Double Vision Los Angeles - Hollywood Vision Center

Double Vision Los Angeles

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We Provide Quality Care for Diplopia (Double Vision)

If you have diplopia (double vision or ghost images) you should see an Optometrist as soon as possible. A sudden onset of diplopia in children or adults is more of a concern than a longstanding one, but both warrant a visit to the Optometrist to diagnose whether the condition is temporary, related to poor eye muscle coordination, or the result of a potentially serious neurological or health problem.

Longstanding diplopia can be associated with developmental binocular problems when the ability to use both eyes together never developed properly. Temporary double vision can result from drinking too much alcohol, or fatigue. This may indicate that you have a slight eye turn that is not noticeable cosmetically, but causes problems when you are drunk or tired. The danger is that you may be wasting energy daily by subconsciously compensating for this tendency for your eyes to drift apart which leads to fatigue, eye strain, and decreased productivity.

Double vision can also result from a more serious problem such as:

  • Stroke or cerebrovascular accident (leads to temporary or permanent cranial nerve palsy causing misalignment of the eyes)
  • Third nerve palsy from diabetes
  • Traumatic or acquired brain injury (from sports, car accident, a blow to the head, etc.)
  • Orbital fracture and trapped eye muscle
  • Multiple Sclerosis

If you have a sudden onset of double vision, and a severe headache, or muscle weakness, call 911 immediately.

Conditions that cause double vision include:

  • Strabismus: (also known as “cross eyed” or “wall eyed”): the inability to align the eyes. One or both eyes may turn in, out, up, or down. It may be constant or intermittent.
  • Exophoria: (convergence insufficiency) or Esophoria (convergence excess): eyes that have a tendency to drift in or out due to poor eye muscle coordination. This can be developmental or acquired. It can be aggravated by an increased visual workload such as heavy computer use, desk work, or studying. If the eyes are already working hard to compensate for the tendency to drift apart, prolonged use of the eyes can fatigue the eye muscles resulting in ghost images, images that appear to move, or double vision. The eyes can be held straight, but with excessive effort, and wasted energy. These problems are fairly common, and treatment is very effective.
  • Fusional: instability: poor sensory ability to fuse the two images from both eyes together to form a single, 3 dimensional image. This may result in ghost images, unstable images, poor depth perception, or intermittent double vision.
  • Astigmatism: optical problem resulting from incorrect focus of images on the retina. This can usually be easily corrected by glasses or contact lenses.
Side effects of untreated Double Vision

Double vision can cause problems such as visual confusion, clumsiness, impaired balance, and poor 3D vision or depth perception. This diminishes your ability to localize where objects are in space, and can lead to poor eye hand or eye body coordination in sports (such as catching a ball or hitting a ball in baseball, free throws in basketball, tennis), driving (parallel parking), and judging the depth of stairs while walking.

Treatment for Double Vision (Diplopia)

If it is determined that there is no serious underlying health reason for your double vision, phoria or strabismus, the treatment choices include patching, strabismus surgery and Vision Therapy

Vision Therapy is a highly effective type of physical therapy that works on eye muscle control and coordination to improve eye muscle alignment non-surgically, and improve the efficiency of visual motor input and processing. Vision Therapy consists of weekly office sessions with a therapist, under an Optometrist’s prescription and guidance, combined with home therapy to reinforce skills taught, and accelerate treatment. The goal for patients with double vision is to eliminate the diplopia and symptoms and performance issues that it causes. Vision Therapy also works to improve eye teaming skills, depth perception, eye hand coordination, visual spatial localization, and overall visual efficiency.

Strabismus surgery works by cutting the eye muscles and re-inserting them on the eye in a different position to straighten the eye. The effectiveness of surgery depends on the muscles involved, the direction of the eye turn, and the amount of the eye turn. Vision Therapy is recommended in conjunction with surgery to retrain the brain how to use the eyes together as a team, and how to see 3 dimensional images, etc. This increases the likelihood of success.

Surgery may decrease the amount of an eye turn cosmetically, but Vision Therapy is still needed to train the eyes to work together, and to stimulate the weaker eye to track, and fixate. Surgery usually requires multiple surgeries unless Vision Therapy is done to train the brain how to use the eyes together. It’s like doing knee surgery without going through Physical Therapy: you cannot get a functional cure without doing therapy to improve eye muscle control and coordination.

If you have any questions regarding double vision, please call our office at (323) 521-4770 for an appointment with one of our doctors. We also offer complimentary phone consultations for Vision Therapy to determine if you should come in for a full evaluation to help you or your child.

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Wow! Was I surprised to find an Integrative optometrist

Wow! Was I surprised to find an Integrative optometrist! I’m all about cutting edge medicine and this is one more addition to my group of caregivers. I’d been hearing about Dr. Brisco from a few people, so I made an appointment. The office is lovely, the staff is amazing, kind, helpful, and they explain everything before they do it.

yelp-square-social Wendy K.

Dr, BRISCO, is one of the best optometrists

Dr, BRISCO, is one of the best optometrists that i have ever been to. The staff there is so pleasant they all make sure you understand everything
I went to Dr. Brisco 16 years ago and thought I lost her when I found her I was so happy because before that I had gone to Len Crafter who I feel ruined my eyes the exam was so quick. Dr Brisco is one of the best in explaining what is going on I would advise anyone that needs an eye dr to visit them.

  Mary G. - Los Angeles, CAyelp-square-social

A special “thank you” to Dr. Brisco

A special “thank you” to Dr. Brisco and the staff who helped me in transitioning through a medical challenge. Knowing you are there for me gave me extra strength to continue my fight. God bless!

Patricia A.


The absolute BEST EXPERIENCE I've ever had! Dr. Brisco is not only tops in her filed, her attention to detail and your piece of mind ensured that we had a great experience with new eyes. Whether you want to get your eyes checked or have the latest procedures, Dr. Brisco and her team rock the socks off LA!

  Fireball Tim L. - Malibu, CAyelp-square-social

Dr. Brisco is the best

Dr. Brisco is the best. She has been my optometrist since I moved to LA in ’98.

Bryan G.

Extremely Knowledgeable

Dr Brisco gave my daughter and I the best and most thorough eye exam we have ever had. She is extremely knowledgeable and works very hard with you to get the best vision possible. I would recommend her to everyone and especially to anyone who has problem eyes – either from age, allergies, just plain bad vision – whatever. She will get you to the best you can be.

M. Hyatt

Thank you, Elise Brisco

It is wonderful to see a Dr who really cares, is thorough, smart, solves problems and is so conscientious about looking over how my vision has changed over the years so that it can be understood. She has really made it possible for me to continue to function in a visual word–both professionally and personally. Thank you, Elise Brisco.

yelp-square-social Amanda P.

Very friendly staff and personable patient care

I experienced very friendly staff and personable patient care. I felt there was genuine concern for my visual health.

Aaron M.

Best eye doctor in Los Angeles

Dr. Elise Brisco is by far the best eye doctor in Los Angeles. She is extremely knowledgable in her area of expertise and I am confident in her abilities. In addition, she is one of the rare doctors who actually knows you by name. If you are looking for the best, a visit to Hollywood Vision is highly recommended!

Jenine M.

Very pleased with the service

I get my glasses at Hollywood Vision Center Optometry, and I am very pleased with the service. They have an excellent selection of frames, and the staff are very pleasant and professional.”

C. Hudley

Professionalism and Personal Care

15 years with HVCO, and always with the same superlative service, analysis and treatment. Dr. Brisco is a great combination of professionalism and personal care. I never feel rushed and everything is explained. Plus, an attentive, knowledgeable, supportive staff.

B. Rayman

Amazing Experience

I had an amazing experience with Dr.Brisco, she is not only a great doctor but also a wonderful human being. She is incredibly experienced and intelligent but also very empatheric and full of humanity. I had tried contacts before but couldn’t tolerate them. She not only found a design that worked for me but answered my questions and concerns in a way that other optometrists hadn’t been able to. I am so glad that I found her, it really changes your experience of the world and of life in general to be able to see clearly on a daily basis.

Karla O.

Great Place to Visit

As always, the office is a great place to visit. The staff is friendly and you can tell they’ve been working smoothly together for a long time.. I loved seeing Dr. Brisco’s delightful son, who is adorable. The doctor herself is, as always, gracious, professional and warm. While you know she’s moving things along I never feel rushed and it’s always nice to see what she’s wearing, as she’s got a great sense of style. My new glasses work very well, and that’s always a plus!

Marie L.

Excellent service!

Excellent service! This was my first visit to Dr. Brisco’s office and my first eye exam ever! I was well informed of every test performed and was highly involved in the overall process. I will definitely be keeping Dr. Brisco as my optometrist and also referring her to my friends and family. With the help of her staff I left with 2 stylish pair of frames and smile on my face. They are great! No complaints over here.

Seinya M., Los Angeles

Excellent service, excellent attention.

Excellent service, excellent attention.

V. Ravine

Thank you Dr. Brisco.

Thank you Dr. Brisco. I’ve always been scared to get my eyes checked but you made me feel very comfortable and made me understand how important it is to get my eyes checked yearly. I would also like to say that I felt glad you checked my sons eyes, I know he is only 10 months old but for my son I want the best and I’m very aware that part of learning for kids comes very much from vision. Thank you for making my first eye exam experience the best.

Cynthia L., Los Angeles

Would recommend to anyone

Our entire family has been coming to see Dr. Brisco for years and we have been thrilled with her services. Would recommend to anyone!!!

yelp-square-social JL S.

Dr. Brisco and her team took great care

As always, Dr. Brisco and her team took great care in meeting all of my vision needs. Dr. Brisco is caring, thorough and genuine. Her knowledge and understanding of her craft is unparalleled. My eyes are my livelihood and with Dr. Brisco gives me the best care possible.

Salvatore C., Encino

They are the best

They are the best. Dr. Brisco is an expert in vision therapy. I have been getting vision therapy this year and is helping alot.  Cee Cee has been providing the vision therapy and she has been amazing. As an attorney I need to be able to read accurately and so glad they are here to help.

  Janeen S. - Honolulu, HI yelp-square-social

Very friendly and an excellent listener

I saw Dr. Brisco for my post-lasik checkups and found her very friendly and an excellent listener. I had a minor hemorrhage (the laser tagged a small blood vessel during surgery) post surgery and Dr. Brisco answered all of my questions and concerns.

yelp-square-social Marion L.

Thanks Hollywood Vision Center

Things are getting better since my last experience. Over the course of a year, Hollywood vision center got their customer service act together.

I have had a pleasant experience directly with the Dr and Julie. They made sure my questions were answered and took the time to make sure that all is well even after my move to Sacramento.

Thanks Hollywood Vision Center

  Eli M. - Sacramento, CA yelp-square-social

Very friendly and an excellent listener

Best eye exam. My son is 14 months old and Dr. Brisco was pretty thorough on why it was important for him to get his eyes checked, thank goodness to her expertise my son came out clean he does not have any vision problems which was my concern because I am near sighted with astigmatism. My wife also had her first eye exam ever and she was extremely happy. Once again thank you Dr. Brisco and staff.

yelp-square-social Marion L.

Very Friendly Staff and The Doctor

Very friendly staff and the doctor she's very insightful. .will recommend this place to anyone also great selection in glasses !!!

  Jenny O. - Chatsworth, CAyelp-square-social

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