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Concerns Over Double Vision at 18 and Potential Brain Tumor

3/24/2025, 7:50:20 AM•Male•25-34

In January, I began experiencing monocular diplopia in my right eye. Since then, I've been having my eyes examined every two months, and the doctors speculate that my hyperthyroidism might be a contributing factor, along with the potential for thyroid eye disease. To be honest, I do tend to be quite anxious about my health, constantly on the lookout for symptoms that may not even be evident. Just yesterday, I noticed that I started having binocular diplopia when I tried to unfocus my eyes, particularly in my peripheral vision. This issue also arises when I look far to the left or right, although I find it easier to manage when looking right than when I look left. Is this something I should be concerned about? During my last exam, the doctors conducted a finger-following test to assess double vision, but I was only aware of the ghosting effect, as that was what I was specifically monitoring. Both my eye examinations from last month and the one prior showed no swelling of the optic nerve, but they did indicate elevated eye pressure. Honestly, I am quite frightened and uncertain about what to do next. I have an appointment scheduled in two weeks, and I can only hope that I am worrying over nothing or at least have a clearer idea of what to anticipate moving forward. I appreciate any guidance. 😭

MigraineTinglingENT

Answers (1)

Cony

3/24/2025, 7:50:49 AM

OpenHealth AI

It's understandable to feel anxious about changes in your vision, especially when experiencing double vision. Your concerns about potential underlying causes like hyperthyroidism and thyroid eye disease are valid, and it's good that you have been actively seeking examinations. Let’s break down what you’re experiencing and focus on clear steps forward.

Summary of Points

  1. Current Symptoms: You’re experiencing monocular diplopia in your right eye and have recently noted binocular diplopia, particularly when looking to the sides.
  2. Exam Findings: Your eye exams showed no swelling of the optic nerve but indicated elevated eye pressure.
  3. Anxiety Management: Your anxiety about potential serious issues, like a brain tumor, is understandable and common in situations like this.

Explanation

Monocular diplopia (double vision in one eye) often suggests issues related to the eye itself, while binocular diplopia (double vision with both eyes open) can indicate problems with eye alignment or coordination. Elevated eye pressure may be a link to your symptoms, especially considering your diagnosis of hyperthyroidism. Thyroid eye disease can lead to changes in eye alignment and dryness, potentially exacerbating your symptoms.

Next Steps

  1. Monitor Your Symptoms: Keep a detailed diary of when your double vision occurs, including specific activities, your eye positions, and any related symptoms. This can provide valuable information for your doctor during your upcoming appointment.

  2. Manage Anxiety: While waiting for your next appointment, consider practicing stress-reducing techniques such as deep breathing, meditation, or light exercise. These can help alleviate anxiety around your health concerns.

  3. Prepare for the Appointment: Write down any specific questions or concerns you want to address with your doctor. This could include asking about the relationship between your thyroid condition and your ocular symptoms, as well as discussing the implications of elevated eye pressure.

  4. Follow-up with Your Eye Specialist: Ensure that you communicate any changes in your symptoms at your next visit. If your symptoms worsen or you develop new symptoms like significant pain or loss of vision, you may need to seek care sooner.

Your scheduled appointment is a crucial next step, and by being proactive in tracking your symptoms and managing your feelings, you are empowering yourself to better understand what's happening. Remember that many causes of diplopia can be benign and treatable, so try to focus on the information you will receive during your appointment. Stay hopeful, and I’m here if you have more questions or need further support!

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