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Diplopia or double vision is seeing two images of a single object, either one on top of the other, side by side, or a mix of both.
People over 10 years of age with third nerve palsy usually have double vision (diplopia) due to misalignment of the eyes. If a droopy eyelid (ptosis) covers the pupil, diplopia may not be noticeable. Ptosis of the eyelid or an enlarged pupil may be the first sign of a third nerve palsy.