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Depending on the severity of symptoms, various treatment options are available to people with persistent ophthalmoplegia. For mild conditions, prism glasses can be prescribed to correct specific types of double vision.
Adjustable focus eyeglasses are eyeglasses with an adjustable focal length. They compensate for refractive errors (such as presbyopia) by providing variable focusing, allowing users to adjust them for desired distance or prescription, or both.
Treatment of the double vision depends on both the type of double vision and the ability of two eyes to work together, also called binocular function. [12] Diplopia with normal binocular function is treated with prism glasses, botulinum injections into the muscles, or repeated surgery. [12]
The provider may prescribe an eye patch to relieve the double vision. The patch can be removed after the nerve heals. Surgery or special glasses (prisms) may be advised if there is no recovery in 6 to 12 months.
The most common application for this is the treatment of strabismus. By moving the image in front of the deviated eye, double vision can be avoided and comfortable binocular vision can be achieved. Other applications include yoked prism where the image is shifted an equal amount in each eye.
Symptoms of strabismus include double vision and eye strain. To avoid double vision, the brain may adapt by ignoring one eye. In this case, often no noticeable symptoms are seen other than a minor loss of depth perception.