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Writer's pictureDr. Kelley

What Causes Eye Misalignment: Trust the Experts

What Causes Eye Misalignment and Binocular Vision Problems?

Binocular vision problems, or eye misalignment, can arise from a variety of causes, and understanding these can help in diagnosing and treating the issues effectively. Here are some of the main causes:

Baby with strabismus, turned eye

1. Congenital Factors

Some individuals are born with binocular vision problems. Conditions like strabismus (where the eyes do not align properly) and amblyopia (one eye sees more blurry) can be present from birth or develop in early childhood. These conditions often require early intervention to prevent long-term vision issues.


Neurological vision problems

2. Acquired Conditions

Binocular vision problems can also develop later in life due to various factors:

  • Trauma: Head injuries or trauma to the eyes can disrupt the normal functioning of the eye muscles and nerves, leading to misalignment and double vision.

  • Medical Conditions: Diseases such as diabetes, multiple sclerosis, and thyroid disorders can affect the muscles and nerves controlling the eyes, leading to binocular vision problems.

  • Neurological Disorders: Conditions that affect the brain, such as stroke or brain tumors, can impair the brain's ability to coordinate eye movements.


Straining to see up close

3. Aging

As we age, the muscles that control our eyes can weaken, leading to binocular vision problems. Presbyopia, the age-related loss of the eye's ability to focus on near objects, can also contribute to difficulties in maintaining proper eye alignment.


Excessive screen time

4. Overuse and Strain

Extended periods of close-up work, such as reading or using a computer, can lead to conditions like convergence insufficiency, where the eyes have difficulty working together when focusing on close objects. Prolonged strain on the eyes can exacerbate these issues.


Diagnosis and Treatment: Why Expert Care Matters

If you or your child are experiencing symptoms of binocular vision problems, it is crucial to seek care from an optometrist who is experienced in special testing for these issues. Specialized testing goes beyond a routine eye exam and can reveal the root cause of your visual discomfort, helping to determine whether further medical evaluations are needed or if the situation can be managed with less urgent interventions.


binocular vision evaluation


A qualified optometrist with expertise in binocular vision can conduct a comprehensive evaluation that includes specialized tests to assess how well your eyes work together. These tests are essential for:


  • Identifying the Specific Cause: Advanced testing can help pinpoint whether the issue is due to congenital conditions, recent trauma, or age-related changes. Understanding the precise cause of the problem is critical for effective treatment.


  • Determining the Urgency: A thorough examination can differentiate between conditions that require immediate medical attention and those that can be managed with less urgent interventions. This assessment ensures that you receive the appropriate care based on the severity of the condition.


  • Creating a Personalized Treatment Plan: Based on the results of these specialized tests, our optometrists can design a treatment plan tailored to your individual needs. This might include a combination of therapies or specific glasses to address your unique binocular vision issues.


What makes Eye Associates of Winter Park the experts?

At Eye Associates of Winter Park, our team’s diverse experiences and collaborative spirit make us the experts in delivering exceptional care when It comes to binocular vision disorders.


I, Dr. Kaitlyn Kelley, bring extensive expertise to our practice, having completed a post-doctoral residency in Pediatrics with an Emphasis in Binocular Vision. During this residency, I trained under some of the top pediatric optometrists in the country at Nova Southeastern University. I also had the privilege of training under leading pediatric ophthalmologists at the renowned Bascom Palmer Eye Institute. My experience with special populations and with working with ophthalmology give me a unique perspective, allowing me to practice full-scope optometry while knowing when to co-manage with an ophthalmologist or vision therapist.


Dr. Penny Straughn joined us after 17 years at the University of Florida, where she worked with infants as young as six weeks old, identifying both vision and life-threatening problems. Her extensive experience in a tertiary care facility, working alongside ophthalmologists, provides her with another unique perspective and the confidence to practice full-scope optometry.


Dr. Tawni Cashon completed an optional clinical rotation in vision therapy during her 4th year of optometry school, in addition to her required pediatric rotation. Her training at The Ohio State University, a leader in research for specialty binocular vision and vision therapy clinics, provided her with a unique experience, including working with many patients who have sustained traumatic brain injuries (TBI).


Our doctors frequently collaborate on cases, ensuring that we think outside the box to identify the specific cause of each patient's issue, assess any urgency, and create a personalized treatment plan. This collaborative approach allows us to provide comprehensive and individualized care for every patient.


Next Steps for Better Vision

If you or your child are experiencing symptoms of binocular vision problems, the first step is to schedule a comprehensive eye examination with our optometrists who specialize in binocular vision. By conducting detailed assessments and offering a range of treatment options, we can help you achieve clearer, more comfortable vision and guide you through the appropriate steps for long-term visual health.


The next step is to follow along for our next blog on treatment options.



In good health,


Kaitlyn Kelley

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