In an interview, vocalist Lou Gramm explained the origin behind the song: "'Double Vision' was a song that was written in about late 1977 just before the Double Vision album came out. ...A lot of people think it's about being intoxicated or being high. When we were recording that song before we had the title, the New York Rangershockey team was playing the Philadelphia Flyers and one of the big Flyers guys bumped into the Rangers' all-star goalie [John Davidson] and knocked him down and they had to take him out of the game because he was experiencing double vision."
According to the New York Rangers website, the incident actually took place in April 1978 during a hockey game between the Rangers and the Buffalo Sabres. The game announcers repeatedly used the phrase "double vision" which then inspired Foreigner to use it as the song's title.
The single is certified RIAA gold, selling one million copies, prior to the reduction of gold certification standards that occurred in the late 1980s.