microscope diplopia

Hi there. My name is Idit and I am a young doctor. I have a diplopia (I see double - horizontally) - only when I look through a microscope and some times when I am tired and looking on something very close to me, like a book. The two images that I see are quite far from one another and one does not look like a shadow of the other. Both of them are in focus. I tried changing the distance between the two lens and changing the refraction adaptation, without any change. T A prism ruler of 25 D. made the two figures converge into one , but I was told that prism glasses of this D. is too much and can cause damage for my sight in the long distance. .This is important to me as I thought of neurosurgery for my internship. Thank you very much for helping me.

[John C Hagan III, MD, FACS, FAAO]

You need to be checked in the ophthalmology department of your medical school. You should try and get in to see a strabismus specialist (opften called a pediatric ophthalmologist). You need your depth perception checked and a detailed examination of the 12 extraocualr muscles.

JCH MD

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