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Diplopia can also occur when viewing with only one eye; this is called monocular diplopia, or where the patient perceives more than two images, monocular polyopia. While serious causes rarely may be behind monocular diplopia symptoms, this is much less often the case than with binocular diplopia. [ 15 ]
Monocular vision is known as seeing and using only one eye in the human species. Depth perception in monocular vision is reduced compared to binocular vision, but still is active primarily due to accommodation of the eye and motion parallax. The word monocular comes from the Greek root, mono for single, and the Latin root, oculus for eye.
Cerebral diplopia or polyopia describes seeing two or more images arranged in ordered rows, columns, or diagonals after fixation on a stimulus. [1] [2] The polyopic images occur monocular bilaterally (one eye open on both sides) and binocularly (both eyes open), differentiating it from ocular diplopia or polyopia.
Suppression of an eye is a subconscious adaptation by a person's brain to eliminate the symptoms of disorders of binocular vision such as strabismus, convergence insufficiency and aniseikonia. The brain can eliminate double vision by ignoring all or part of the image of one of the eyes.
Obscured vision due to papilledema may last only seconds, while a severely atherosclerotic carotid artery may be associated with a duration of one to ten minutes. [6] Certainly, additional symptoms may be present with the amaurosis fugax, and those findings will depend on the cause of the transient monocular vision loss. [citation needed]
In contrast, monocular double vision doesn’t go away when a person closes one eye, he said. This type is not caused by strabismus. Some people with misaligned eyes may not have double vision.
If the images are unable to be fused the W4LT is still indicated to help to determine if an individual appreciates diplopia (double vision) or are suppressing an image from one eye. In cases of manifest strabismus the test can help in determining the nature and type of the diplopia or which eye is suppressing.
Monocular diplopia (or polyplopia) from reflections at boundaries between the various ocular media; Phosphenes from stimulation other than by light (e.g., mechanical, electrical) of the rod cells and cones of the eye or of other neurons of the visual system; Purkinje images.