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Top 10 Misdiagnosed Conditions: The Truth About Binocular Vision Dysfunction

Updated: Jan 4


Binocular Vision Dysfunction (BVD) is a complex and often misunderstood condition that can profoundly impact an individual's quality of life. Unfortunately, due to its diverse range of symptoms and overlapping characteristics with other conditions, BVD is frequently misdiagnosed. In this blog, we will shed light on the top ten conditions that are commonly misdiagnosed instead of correctly identifying BVD. Let's delve into these conditions and uncover the importance of considering BVD as a potential underlying cause.

  1. Migraines: Migraines are notorious for causing severe headaches, but they can also manifest with visual disturbances, dizziness, and light sensitivity. These overlapping symptoms often lead to a misdiagnosis, as BVD can produce similar visual disturbances and dizziness. Recognizing the connection between BVD and migraines is crucial for appropriate treatment and management.

  2. Reading and Learning Disabilities: Children or adults struggling with reading or learning difficulties are often misdiagnosed with reading or learning disabilities. However, undiagnosed BVD can significantly impair reading and comprehension skills due to eye teaming and tracking issues. Identifying and treating BVD can provide relief and improve learning abilities.

  3. Dyslexia: Dyslexia is a specific learning disorder characterized by difficulties with reading and language processing. BVD can mimic many symptoms of dyslexia, such as skipping lines while reading or experiencing visual distortions. Accurate diagnosis and appropriate vision therapy for BVD can greatly alleviate these challenges.

  4. ADD/ADHD: Attention Deficit Disorder (ADD) and Attention Deficit Hyperactivity Disorder (ADHD) are commonly diagnosed behavioral disorders. However, certain BVD symptoms, like eye strain, difficulty concentrating, and poor attention span, can be mistakenly attributed to ADD/ADHD. Evaluating visual function is crucial to ruling out BVD as an underlying cause.

  5. Chronic Fatigue Syndrome: Chronic Fatigue Syndrome (CFS) is a complex disorder characterized by extreme fatigue and cognitive difficulties. As BVD can induce eye strain, blurred vision, and cognitive fatigue, individuals with undiagnosed BVD may be misdiagnosed with CFS. Proper assessment by an optometrist specializing in BVD is essential to differentiate between the two conditions.

  6. Agoraphobia and other Anxiety/Panic Disorders: BVD can trigger anxiety and panic-like symptoms due to visual disturbances and disorientation. This resemblance to agoraphobia and other anxiety disorders can lead to misdiagnosis. Identifying BVD as an underlying cause is crucial for offering targeted interventions to alleviate visual-induced anxiety.

  7. Spinal or Neck Misalignment: Misalignments in the spine or neck are often blamed for headaches, dizziness, and visual disturbances. However, these symptoms can also arise from BVD-related issues. Collaborative assessments involving both optometry and chiropractic professionals can help differentiate between spinal misalignments and BVD-related symptoms.

  8. Meniere's Disease: Meniere's Disease is a disorder affecting the inner ear, causing vertigo, tinnitus, and hearing loss. BVD can exhibit symptoms similar to Meniere's Disease, such as dizziness and imbalance. Considering BVD as a potential cause is crucial to avoid unnecessary treatments and provide targeted vision therapies.

  9. BPPV (Benign Paroxysmal Positional Vertigo): BPPV is a common form of vertigo caused by inner ear disturbances. However, certain BVD symptoms, like dizziness and imbalance, can mimic BPPV. Comprehensive assessments by both otolaryngologists and optometrists can help differentiate between the two conditions for accurate diagnosis and effective treatment.

  10. PPPD (Persistent Postural-Perceptual Dizziness) and MAV (Migraine Associated Vertigo): PPPD and MAV are conditions characterized by persistent dizziness and vertigo, often related to migraines. However, undiagnosed BVD can contribute to similar symptoms. A comprehensive evaluation by a multidisciplinary team can identify BVD as an underlying cause and guide appropriate treatment strategies.

Binocular Vision Dysfunction is a frequently misdiagnosed condition due to its overlapping symptoms with various other disorders. Recognizing the ten conditions mentioned above can help healthcare professionals and patients alike consider BVD as a potential underlying cause. Accurate diagnosis and specialized vision therapy can significantly improve the quality of life for individuals struggling with BVD, allowing them to regain visual comfort and enhance overall well-being.


If you are experiencing visual symptoms that are causing difficulty in daily life, it is important to see an optometrist that has experience with diagnosing binocular vision dysfunctions and feels comfortable with prescribing prism glasses or personalized vision therapy.


If you're struggling to locate a neuro-visual optometrist in your region, consider arranging a virtual consultation with Dr. David Antonyan, O.D. through the website https://www.vividvisionsoptometry.com/. Dr. Antonyan, O.D. can assist you in finding local eye care professionals and initiating the appropriate treatment plan for your recovery journey. For those residing in the Los Angeles or Valencia area, you can also book an in-office appointment directly with Dr. David Antonyan, O.D. by dialing (661)310-0603 or visiting https://www.vividvisionsoptometry.com/appointments. Dr. Antonyan, O.D. possesses the expertise needed to prescribe precise prismatic corrections, which can significantly alleviate symptoms arising from binocular vision dysfunctions, ultimately transforming your quality of life.

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