Diplopia caused by spike in blood sugar after using hydrochlorothiazide?

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Last week, my mom's doctor changed her dose of Zestoretic to increase the amount of hydrochlorothiazide she was taking due to an increase in water retention. My mom has been controlling her blood sugars well until this medication change. I've read that the medication can affect the blood sugar, which in turn can cause all kinds of problems, one of which being diplopia, otherwise known as double vision. Has anyone else ever had this problem as a result of spiking blood sugar levels? I've researched diplopia a lot and see that the majority of the time, it corrects itself. My mom is just about a basket case because she can't do anything but worry about it. She can't work. She is freaking out afraid that it's a permanent condition. I keep telling her that it's not permanent and it should get better with time. Anybody have any experience with diplopia and how long it lasted for you or someone you know that had it? She's really scared. Thanks for any input!
The diplopia could be caused by a condition known as Diabetic Lens Osmosis, which occurs due to high blood sugars. Water is forced into the small space between the lens and cornea, which causes blurry or double vision. It can correct itself as blood sugars return to normal, but the risk for permanent retina damage still exists with constantly elevated blood sugars.

I have experienced Diabetic Lens Osmosis, and it does correct itself, as long as you get the blood sugars under control. But if you strain to see for long periods of time to get around the lens osmosis, you can permanently damage your vision. It is the same phenomenon behind the trend in worse vision in the technology field. Constant eyestrain from reading text on a computer screen can permanently damage your ability to see at further distances.

The lens osmosis goes away a few hours to a few days after regaining good control of your blood sugar.

Now, in regards to your Zestoretic question... Hydrochlorothiazide has a well known side effect of hyperglycemia, so if her doctor put her on a higher dose of that, she should notify her endocrinologist immediately to formulate a new insulin dosage to account for the medication. You could experiment around, but its probably best to ask a doctor first before you do anything.

Again, don't take any of my advice as medical fact. Just know that Ive been in these situations before, and thats what has worked for me.  (+ info)

Diplopia question???

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I found this picture online, and it captured what I see things like on a daily basis perfectly:

http://images.google.com/imgres?imgurl=http://bp3.blogger.com/_zWRyD80BSBk/Rsdb52wfFwI/AAAAAAAAC_c/aCutHWsPBbI/s400/Diplopia.jpg&imgrefurl=http://h5l5n5-artyshow.blogspot.com/2007/08/blog-post_18.html&h=400&w=300&sz=16&hl=en&start=1&um=1&usg=__xPzBtJruozE4zkuo-7slHHNCdwU=&tbnid=6nSEJHsb_XDpOM:&tbnh=124&tbnw=93&prev=/images%3Fq%3Ddiplopia%26um%3D1%26hl%3Den

Now replace that glass with basically everything in your life, and that's what I see (although not usually that "crossed"-- it would only be like that if it were a foot or two away from me).

The further I am away from something, the less it looks like that. (If you put that glass a good twenty or thirty feet away from me, it would look like one glass.) The closer I am, the more it looks like that. Also, it depends on the size of the object-- smaller objects tend to be more "crossed" than larger objects.

Is this actually diplopia? And how can I explain what I'm seeing to my eye doctor?

(I'm looking for serious answers please, I'm at a loss for how to describe this to my doctor.)

Thank you!
I might just be over thinking this. Am I?
And this happens only when both eyes are open. If I close either one (I've tried before), the double vision-ness goes away.
You just did an excellent job of describing this. Explain to your eye doctor that you are seeing double (diplopia) when you look at things and that the closer you are to it, the more noticeable it is. Also explain that it happens with both eyes open and disappears when you close one eye.
You eye doctor may prescribe eye exercises, glasses, or both depending on the cause of your diplopia.
Also be sure to tell them when this started (when you first noticed it), how often it happens, if it happens more after certain activities or a certain time of day, etc.   (+ info)

Chronic Monocular Diplopia, ideas?

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Little about myself: 30yrs old, male, Caucasian. I have had the monocular diplopia to some degree for the past 2years or so.. give or take. It seems fairly stable, with any 'change' probably being merely my paying attention to it rather than a progression ( at least that is what I am going to believe for now :) ).

What I mean by this is what I described,.. Double vision in each eye , alone. -- If I cover one eye, I see 'vertical' double vision -- more adequately described as a ghost image.. as the ghost image doesn't 100% separate from the real/original source image. But it is your typical diplopia.

Very noticeable from LED's, lights, lamps, digital clocks,.. but also appears on non 'light sources'. It *is* more pronounced the darker it is (ie: the larger the pupil) -- but most aberrations are I would have to guess.. in general.

Not much to say about what I see here, except you could probably reproduce some form of this if you went outside at night and looked at a street light and squinted your eyes until the light started to blur and distort. The rays coming out are what I see with my eyes normally. Very obviously, and prominently ghost images.

Just to add to this, if it might be of relevance,.. is I see halo's around light sources, and starbursts on car headlights, computer power/hd leds (or any led) for that matter.

Thing that just a few years ago were very clear, and sharp.. are now a blur (light sources). IE: I used to love LED's for their look, brightness, clarity, low heat and so on .. now I cannot stand them because they (for I suspect by design) , really bring out this problem in my vision. They are piercingly bright now.. where even on the newer cars that have LED's as their primary source for things such as brake lights make me look in another direction as they are too bright (when they used to just look 'nice' a few years ago).

I am 30,.. as I mentioned, this started in my late 20's.. so it isn't exactly a huge 'age' factor.

Vision wise: -- I have had 2 Optometric exams , dilated fundus, etc.. and visual acuity is 20/16, with no significant astigmatism, or any other low order aberration found that needed correction. *They have found a slight degree of astigmatism, something like .25D - but being so minor I noticed no improvement with correction, so it isn't prescribed (nor does the correction take away the diplopia) (I did not specifically mention this at my last exam.. but will in the future).

One optometrist mentioned that I seem to have 'hawk eyes'.. hinting that my eyes 'over-do' something.. which gives me my acuity but makes convergence harder (IIRC).

At any rate,.. from all the research I have done monocular diploplia is extremely rare -- and nothing seems to really explain it in my case. I do think it is affecting my vision more than just the obvious ghosting I notice on light sources and to some degree on normal objects. As I am having a more difficult time reading, concentrating, focusing, and so on. I know visual problems often are the culprit for problems such as these and people don't realize how much so until they get the problem treated.

The only piece of possible explanation is that this is created by some HOA (High Order Aberration), which standard testing poorly, or does not, detect. I have contacted a local opthalmologist and have a standing appointment for a thorough exam for this.. and importantly the use of Wavefront technology to map my eyes for such HOA's. (This is by my request not theirs).

I just wanted to be very thorough with the question and line of thought so maybe you eye experts could give me your thoughts, or if you have anything to add, ideas,.. potential Dx's, etc.

Don't worry I don't take anything online as 'official'.. but I would appreciate educated (professional or well-read ) opinions on the matter.

Thank you,
You are describing HOA's. I would be suspicious of something in the cornea and that would be the part of the optical media that I would examine most thoroughly. If the cornea appears normal in slit lamp then I would definitely take a closer look with a topography. What you are describing is most often seen after refractive surgery (LASIK, LASEK, PRK) and as you very well describe get worse when the pupil is dilated and more of the refracted light from the cornea is allowed into the eye. HOA's after refractive surgery are a result of an irregular corneal surface or the result of the treated area being smaller than the pupil. If you haven't had refractive surgery before, then I would be interested in corneal dystrophy's that affect the surface of the cornea - Epithelial Basement Membrane Dystrophy, Reis-Buckler's, Salzman.

The lens is also not to be forgotten as slightly displaced lenses or misshaped lenses can cause monocular diplopia.

I am sure that your ophthalmologist will be able to shed light on the matter after your planned examination.

take care,  (+ info)

how can we eliminate diplopia that apears after strabismus surgery?

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my sister has 22 years old.she had a little strabism in her left eye form childhood(lazy eye).3 years ago we deside to surgery her eye but unfortunately the doctor no skilled enough for this operation and eye devitation increased and eye,s muscle draged(drawed) more than it should be and diplopia(two vision) appeard.then we decide to second sergury.in this time devitation of eyes almost removed(a bit of this remined yet but eyes seem normally).but she is still suffering from diplopia and we try a variety of prism in offices of different ophthamologists and any of this prisms couldn,t help us.we live in iran.
for god sake please help us.
It sounds as though there is no fusion, the ability of the two eyes to "lock" two images into one. This is unfortunately not uncommon with late strabismus surgery.
If prisms have been tried, further surgery seems unlikely to help and the diplopia is intolerable, the only recourse is to suppress the image from one eye in as cosmetically acceptable and functional way as possible.

Sometimes a "wrong" spectacle Rx, deliberately over-plussing the non-dominant eye, can cause central suppression and the end of diplopia while the glasses are being worn. The glasses there would look perfectly normal.

There are various grades of clear but opticaly poor film which can be applied to glasses to produce a similar effect if the above does not work, without going to the extreme of a black or frosted lens on one side.
A high-tech answer to persistent diplopa can be a clear contact lens with a black pupil.
(I don't want to assume such are or aren't available in Iran)

Best wishes.
Optometrist, retired.  (+ info)

astigmatism diplopia?

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I have been having some issues with diplopia, which occurs even when I cover my one of my eyes. It happens in both eyes, and it ususally worst when looking at a very light or contrasted object. If I shift my eye over this object, I will usually see two objects for a split second, then I see one. I also sometimes notice I will see slight ghosting on something I look at. I also so streaks of light when I shift my eyes over the light quickly. I also seem to have trouble focusing on things at certain distances from me. I went to an optometrist and see said I have astigmatism and need glasses should take care of all this. Are all the symptoms im describing typical of astigmatism? I want to make sure this is the correct diagnosis before I buy a $600 pair of glasses. Thanks
Glasses could help. It could also be early cataracts or something in your retina or corneal surface irregularities. Did you have your eyes dilated? After your optometrist figured out what your prescription was (with trial lenses or a phoropter and flipping a bunch of lenses and asking you which was better, 1 or 2?) did you see only one of each image? $600 seems like a lot for glasses. Are there any cheaper frames and/or lenses?  (+ info)

Could glasses help Diplopia?

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I have it. There was a number for the type of glasses(like strength) on the paper but he said I did not need them but this is last year and I feel as though its getting worse. I believe it said 1.75
Yes. Lenses can help diplopia.  (+ info)

are there any special lenses for correcting diplopia? can it be corrected by surgery?

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The diplopia occured after surgery for retinal detachment
Diplopia is not uncommon after retinal detachment surgery. The causes are either:
1) reposition or adhesion in the extraocular muscles after a scleral buckling proceedure. or 2) Shifting of the macula or preferred locus or retinal fixation due to a malposition of the detached retina.

Surgical realignment of the eyes is a viable alternative in cases that are stable and where there exists a potential for central fixation and where no tortion is involved.
Conversely, correction by prism may work for small deviations but once again torsional diplopia is very difficult to correct.

The bottom line is that your primary ophthalmologist should be consulted in regards to your particular case.  (+ info)

What is the name of this eye surgery?

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I'm looking for information on a specific type of eye surgery but I can't remember the name of it to look it up. I believe it's where they go in and cut a nerve or something so that that eye is the same as the other eye. The reason for the surgery is for people who have diplopia (double vision) and/or amblyopia (lazy eye). Once that nerve or whatever is cut, the eye will focus and move the same as the other eye. Does anyone know what the name of this surgery is?
Noooo they don't cut any nerve. They correct misalignment of the extraocular muscles. It is called Strabismus surgery. Approximately 1.2 million procedures done every year.  (+ info)

i have multiple sclerosis!! and diplopia because of that.?

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any one here with similar medical ailment?

its disturbing
I have MS also, and when I am in a relapse it always seems to effect my vision. I have a lesion on my optic nerve, which causes my double, my blurred and triple vision. If that is what your having, it sounds like you are in a relapse. You need to go see your Neurologist and get on a course of steroids to bring down the inflammation in your brain. If you leave it untreated, it could leave permanent damage, because of the scar tissue, so take it serious. Good luck hun, and you can e-mail any time with any other questions or concerns!  (+ info)

What eye exercises can I do to strengthen muscles that have gone weak enough to cause me to suffer diplopia?

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What eye exercises can I do to strengthen muscles that have gone weak enough to cause me to suffer diplopia (double vision)? Only two years ago I was right eye dominant. Now apparently my eyes want to work independently of each other and get tired easily after a day of consciously making all objects to be visually seen as single instead of double.

Related or unrelated? My left eye obvious to me has some problem as it sets lower on my face and remains about 75-85% open in comparison to the right.
You need to visit an eye care specialist that works with vision training. Usually they have to give you some type of equipment that will make sure you're not suppressing when you are training your eyes.

They will be able to determine if you should have vision therapy or have a quick fix with prisms.  (+ info)

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