely ocular (“concerning the eye”), a faciopharyngeal (face (Facies) and pharynx (pharynx) concerning) emphasized and a generalized myasthenia; about 10% of cases already show a manifestation in childhood.
- Neuropathy (nerve damage), unspecified.
- Ophthalmoplegic migraine – form of migraine in which eye muscle paralysis occurs.
- Progressive supranuclear gaze palsy (PSP; synonym: Steele-Richardson-Olszewski syndrome (SRO)) – neurodegenerative disease of unknown etiology associated with progressive cell destruction in the basal ganglia; leading symptom: progressive paresis (paralysis) of the eye muscles associated with a Parkinson’s-like symptom picture.
- Pseudoparalysis of the eye muscles – for example, in the context of endocrine orbitopathy (inflammatory disease of the orbit, which in most cases occurs together with hyperthyroidism) or orbital fracture (bone fracture of the orbital wall)
- Tolosa-Hunt syndrome (orbital apex syndrome, ophthalmoplegia dolorosa) – painful paralysis of the eye muscles resulting from damage to the cranial nerves that pass through the cavernous sinus
- Transient ischemic attack (TIA) – sudden disturbance of blood flow to the brain, leading to neurological disorders that regress within 24 hours
Injuries, poisonings and other consequences of external causes (S00-T98).
- Facial skull injuries, unspecified
- Head injuries, unspecified
- Orbital floor fracture – bone fracture of the orbital wall.
- Traumatic brain injury (TBI)
More
- Double images can also occur physiologically (e.g., due toperception of objects closer than the fixed point).
- Condition after surgical procedures on the eye
Medication
- Antiepileptic drugs
- Carboxamide derivatives (eslicarbazepine acetate).
- Functionalized amino acids (lacosamide).
- Sedatives such as benzodiazepines.
- Opiates
Environmental pollution – intoxications (poisonings).
- Alcohol
Diseases that can cause monocular double vision:
Respiratory system (J00-J99).
- Maxillary sinus mucocele (accumulation of mucus in the maxillary sinus); symptomatology: feeling of pressure in the orbit (bony eye socket) and swelling in the cheek and lower eyelid area
Eyes and eye appendages (H00-H59).
- Early cataract (cataract)
- Corneal changes, especially in the condition after inflammation or due to trauma.
Injuries, poisoning and other consequences of external causes (S00-T98).
- Injuries to the cornea (cornea)
More
- Double images can also occur physiologically (e.g., due toperception of objects closer than the fixed point).
- Condition after surgical procedures on the eye
