{"id":20391,"date":"2022-01-04T09:35:55","date_gmt":"2022-01-04T09:35:55","guid":{"rendered":"https:\/\/www.optometrists.org\/?page_id=20391"},"modified":"2022-01-04T09:36:12","modified_gmt":"2022-01-04T09:36:12","slug":"what-is-vertical-heterophoria-signs-and-treatment","status":"publish","type":"page","link":"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-binocular-visual-dysfunction\/what-is-vertical-heterophoria-signs-and-treatment\/","title":{"rendered":"What Is Vertical Heterophoria? Signs and Treatment"},"content":{"rendered":"<h2><b><i>Do you feel dizzy?\u00a0<\/i><\/b><b><i>Do you have frequent headaches?\u00a0<\/i><\/b><b><i>Do you experience motion or sea sickness?\u00a0<\/i><\/b><\/h2>\n<h2><b>You may be suffering from vertical heterophoria.<\/b><\/h2>\n<h2><b>What is vertical heterophoria (VH)?<\/b><\/h2>\n<p>Vertical heterophoria (VH) is a type of <a href=\"https:\/\/www.optometrists.org\/vision-therapy\/guide-to-vision-therapy\/binocular-vision-disorders-6-frequent-qas\/\">binocular vision dysfunction<\/a> (BVD) resulting from\u00a0 a vertical misalignment of the eyes.<\/p>\n<p><b><a href=\"https:\/\/www.optometrists.org\/vision-therapy\/guide-to-vision-therapy\/the-5-most-frequent-binocular-vision-problems\/\">Vertical heterophoria<\/a> occurs when one eye is slightly misaligned, resulting in serious vision problems<\/b>.<\/p>\n<p>Even slight misalignment between the two eyes causes there to be a significant enough difference in the visual information sent to the brain by each eye, that your eye muscles are forced to make constant corrections to help you see clearly.<\/p>\n<p><b>Over time, this constant strain on the eye muscles leads to a number of uncomfortable symptoms, including eye strain, headaches and even migraines<\/b>.<\/p>\n<h2><b>Causes of vertical heterophoria<\/b><\/h2>\n<p>In the vast majority of cases, vertical heterophoria is a condition that a person is born with, as its primary cause is your DNA genetics.<\/p>\n<p>Because our bodies and brains are remarkably good at compensating for shortcomings and disabilities, it may take years for the effects of vertical heterophoria to surface, and for symptoms to become apparent.<\/p>\n<p>In some cases, a traumatic brain injury, such as a <a href=\"https:\/\/www.optometrists.org\/vision-therapy\/neuro-optometry\/vision-and-brain-injuries\/traumatic-brain-injury-and-neuro-optometry\/5-essential-tbi-facts-you-may-not-know\/concussion-and-vision\/\">concussion<\/a> can bring on or exacerbate symptoms of vertical heterophoria.<\/p>\n<h2><b>Symptoms of vertical heterophoria<\/b><\/h2>\n<p>Vertical heterophoria symptoms are often not constant. You may go hours or even days without feeling any symptoms at all, before sudden onset leaves you feeling disoriented and sick.<\/p>\n<p>Symptoms may include:<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Dizziness<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Headaches ranging in intensity, from minor discomfort behind the eyes to pounding at the temples.<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-binocular-visual-dysfunction\/migraines-and-bvd\/\">Migraines<\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Pressure or a feeling of heaviness in the crown of the head, comparable to sinus pain.<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Feeling unsteady when walking or inability to walk straight<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Nausea<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Motion or sea sickness<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Pain when moving the eyes<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Sensory overload; disorientation due to an excess of visual stimuli<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Driving difficulties<\/li>\n<\/ul>\n<p><b>SEE RELATED: <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-binocular-visual-dysfunction\/what-is-binocular-visual-dysfunction\/\">What is Binocular Visual Dysfunction (BVD)<\/a><\/b><\/p>\n<p><strong>If you are experiencing any of the symptoms above, <a href=\"https:\/\/www.optometrists.org\/practice-search\/\">schedule an appointment with an eye doctor near you,<\/a> you may have vertical heterophoria.<\/strong><\/p>\n\n\t<div class=\"practice-search-widget\">\n\t\t<h3>Find an eye doctor near you<\/h3>\n\t\t\n\t<form class=\"practice-search-form practice-search-form-widget\" action=\"https:\/\/www.optometrists.org\/practice-search\/results\/\" method=\"get\">\n\n\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\t\t<input type=\"hidden\" name=\"page\" class=\"practice-search-page\">\n\t\t<input type=\"hidden\" name=\"address_latitude\"><input type=\"hidden\" name=\"address_longitude\">\n\n\t\t<input type=\"text\" name=\"address\" class=\"practice-search-address\" placeholder=\"City, Surburb or Address\" value=\"\">\n\n\t\t\n\t\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\n\t\t\n\n\t\t<button type=\"submit\" class=\"practice-search-button\">\n\t\t\t\t\t\t\t\t\t<svg width=\"19\" height=\"19\" viewBox=\"0 0 19 19\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M10.6796 0.130005C9.15708 0.130059 7.66615 0.5646 6.38198 1.38258C5.09781 2.20057 4.07373 3.36803 3.43004 4.74783C2.78634 6.12763 2.54976 7.66246 2.74808 9.17205C2.9464 10.6816 3.57139 12.1033 4.54964 13.27L0.729639 17.08C0.6364 17.1732 0.562439 17.2839 0.511979 17.4058C0.461519 17.5276 0.435547 17.6581 0.435547 17.79C0.435547 17.9219 0.461519 18.0524 0.511979 18.1743C0.562439 18.2961 0.6364 18.4068 0.729639 18.5C0.917942 18.6883 1.17334 18.7941 1.43964 18.7941C1.5715 18.7941 1.70207 18.7681 1.82389 18.7177C1.94571 18.6672 2.0564 18.5932 2.14964 18.5L5.99964 14.62C7.35406 15.6038 8.98566 16.1324 10.6596 16.13C12.7814 16.13 14.8162 15.2871 16.3165 13.7869C17.8168 12.2866 18.6596 10.2517 18.6596 8.13C18.6596 6.00827 17.8168 3.97344 16.3165 2.47315C14.8162 0.97286 12.7814 0.130005 10.6596 0.130005H10.6796ZM10.6796 14.13C9.49295 14.13 8.33291 13.7781 7.34622 13.1188C6.35952 12.4595 5.59049 11.5225 5.13636 10.4261C4.68224 9.32975 4.56342 8.12335 4.79493 6.95946C5.02644 5.79558 5.59788 4.72648 6.437 3.88736C7.27611 3.04825 8.34521 2.4768 9.5091 2.24529C10.673 2.01378 11.8794 2.1326 12.9757 2.58673C14.0721 3.04085 15.0092 3.80989 15.6685 4.79658C16.3277 5.78328 16.6796 6.94332 16.6796 8.13C16.6796 9.7213 16.0475 11.2474 14.9223 12.3726C13.7971 13.4979 12.2709 14.13 10.6796 14.13Z\" fill=\"#fff\"\/><\/svg>\n\t\t\t\t\t<\/button>\n\n\t\t<button type=\"button\" class=\"practice-search-use-my-location\">\n\t\t\tSearch near me\n\t\t<\/button>\n\n\n\t<\/form>\n\n\n\n\t\t<\/div>\n\n\t\n<h2><b>Does vertical heterophoria impact driving?<\/b><\/h2>\n<p>Binocular vision dysfunction, including VH, can sometimes make people feel anxious when driving, because their peripheral vision tricks them into feeling as though objects that are stationary are actually in movement.<\/p>\n<p>Some people also report dizziness while driving, making them feel like the car is rolling backward, even though they know their foot is on the brake.<\/p>\n<p>In many cases, driving difficulties are brought on by very specific actions, such as:<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Rapid side-to-side head movements<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Noticing other cars zip by in your peripheral vision as you drive<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Rounding curves while driving or in the passenger seat of a car<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Standing or straightening up quickly after sitting, squatting or bending<\/li>\n<\/ul>\n<h2><b>Can vertical heterophoria be misdiagnosed?<\/b><\/h2>\n<p>It is quite common for VH to be misdiagnosed as a disorder of the inner ear, migraine issues, multiple sclerosis or vertigo. This is because VH symptoms often imitate the symptoms of these disorders, and are not problems that are naturally associated with a vision condition.<\/p>\n<p><b>Only an optometrist specially trained in the diagnosis and treatment of binocular disorders can diagnose and treat VH.<\/b><\/p>\n<p>Allergies and issues associated with poor sleep habits are also routine misdiagnoses.<\/p>\n<p><a href=\"https:\/\/www.optometrists.org\/childrens-vision\/vision-for-school\/vision-screenings-top-4-faqs\/\">Standard vision screenings<\/a> are insufficient for diagnosis of VH, as they only check for 20\/20 vision. A person with VH may have <a href=\"https:\/\/www.optometrists.org\/vision-therapy\/vision-therapy-for-children\/the-myth-of-20-20\/is-20-20-perfect-sight\/\">perfect 20\/20 vision<\/a>, while still suffering all the ill effects of this disorder.<\/p>\n<h2><b>How is vertical heterophoria treated?<\/b><\/h2>\n<p>Treatment of VH involves correction of the misalignment. There are a few ways your eye doctor may go about helping with this.<\/p>\n<p><a href=\"https:\/\/www.optometrists.org\/vision-therapy\/neuro-optometry\/what-are-prism-lenses\/\">Therapeutic prism glasses<\/a> may help reduce or eliminate symptoms such as headache, dizziness or eye strain. However, for prism glasses to be effective, they need to be worn most of the time and symptoms can be expected to return if the prism glasses are removed.<\/p>\n<p><b>A more permanent solution for VH is vision therapy.\u00a0<\/b><\/p>\n<p><a href=\"https:\/\/www.optometrists.org\/vision-therapy\/guide-to-vision-therapy\/\">Vision therapy<\/a> is a doctor-prescribed eye training regimen that involves both in-office and at-home exercises meant to strengthen the connection and coordination of the brain with the eyes.<\/p>\n<p><b>LEARN MORE: <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-binocular-visual-dysfunction\/\">Guide to Binocular Visual Dysfunction (BVD)<\/a><\/b><\/p>\n<p><strong>For more information on how vertical heterophoria is diagnosed and treated, <a href=\"https:\/\/www.optometrists.org\/practice-search\/\">contact your local eye doctor.<\/a><\/strong><\/p>\n<p><i>Do you feel dizzy?\u00a0<\/i><i>Do you have frequent headaches or migraines?\u00a0<\/i><i>Do you experience motion or sea sickness?\u00a0<\/i><\/p>\n<p><i>You may be suffering from vertical heterophoria.<\/i><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Do you feel dizzy?\u00a0Do you have frequent headaches?\u00a0Do you experience motion or sea sickness?\u00a0 You may be suffering from vertical heterophoria. What is vertical heterophoria<\/p>\n","protected":false},"author":1206,"featured_media":20392,"parent":12492,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-article.php","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-20391","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>What Is Vertical Heterophoria? 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