What is BVD?

What is Binocular Vision Dysfunction?

Binocular Vision Dysfunction (BVD) is a serious eye condition where the eyes are misaligned, sending two different images to the brain. The brain struggles to merge these two different images into one clear image, causing symptoms such as headaches, dizziness, anxiety, motion sickness, and chronic neck pain.


Symptoms of BVD

BVD can severely impact people of all ages. Children with BVD often struggle with reading in school, hand-eye coordination, playing sports, and car sickness. This condition often leads to misdiagnoses of ADHD, dyslexia, and migraines in children. Adults with BVD regularly experience headaches, daily anxiety and dizziness, and can be severely limited from doing normal tasks or succeeding in the workplace.


The symptoms of BVD are wide-ranging and not often recognized by traditional eye doctors. Those who specialize in treating BVD often organize the symptoms into groups based on how they impact patients:


Physical Findings:

  • Neck pain and/or shoulder and back pain

  • Struggles to walk in a straight line

  • Head tilt

  • Clumsy, bumping into doorways and people they are walking next to

  • Prone to falling or tripping


Neurological Symptoms:

  • Migraines; daily headaches

  • Migraine associated vertigo (MAV) or vestibular migraine (VM)

  • Seizures


Anxiety Symptoms:

  • Panic attacks in crowded areas or on highways

  • Anxiety in large department stores or shopping malls

  • Agoraphobia (extreme fear of open or crowded places, or of leaving one's own home)


Reading Challenges:

  • Rereading for comprehension

  • Skipping lines when reading

  • Letters running together

  • Uses finger-pointing when reading

  • Fatigue with reading

  • Difficulty focusing or paying attention

  • Struggling to pay attention in school


Driving Symptoms

  • Anxiety on the highway

  • Car sickness or nausea

  • Experience glare at night

  • Trouble driving at night


Binocular Vision Symptoms:

  • Diplopia or double vision

  • Poor depth perception or judging distances

  • Trouble catching balls

  • Difficulties with hand-eye coordination

  • Poor handwriting & drawing skills

  • Poor eye contact

  • Covering one eye to clear the image


What causes BVD?

The condition can be caused by facial asymmetry similar to adults, or it can be caused by a concussion or head injury, such as from a soccer game or falling while riding a bike. Some research suggests that at least 20% of adults experience some symptoms of BVD that may be interfering with their everyday lives. Someone you know may be suffering from binocular vision dysfunction and not even realize it. Exactly why some people develop BVD and others don’t often isn’t clear.


Early research has found that BVD can be genetically inherited and run in families, most often from mother to daughter. In other clinical research, there is a direct correlation between head injury or concussion and the onset of BVD symptoms. There is also a connection between BVD and acquired brain injuries caused by a stroke, Lyme disease, COVID-19, and Mono (Mononucleosis).


Can BVD be misdiagnosed?

Yes, BVD symptoms are often mistaken for a number of other conditions since many medical and eye doctors don’t know how to screen for and diagnose BVD. Patients are regularly but mistakenly told they have one of the following conditions, while in reality BVD is the main cause of their symptoms:

  • Agoraphobia

  • Anxiety / Panic disorders

  • ADD / ADHD

  • Cervical misalignment

  • Meniere’s Disease

  • MS (Multiple Sclerosis)

  • Reading Comprehension Issues

  • Sinus problems

  • Psychogenic dizziness / Chronic Subjective Dizziness

  • BPPV (Benign Paroxysmal Positional Vertigo)

  • PPPD (Persistent Postural-Perceptual Dizziness)

  • Vestibular Migraine / Migraine Associated Vertigo (MAV)

  • TMJ (temporomandibular joint) disorders

Hear from our patient as she shares her journey to finding answers, hope, and relief through NeuroVisual Rehabilitation.

Nadine Valiquette

I've been dealing with dizziness, feeling off-balance, anxiety, and occasional panic attacks for years. Simple things like being in stores or crowded places would overwhelm me. I constantly felt on edge, had frequent tension headaches, and was completely drained after work. There were times my anxiety got so bad that I truly believed something was seriously wrong with me. I went to my doctor and was prescribed anxiety medication, which helped take the edge off but never fully fixed the problem. I made big lifestyle changes—cutting out caffeine, exercising, and eating clean—and while that helped for a while, the symptoms eventually came back. The dizziness, brain fog, and overwhelming feeling returned, and I felt stuck again.

Out of desperation, I started researching and came across binocular vision dysfunction (BVD). After taking an online questionnaire, it strongly suggested I might have it. I scheduled an appointment at Kissel Eye Care, hoping this would finally be the answer I had been searching for. From the moment I walked in, Kissel Eye Care has been nothing but helpful. The staff were incredibly kind, patient, and accommodating, which immediately put me at ease during such a stressful time. What meant the most to me was my eye doctor, Dr. Collins. She was extremely helpful and truly listened to everything I had to say. Every symptom, every concern, every detail—I never once felt rushed or dismissed. After feeling misunderstood for so long, that alone made such a huge difference. I was diagnosed with BVD, and it turns out my contact lens prescription had been off. One eye was too strong while the other wasn't correct. Fixing that alone made a noticeable difference and gave me hope for the first time in a long time. I was then fitted for prism lenses, and I'll be honest—this journey has not been easy.

Adjusting to them can feel like a roller coaster, and mentally, it has been one of the hardest things I've ever gone through. When your nervous system is already so heightened, the stress and anxiety can make everything feel even more intense. But patience is everything. About 5½ weeks in, I'm slowly starting to calm my nervous system and get pieces of my life back—work, driving, and everyday routines. After going back for a fine-tuning and receiving my second pair of prism lenses, I noticed an immediate difference. That floaty, dizzy, off-balance feeling improved significantly. My brain still tries to look for the symptoms, but the change is real—and it's encouraging. I'm not fully recovered yet, but I'm getting there, and that means everything. I truly can't recommend Kissel Eye Care enough. They gave me answers when I was desperate, but more importantly, they gave me hope. If you're going through something similar, don't give up. This process can be hard, but with the right care, support, and time, it does get better.

Find out if you are struggling with BVD: TAKE THE BVD TEST

Adult BVD Questionnaire

Youth BVD Questionnaire