Important Causes of Diplopia TIER 1-CRITICAL Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn TIER 2-EMERGENT: Vertebral dissection, Myasthenia gravis, Wernicke's encephalopathy, Orbital apex syndrome, Cavernous sinus process TIER 3-URGENT: Brainstem tumor, Miller-Fisher syndrome, Multiple sclerosis, Thyroid myopathy (Graves disease), Ophthalmoplegic migraine, Ischemic neuropathy, Orbital myositis, pseudotumor, Orbital apex mass #Diplopia #differential #diagnosis #ophthalmology