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Medical Forum / General / Vision / June 2007

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Isolated vertical binocular diplopia

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Manuel W. - 11 Jun 2007 11:15 GMT
Last week I've had an isolated, 5 minute event of vertical binocular
diplopia, apparently out of the blue. I was leaning down to pick up
something from the floor, and when I sat back up I was seeing double. The 2
images were vertically separated, and the diplopia would go away when
covering either eye. When gazing upwards the images would come back
together, and it was worse when looking down.

After 5 minutes the problem just disappeared by itself.

I'm 30 years orld, I didn't have any illnesses recently, I was feeling well
that day, I didn't have a headache, I didn't feel dizzy or anything else. I
just had a slight headache a couple of hours after the event, around the
orbits (the same kind I get when I have ocular migraines with flashing
lights, which I get 2-3 times a year). Incidently, I've had an ocular
migraine 2 days after the event.

I'm otherwise healthy, and only have slight hypertension (140/80). The only
relevant medical history I have is a 10-year addiction to nasal decongestant
(rhinitis medicamentosa), which I was able to stop about 2 years ago. To
date, I still have a very stuffy nose, and I'm unable to breath normally
through either nostrils at night, depending on what side I lay on. Sounds
like chronic sinusitis or nasal polyps to me, and I should probably have it
checked out by an ENT sometimes.

I'm not sure what to think: by google'ing around one gets quite
hypochondriac. The kind of diplopia I experienced sounds like a 4th cranial
nerve palsy, but there's no literature about an isolated 5 minute episode.
There are sites listing it as a migraine symptom, or as a side-effect of
sinusitis. Then there's the "bad" stuff like MS, tumors and myasthenia which
I prefer not to think about (and I really don't have any other symptoms).

Could this just be a random happening "just because"? I'm not really sure I
want to go through the "full program" (the $1 million dollar check-up
including MRI, CT, etc) because of a 5 minute event. What do you think?
Should I just disregard it? Refer to my GP? Or to an opthalmologist? There's
nothing to see, as I now see normally and my eyes seem aligned... and
apparently lots of diplopia cases are just idiopathic.

Thank you for your opinions
-Manuel
Neil Crooks - 11 Jun 2007 13:04 GMT
Ah, don't worry about it Manuel.

Everyone experiences that at some time or another.

My vision is far beyond perfect, but even then, every few months or so
I suddenly become diplopic, along with many other strange phenomenon,
such as becoming myopic, astigmatic, or hypermetropic.

Basically, I wouldn't stress over it too much.
RT - 11 Jun 2007 15:20 GMT
> Ah, don't worry about it Manuel.
>
[quoted text clipped - 5 lines]
>
> Basically, I wouldn't stress over it too much.

This is a perfect example why one should never solicit medical advice
from strangers on the internet.

Manuel, absolutelyinvincible@hotmail.com (whatever the name associated
with it) is a troll. He or she apparently wants to inflict harm on
people and to disrupt this usenet group for some reason.

Please, if you are concerned about anything to do with your health,
please seek out advice from a healthcare professional in person. You
never know who could be on the sending end of an anonymous message on
the internet. No one, not even a doctor, can safely diagnose over the
internet.

Signature

~RT

Neil Crooks - 11 Jun 2007 15:29 GMT
> In article <1181563489.614356.182...@c77g2000hse.googlegroups.com>,
>
[quoted text clipped - 23 lines]
> --
> ~RT

Oops, better add my disclaimer. Kind of... slipped my mind - sorry!
Anyhow, I'll do it now -

"I'm not a doctor, so you may want to run these comments by YOUR
doctor.

Good luck!"

;)
Neil Brooks - 11 Jun 2007 15:31 GMT
On Jun 11, 7:29 am, Neil Crooks <absolutelyinvinci...@hotmail.com>
wrote:

> > In article <1181563489.614356.182...@c77g2000hse.googlegroups.com>,
>
[quoted text clipped - 33 lines]
>
> ;)

Kazekage/Tiramisu/Horatio:

Spend a minute.  Read this.  Then seek help.

 http://www.hss.caltech.edu/~mcafee/Bin/sb.html
Neil Brooks - 11 Jun 2007 15:30 GMT
> In article <1181563489.614356.182...@c77g2000hse.googlegroups.com>,
>
[quoted text clipped - 23 lines]
> --
> ~RT

Thank you for catching that one, RT.  I never even saw it before our
juvenile delinquent friend removed it.

All he/she/it has done in "taking me on" is to become even MORE
DANGEROUS than Uncle Otie--the one he allegedly came to defend in the
first place.

What a pathetic little case.

MANUEL, RT is right.  You should be evaluated by an eye care
professional.  With any luck, our local trolls will get sweet justice
before too long.
Odis - 11 Jun 2007 15:46 GMT
>our local trolls will get sweet
>before too long.

Oh, is that so? When is the next feeding, dear Uncle Cookie?

I can't possibly wait any longer.

*Please feed the troll.*
Manuel W. - 11 Jun 2007 15:37 GMT
> Manuel, absolutelyinvincible@hotmail.com (whatever the name associated
> with it) is a troll. He or she apparently wants to inflict harm on
> people and to disrupt this usenet group for some reason.

Yes, I had noticed him before :-) don't worry.

> Please, if you are concerned about anything to do with your health,
> please seek out advice from a healthcare professional in person. You
> never know who could be on the sending end of an anonymous message on
> the internet. No one, not even a doctor, can safely diagnose over the
> internet.

Of course. I was only hoping that someone with experience regarding these
issues (an MD or ophthalmologist) might chime in with a guess. I won't take
those guesses as written in stone and I'll probably seek advice from a
healthcare professional, especially if the issue should arise again. But it
would be interesting nontheless to have a discussion on this over this
newsgroup, if there's anyone who would like to talk about it.

Thanks for your concern, it's appreciated. I understand that some people
might substitute a real doctor with the Internet, and that's certainly not a
safe thing to do.

-Manuel
Dr Judy - 11 Jun 2007 16:34 GMT
> Last week I've had an isolated, 5 minute event of vertical binocular
> diplopia, apparently out of the blue. I was leaning down to pick up
[quoted text clipped - 36 lines]
> Thank you for your opinions
> -Manuel

Possibly a migraine aura; they can present in many different ways.
Likely not a nerve palsy as it cleared up right away.

However, vertical diplopia is not normal and you should see your
doctor soon.  They may want to do a CTscan or MRI to rule out
incipient cerebral disease.

Dr Judy
 
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