Diplopia

[DadofTwins]

Hello All!

My daughter has been experiencing diplopia since her first seizure on May 1. She visited the Ophthalmologist today and he confirmed her vision coordination problems were caused by the seizures. When reading multiple lines her vision becomes blurred and lines blend, adding to her headache. She has had a terrible headache since May 1. She is scheduled to return to the Ophthalmologist in three weeks. He is hoping in the interim that this problem corrects itself.
If it does not, she will have to see a Neuro Ophthalmologist.
She just got back to school after three weeks. Finals are coming and it is hard for her to study.

Anyone have this experience? If so, what was the result?

Thanks,

Tom

 

[Krista2882]

Does she see single again when she covers one eye? I get double vision sometimes from Lamictal, and if I cover one eye I can see normal (just without normal depth perception, of course). This may help her while she studies until it goes back to normal. She can wear an eye patch... or tie a bandana over one eye like I did the first time it happened. lol.

 

[Nakamova]

Is your daughter on anti-seizure medication? If so, then it might be the cause, and worth talking about with her neurologist. It could mean that the dose is too high and needs adjusting.

 

[JillT]

If wears glasses/contacts it might also be a new perscription. I lost my glasses and just found them this morning. The difference is freaky and I was so dizzy that I'm back to wearing the old pair.

 

[DadofTwins]

Thanks!

Does she see single again when she covers one eye? I get double vision sometimes from Lamictal, and if I cover one eye I can see normal (just without normal depth perception, of course). This may help her while she studies until it goes back to normal. She can wear an eye patch... or tie a bandana over one eye like I did the first time it happened. lol.

Krista,
She says her headache intensifies with an eye patch. Currently using a magnifying glass, as the eye doctor says that he wants to see if it dissipates prior to prescribing glasses.

Tom

 

[DadofTwins]

Thanks for your input.

Is your daughter on anti-seizure medication? If so, then it might be the cause, and worth talking about with her neurologist. It could mean that the dose is too high and needs adjusting.

Nakamova,

She is on 500 mg of Keppra twice a day. This problem surfaced after the first seizure and prior to the meds. I'll call the doctor.

Thanks,
Tom

 

[DadofTwins]

Question

Today she said her double vision is getting worse. She is seeing a second image with a partial vertical displacement.

If anyone has any experience, it would be appreciated.

Tom

 

[drarvindr]

when she has the diplopia do you notice a squint? might be linked to an eye muscle spasm / some other neurological deficit ( unlikely)
Keppra has been linked to diplopia in some patients but it is fairly rare side effect in adults ( how old is your daughter? kids are more likely to have drug induced vision issues like diplopia and amblyopia) some studies have shown up to 2% of kids on keppra have had to reduce their dosage / stop due to visual defects, though figures vary.
If there is no other cause of diplopia , you may have to get the dosage reduced/ drug changed but remember that diplopia, dizziness and gait disturbances are much more common with sodium channel drugs like phenytoin, carbamazepine, oxcarbazepine and lamotrigine.

 

[DadofTwins]

She's 16 and has had a vision problem and headache since the first GM seizure on May 1. The second GM was on May 7 and the third at 2:00 AM the morning of May 13. She started on 250 mg twice a day and after 4 days upped to 500 mg twice a day. No seizures, for 10 + days but still has vision problem and headache.

 

[Hand of Blood]

i get double vision and blurry and the words all jumble up also! but i kinda always had that

your daughter might be getting it because of the tablets! i had real bad double vision for months when i started my tablets and very drowsy!

hope that helps.

 

[DadofTwins]

Thanks!

i get double vision and blurry and the words all jumble up also! but i kinda always had that

your daughter might be getting it because of the tablets! i had real bad double vision for months when i started my tablets and very drowsy!

hope that helps.

Thanks Hand of Blood!

Still has double vision and we are going for our 3rd visual field test tomorrow.

Soccer starts soon and as a goalkeeper, she needs to know which ball to stop.

Thanks!
Tom