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Double Vision when looking up

I have been experencing double vision when I look up with both eyes. It also hurts; like a squeezing pain and feels like my eyes are crossing but they aren't. I do read alot. Could it be tired eyes? When will it go away and is there anything I can do to get it to stop? Thank you.
Poster
  • Female | 36 years old
  • Complaint duration: 3 days
  • Ethnicity: Caucasian / White
  • Height: 66
  • Medications: Indomethacin, Humira, Methotrexate, Folic Acid
  • Conditions: Rheumatoid arthritis, Rheumatoid Heart Disease, Trigger Finger, Pericarditis, Anemia
  • Hospitalizations: 11/15/2014-11/20/2014 Regional Medical Center Bayonet Pointe, Hudson Florida

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Featured Answer

1 UpVoted this answer
It doesn't sound as if it is "tired eyes". It must be evaluated int he office to determine if there is a muscle weakness at the core. First, the double vision may be eliminated quickly by covering "patching" either eye to eliminate the double vision.Next is to decide what muscles are involved.First, you can immediately get rid of the double vision by covering (place a patch over) one of the eyes. Then further evaluation is necessary: this involves determining what muscle (s) is involved. Visual field testing may be required to see if there is a central cause of this. Visual fields should be carried out to see if the is a CNS problem.
Frank Weinstock
1 UpVoted this answer
Unlikely that it is just "tired eyes". In order to know if it will go away you must get a comprehensive eye exam to rule-out any neurological cause and to improve your symptoms.
Kosta A. Koutoulas
1 UpVoted this answer
Agree with other respondents. Its hard to diagnosis what might be causing your symptoms until you are seen for an evaluation. You should schedule an appointment with an eyecare provider soon.
Jason Schmit
1 UpVoted this answer
Based on your symptoms and current medications, you should see an ophthalmologist as soon as feasible
Michael Brenner
1 UpVoted this answer
Visit your local eye doctor. Double Vision, especially of the sudden onset variety, is nothing to become complacent about. It can certainly be something very serious and in some cases, life threatening. My advice, call your trusted eye doctor and get it checked out....yesterday.
1 UpVoted this answer
Many questions, difficult to address here. Was your double vision gradual or happen quickly?

This is difficult to definitively answer without seeing you in person. It could be anything from a decompensating phoria (you may have been born with eye muscle issue, but youth allowed compensation for it) to a nerve palsy where the nerve connecting a particular muscle to your brain suffered a 'short circuit' or ischemic event. More seriously, there could be a vascular issue within the brain nuclei themselves which control the eye muscles.

You may be at higher risk for vascular evens due to your autoimmune disorder. I would see a specialist asap just to rule out more serious possibilities.
1 UpVoted this answer
Your double vision feeling can be a real phenomenon. Please check with an ophthalmologist near you. You do have systemic diseases that may affect your vision. Rheumatoid arthritis, pericarditis and anemia can be all parts of a constellation of conditions called collagen vascular disease, which can affect the orbit. Orbital disease starts with double vision as a hallmark.
1 UpVoted this answer Catherine Ferentini, OD Optometrist, Newington
There are many potential causes of double vision and some can be serious. My recommendation is that you see your eye doctor immediately to determine the exact cause and come up with a medical plan to alleviate your symptoms.

Best in health

Dr. Higgins
Donald J. Higgins
Your condition requires an immediate consult with an eye doctor. It could be a serious condition like stroke.
Good Morning and thank you for your email.

The best thing to do is come in and have the Doctor take a look at your eyes. it is very difficult to

diagnose without seeing you. If you contact us at 702-896-6043, we can schedule an appointment for you to see the Doctor.

Thank you.

Michelle Cable