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What Is Binocular Vision Dysfunction?

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A child has one eye pointing right and the other looking straight as a sign of binocular vision disorder

You count on your eyes to work together as a seamless team. When they’re aligned, your brain receives a single, clear picture of the world. But what happens if your eyes are slightly out of sync? This is a challenge the team at Heartland Eye Consultants can help address. 

Binocular vision dysfunction (BVD) occurs when your eyes are slightly misaligned, causing constant strain that can lead to a range of symptoms, from headaches and blurry vision to difficulty reading.

How BVD Affects You

Because BVD forces your eye muscles and brain to work overtime, you might notice symptoms that don’t seem connected to your vision at first, like physical discomfort. 

Common Physical Symptoms

Some of the physical symptoms associated with BVD include:

  • Headaches or migraines
  • Dizziness, nausea, or motion sickness
  • Neck, shoulder, or back pain
  • Poor balance or coordination
  • Sensitivity to light
A young child reads a book while wearing glasses

What Causes Eye Misalignment?

Several factors can lead to the misalignment that causes BVD. Sometimes it comes from physical differences in your eyes or facial structure, while other times it results from a health condition. Because of this, BVD can appear at any age.

Issues with Eye Structure and Sight

Conditions that affect how your eyes move or work together are a frequent source of BVD. This can include crossed eyes (strabismus) or a lazy eye (amblyopia).

Brain and Nerve-Related Conditions

The connection between your brain and eyes is critical for clear vision. A stroke, concussion, or another type of brain injury can disrupt this pathway and lead to BVD symptoms.

BVD Symptoms in Children and Adults

BVD can affect anyone, but the signs may look different depending on your age. Many of the symptoms are often mistaken for other issues, such as learning difficulties in children or chronic migraines in adults.

Signs You Might Notice in a Child

  • Frequently tilting their head to one side
  • Covering one eye to see more clearly
  • A short attention span for schoolwork or struggles with reading
  • Sitting very close to the TV or holding devices near their face

Signs You Might Experience as an Adult

  • Feeling anxious while driving, especially at night
  • A sense of being overwhelmed in crowded places like grocery stores
  • Constant eye fatigue after computer work
  • Ongoing neck and shoulder pain without another clear cause

What Happens if BVD Goes Untreated?

If BVD isn’t identified, your brain will continue to struggle to create a single, clear image. This can make symptoms like headaches, dizziness, and eye strain feel more intense over time. For children, untreated BVD (especially when associated with a lazy eye) can affect how their vision develops.

How BVD Is Diagnosed and Treated

Once you receive the correct diagnosis, treatments are available to help improve how your eyes work together. The first step is often a full evaluation to find the nature of the eye misalignment.

Get a Binocular Vision Exam

An eye doctor can perform a binocular vision evaluation to check for BVD. This process often includes reviewing your health history, conducting a detailed eye exam, and using tests to measure how well your eyes work together.

Micro-Prism Lenses and Vision Therapy

Treatment often involves special glasses with micro-prism lenses. These lenses bend light in a way that helps your brain combine the 2 images from your eyes with less visual strain. For some, a program of vision therapy (a set of exercises for your eyes and brain) can also help improve communication and teamwork.

Find Comfort Again

If you recognize these signs in yourself or your child, the team at Heartland Eye Consultants can help. Contact us today to schedule a comprehensive eye evaluation and find out whether BVD is contributing to your discomfort.

Written by Dr. Will Ferguson

Dr. Will Ferguson is originally from Hastings, Nebraska, and graduated from the University of Nebraska-Lincoln with a degree in biological sciences in 2005. He received his Doctor of Optometry degree from Southern College of Optometry in Memphis, Tennessee, in 2009. From there, he went on to earn a fellowship in the College of Optometrists in Vision Development in 2012.

He states, “there is a growing population of children suffering from learning-related visual disorders. It becomes difficult for these children to obtain information through their visual system, and it puts them at a significant disadvantage when compared to their peers. Children in these situations lose one of the most powerful tools needed to be successful in life…opportunity. Developmental vision care is rewarding to me because it offers people the ability to overcome their visual inadequacies and open the door to a future full of possibility.”

Dr. Will Ferguson is an active member of the Nebraska Optometric Association (NOA). Since graduating from the NOA’s Leadership Institute in 2014, he has served on the Board of Directors of both the NOA and the Nebraska Foundation for Children’s Vision. He is the proud recipient of the NOA’s Young OD of the Year award in 2019.

In his free time, Dr. Will enjoys spending time with his wife and 2 daughters, participating in outdoor activities, attending sporting events, and reading books.

More Articles By Dr. Will Ferguson

Vision Therapy

Vision therapy is an effective, non-surgical, doctor-supervised treatment that retrains the brain and eyes to work together more efficiently. Rather than compensate for vision problems, vision therapy aims to treat and correct the visual system itself.

Discover how we can help you or your child overcome vision problems such as strabismus and amblyopia, and build a greater sense of confidence. Take our vision therapy quiz today!

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  • 9900 Nicholas St, Suite #250
  • Omaha, NE 68114

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  • Monday: 8:15 AM 5:15 PM
  • Tuesday: 9:00 AM 5:15 PM
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  • Saturday: Closed
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