Are your sinus headaches actually caused by a vision problem. How can you differentiate between sinus headaches and binocular vision dysfunction. What are the symptoms of vertical heterophoria. How is binocular vision dysfunction treated. Can prismatic glasses help alleviate headache symptoms.

Understanding Binocular Vision Dysfunction (BVD)

Many individuals who believe they suffer from sinus headaches may actually be experiencing a condition called Binocular Vision Dysfunction (BVD). This eye-related disorder can mimic the symptoms of sinus issues, leading to misdiagnosis and ineffective treatment.

BVD occurs when there is a misalignment of the eyes, preventing them from working together properly. This misalignment interferes with the brain’s ability to fuse the images from both eyes into a single, clear picture. As a result, patients may experience a range of symptoms that are often mistaken for other conditions.

Common Symptoms of BVD

• Headaches (often mistaken for sinus headaches)
• Eye strain and fatigue
• Blurred or double vision
• Dizziness and vertigo
• Difficulty with reading and concentration
• Sensitivity to light

Understanding the root cause of these symptoms is crucial for proper diagnosis and treatment. If you’ve been diagnosed with sinus headaches but find that traditional treatments aren’t providing relief, it may be time to consider the possibility of BVD.

The Role of Extraocular Muscles in Vision

To fully grasp the concept of BVD, it’s essential to understand the role of extraocular muscles in our vision. These muscles are responsible for controlling eye movement and allowing us to look in different directions.

Extraocular muscles respond to signals from the brain, enabling both eyes to focus on the same point simultaneously. This coordination is crucial for achieving fusion, a state where both eyes send a single, clear image to the brain.

How Misalignment Affects Vision

When the eyes are misaligned, even slightly, it can disrupt the fusion process. The brain struggles to combine the two different images it receives from the eyes, often resulting in eye strain, double vision, and other symptoms associated with BVD.

This constant effort to align the eyes and maintain clear vision can lead to overworked and stressed eye muscles, contributing to the various symptoms experienced by individuals with BVD.

Vertical Heterophoria: A Common Form of BVD

Vertical heterophoria (VH) is one of the most prevalent types of binocular vision dysfunction. This condition occurs when the eyes are not aligned vertically, meaning one eye may be physically higher than the other.

Symptoms of Vertical Heterophoria

Patients with VH often experience a wide range of symptoms due to the constant strain on their eye muscles. These symptoms can be categorized into several groups:

1. Pain-related symptoms:
   • Headaches (often mistaken for sinus headaches)
   • Temple pain
   • Eye pain during movement
   • Neck and upper back pain
2. Visual symptoms:
   • Blurred vision
   • Light sensitivity
   • Shadowed or overlapping vision
3. Reading difficulties:
   • Poor comprehension
   • Losing place while reading
   • Words appearing to jump on the page
4. Vestibular symptoms:
   • Dizziness
   • Motion sickness
   • Poor depth perception
5. Psychological symptoms:
   • Anxiety in large spaces
   • Feeling overwhelmed in crowds

It’s important to note that these symptoms can often be mistaken for other conditions, such as ADD/ADHD in children or generalized anxiety disorder in adults. Proper diagnosis is crucial for effective treatment.

Diagnosing Binocular Vision Dysfunction

Accurately diagnosing BVD requires a specialized approach that goes beyond standard eye exams. Neuro-optometrists are trained to identify subtle misalignments that may be causing BVD symptoms.

The Neurovisual Exam

During a neurovisual exam, an eye doctor will perform a series of tests specifically designed to detect visual misalignments associated with BVD. These tests may include:

• Cover tests to assess eye alignment
• Prism tests to measure the degree of misalignment
• Visual field testing
• Binocular vision assessments

By conducting these specialized tests, eye doctors can determine if BVD is the underlying cause of a patient’s symptoms and develop an appropriate treatment plan.

Treatment Options for Binocular Vision Dysfunction

Once BVD has been diagnosed, there are several treatment options available to help alleviate symptoms and improve visual function. The most common and effective treatment for BVD is the use of prismatic lenses.

Prismatic Glasses: A Game-Changer for BVD Patients

Prismatic glasses are specially designed to correct the misalignment of the eyes. These glasses contain prisms that bend light before it enters the eye, effectively adjusting the images perceived by each eye. This adjustment allows the brain to fuse the images more easily, reducing strain on the eye muscles and alleviating BVD symptoms.

The benefits of prismatic glasses for BVD patients can be significant, including:

• Reduced headaches and eye strain
• Improved visual clarity
• Decreased dizziness and vertigo
• Enhanced reading ability and comprehension
• Better overall visual comfort

In addition to prismatic glasses, some patients may benefit from vision therapy exercises designed to strengthen eye muscles and improve coordination between the eyes and brain.

The Importance of Proper Diagnosis: Sinus Headaches vs. BVD

One of the most critical aspects of treating BVD is ensuring an accurate diagnosis. Many patients who believe they have sinus headaches may actually be experiencing symptoms of BVD. This misdiagnosis can lead to ineffective treatments and prolonged suffering.

Key Differences Between Sinus Headaches and BVD Symptoms

While sinus headaches and BVD can share some similar symptoms, there are several key differences to consider:

• Location of pain: Sinus headaches typically cause pain in the forehead, cheeks, and bridge of the nose. BVD headaches often affect the temples and areas around the eyes.
• Associated symptoms: Sinus headaches are often accompanied by nasal congestion and discharge. BVD symptoms include visual disturbances and dizziness.
• Response to treatment: Sinus headaches may improve with decongestants or antibiotics. BVD symptoms typically do not respond to these treatments.
• Triggers: Sinus headaches are often triggered by allergies or infections. BVD symptoms may worsen with visual tasks or in certain environments.

If you’ve been diagnosed with sinus headaches but find that treatments aren’t providing relief, it may be worth consulting with a neuro-optometrist to explore the possibility of BVD.

The Impact of BVD on Daily Life

Binocular vision dysfunction can significantly affect a person’s quality of life, impacting various aspects of daily activities and overall well-being.

Work and School Performance

For individuals with BVD, tasks that require prolonged visual focus can be challenging. This can lead to difficulties in the workplace or academic settings, such as:

• Reduced productivity due to frequent headaches or eye strain
• Difficulty concentrating on computer screens or paperwork
• Challenges with reading comprehension and retention
• Increased fatigue during visually demanding tasks

Social and Recreational Activities

BVD can also impact a person’s ability to enjoy social and recreational activities. Some common challenges include:

• Discomfort in crowded or visually busy environments
• Difficulty with sports or activities requiring depth perception
• Anxiety in large, open spaces or high-ceilinged buildings
• Reluctance to drive, especially at night or in unfamiliar areas

By addressing BVD through proper diagnosis and treatment, many individuals find significant improvements in their ability to participate in and enjoy various aspects of daily life.

Seeking Professional Help for BVD

If you suspect that you may be experiencing symptoms of binocular vision dysfunction, it’s essential to seek help from a qualified eye care professional. Neuro-optometrists specialize in diagnosing and treating conditions like BVD and can provide the most appropriate care for your specific needs.

Finding a Qualified Neuro-Optometrist

To find a neuro-optometrist in your area, consider the following steps:

1. Research local eye care clinics that specialize in binocular vision disorders
2. Check for credentials and experience in treating BVD
3. Read patient reviews and testimonials
4. Schedule a consultation to discuss your symptoms and concerns

Remember that early diagnosis and treatment of BVD can lead to significant improvements in symptoms and overall quality of life. Don’t hesitate to seek professional help if you’re experiencing persistent headaches, vision problems, or other symptoms associated with BVD.

The Future of BVD Research and Treatment

As our understanding of binocular vision dysfunction continues to grow, researchers and eye care professionals are constantly working to improve diagnostic techniques and treatment options for patients with BVD.

Advancements in Diagnostic Technology

New technologies are being developed to enhance the accuracy and efficiency of BVD diagnosis. These advancements may include:

• Improved eye tracking systems for more precise measurements of eye alignment
• Virtual reality-based assessments to simulate real-world visual challenges
• Advanced imaging techniques to better understand the neurological aspects of BVD

Innovative Treatment Approaches

Researchers are also exploring new treatment options for BVD, including:

• Customized vision therapy programs using computer-based exercises
• Advanced prismatic lens designs for more precise correction of eye misalignment
• Potential surgical interventions for severe cases of BVD

As research in this field progresses, patients with BVD can look forward to even more effective and personalized treatment options in the future.

Diagnosed With Sinus Headaches? It Could Be Your Vision

Many people who think they have sinus headaches—characterized by pain, pressure around the eye area, cheeks, or forehead—actually have binocular vision dysfunction (BVD), a misalignment of the eyes.

Anything that prevents our eyes from focusing properly—especially eye muscle strain—can produce headaches, dizziness, blurred vision and reading difficulties.

If you’ve tried headache treatments without success, it may be time to book a consultation with a neuro-optometrist.

Binocular Vision Dysfunction (BVD)

The extraocular muscles enable the eyes to look up, down and side to side. They control the eyes by responding to brain signals and focus both eyes in the same direction. Fusion—when eyes are perfectly aligned—allows both eyes to send one clear, single image to the brain.

Binocular vision dysfunction (BVD) occurs when the eyes are misaligned. This misalignment doesn’t allow the brain to fuse the two different images the eyes are sending into one clear image. This often results in double vision or eye strain. This misalignment of the eyes can also lead to vertigo, headaches, and even what may appear to be sinus headaches.

Vertical Heterophoria

Vertical heterophoria, the most prevalent type of BVD, is a condition where the eyes aren’t aligned vertically. For some, one eye may be physically higher than the other. Extraocular muscles in the eyes of VH patients can get overused as they attempt to align the eyes (fusion) and avoid double vision. The overworked muscles get tired and stressed over time, resulting in VH symptoms, such as temple pain, lightheadedness, blurred vision, headaches, and dizziness.

VH patients may experience other symptoms, including:

Pain – Headaches, particularly around the eyes, the forehead, the temples, and the sinuses (may feels similar to a sinus headache). Pain may also occur while moving your eyes, neck and upper back, and when turning your head.

Visual symptoms – Sensitivity to glare or light; shadowed or overlapping vision.

Reading problems – Problems with reading comprehension, losing one’s place while reading, words jumping on the page, difficulty concentrating on text. When these symptoms are found in children they are sometimes misdiagnosed as ADD/ADHD.

Vestibular symptoms – Motion sickness, nausea, poor depth perception, drifting to one side when walking.

Psychological symptoms – Anxiety in high-ceilinged venues, such as big-box stores or shopping malls; feeling worried or overwhelmed in a large crowd. These signs and symptoms may be confused with [generalized] anxiety disorder or agoraphobia.

Treatment for BVD

To treat BVD, your eye doctor will perform a neurovisual exam that will specifically look for slight visual misalignments associated with BVD. If a misalignment is detected, your eye doctor will prescribe prisms to be added to the lenses of your glasses.

Prismatic glasses adjust the two images perceived by the eyes, allowing fusion to occur without overworking the extraocular muscles. This should considerably reduce blurred vision, dizziness, headaches and associated symptoms.

At Developmental Vision Center our eye doctors have been diagnosing, treating and improving the lives of our patients for years. We provide a wide range of services to ensure visual comfort, including custom prismatic glasses and multifocal contact lenses. Schedule a comprehensive eye exam with Developmental Vision Center and say goodbye to your ‘sinus’ headaches forever.

Developmental Vision Center serves patients from Oswego, Naperville, Aurora, and Chicago, all throughout Illinois.

Book An AppointmentCall Us 630-394-6252

When Sinus Headaches Are More Than What They Seem

Human sight is possible because of an incredibly complex system of interacting parts working together to form one of our most remarkable senses. Sometimes, however, certain parts of this intricate system can become out of balance, causing a shift in the alignment of the eyes that results in strained eye muscles. When this happens, certain symptoms can appear, such as blurred or double vision, headaches and dizziness – just to name a few. Sometimes people with headache symptoms mistakenly believe they have sinus headaches, when what they really have is a binocular vision problem.

What Causes Binocular Vision Dysfunction?

The eyes are controlled by the extraocular muscles – the muscles which enable our eyes to move up, down and all around. These muscles are directed by signals from the brain, which controls the eyes and directs them to focus the images the eyes see individually into one clear image. Binocular Vision Dysfunction (BVD) occurs when the eyes move out of alignment with each other, making it impossible for them to form focused images. As a result of this misalignment, the eye muscles become sore and stressed as the brain works to correct this problem, leading to the previously mentioned symptoms of headaches, dizziness and blurred vision, among other things. The most common type of this condition is known as Vertical Heterophoria (VH).

How Symptoms of VH Can Be Mistaken for Sinus Headaches

When the eyes are no longer aligned vertically, the brain forces the extraocular muscles to work overtime to correct this problem in an effort to avoid double vision. The longer the muscles are compelled to do this, the more fatigued and overworked they become, at which point the symptoms of VH start to come to the forefront. The overworked eye muscles cause head pain, which can be focused around the eyes, sinuses, forehead and temples. This pain is very similar to that felt with a sinus infection or headache, which is why many patients who unknowingly have VH are misdiagnosed as having chronic sinus headaches.

Additional Symptoms of Vertical Heterophoria

Binocular vision disorders like VH can cause a number of other issues, including:

• Light sensitivity.

• Reading difficulties.

• Motion sickness, nausea and poor depth perception.

• Anxiety when in a crowd or in large, open buildings with high ceilings.

At Vision Specialists of Michigan, our doctors address the vision-related symptoms of BVD and VH with a unique treatment method: micro-prism lenses. These lenses work to align the images seen by the eyes, so the extraocular muscles don’t have to strain to do so.

Make an Appointment Today

If you’ve seen multiple doctors and tried various treatments for your sinus headaches without receiving relief, the problem may not be your sinuses at all. It could be your eyes! To find out if you may be able to bid farewell to your headaches forever, you need to give Vision Specialists of Michigan a call at (208) 504-2900 or complete our BVD questionnaire.

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Vegetovascular dystonia – what is it, symptoms and treatment of VVD

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Vegetovascular dystonia

The work of the internal organs, glands and blood vessels is controlled by the autonomic nervous system. It does not obey the will of a person, therefore it is impossible to speed up the heartbeat or increase blood pressure by the power of thought. If the function of the autonomic nervous system is disturbed, a characteristic complex of symptoms occurs, which is called vegetovascular dystonia. Not all doctors recognize this disease, but many people cannot do without special treatment.

What is VVD

Vegetovascular dystonia (VVD), or neurocirculatory syndrome, is a functional disorder of the autonomic nervous system, in which a complex of symptoms appear that are not characteristic of a particular disease. Examination of patients with suspected VVD most often does not reveal changes in the structure of internal organs, but may show deviations in their function at the borderline of the norm.

Autonomic dysfunction cannot be called a complete disease, this diagnosis is not included in the International Classification of Diseases (ICD-10). But therapists, cardiologists and neurologists continue to make this diagnosis in patients in whom the examination did not reveal any disorders, and complaints of poor health continue.

It is believed that manifestations of pathology arise due to violations of the coordination of the work of two structures of the autonomic nervous system. It consists of the sympathetic and parasympathetic systems, which differ in their effect on the body. The sympathetic activator is the hormone adrenaline, so it performs the following functions:

• increases the number of heartbeats;
• raises blood pressure;
• stimulates the release of glucose into the blood;
• dilates the arteries of the brain, lungs and heart;
• reduces salivation;
• inhibits peristalsis of the digestive tract;
• expands the bronchi and enhances gas exchange;
• enlarges pupils;
• causes spasm of the sphincters of the bladder, digestive tract.

These reactions are necessary to protect the body in a dangerous situation, to activate it to flee. The parasympathetic nervous system works in the opposite direction. It reduces pressure, accelerates peristalsis of the intestines, urinary organs, constricts the pupils and bronchi. The parasympathetic activator is acetylcholine. It slows down the heartbeat, reduces the concentration of glucose in the blood and relaxes all the sphincters in the body.

Autonomic dystonia occurs when the sympathetic or parasympathetic is activated spontaneously, for no apparent reason. Therefore, a person suddenly in a state of rest has an increased heartbeat, pressure rises and anxiety worries.

But often vegetovascular dystonia is a precursor of serious diseases. Having arisen at a young age without treatment, after a few years it leads to the formation of arterial hypertension, heart disease, digestive tract and hormonal disorders.

Causes and symptoms of VVD

Adolescents and women are at risk for developing vascular dystonia. In men, VVD rarely occurs as an independent syndrome, usually dystonia is associated with other diseases. The causes of pathology are most often unknown, but its appearance is associated with the following provoking factors:

• stress – constant nervous tension causes the release of stress hormones that stimulate the autonomic nervous system;
• hormonal changes – physiologically in women during the menstrual cycle, with the onset of pregnancy, menopause, the concentration of sex steroids changes, which indirectly affect the functioning of the nervous system;
• maturation of the nervous system – in adolescents leads to pronounced signs of VVD;
• bad habits – smoking, drinking alcohol, caffeinated drinks cause disturbances in the functioning of blood vessels and the conduction of nerve impulses.

The first symptoms of autonomic dystonia may appear already in childhood. They are associated with heredity and characteristics of the course of pregnancy. If the expectant mother suffers from vegetovascular dystonia, smokes, she is diagnosed with arterial hypertension, then the risk of pathology in the child increases significantly. The health of the baby is negatively affected by intrauterine hypoxia, impaired feto-placental blood flow, as well as the stress experienced by the pregnant woman. Acute fetal hypoxia during childbirth can also lead to the formation of VVD at an early age.

Formation of vegetovascular dystonia in adults can be associated with osteochondrosis, head injuries, malnutrition. Long life in poor environmental conditions, work in hazardous industries also leads to VSD. Weather-dependent people also often experience dystonia.

Symptoms of autonomic dysfunction are varied, doctors identify more than 40 signs of the disease, but not all of them occur in one patient. This is usually a combination of 4-5 permanent symptoms and a few additional ones. Depending on the manifestations of the cardiovascular system, there are three types of vegetovascular dystonia:

• cardiac – not accompanied by pressure surges, it is characterized by pain in the heart area or interruptions in its work;
• hypertensive type – a person suffers from high blood pressure, which is accompanied by panic attacks, chills, increased physical activity;
• hypotensive type – characterized by low blood pressure, which is kept at the level of 100/50-90/45 mm Hg. Additionally worried about weakness, drowsiness, dizziness.

Signs of dystonia include intermittent shortness of breath, a feeling of shortness of breath, or a sensation of spasm in the throat. Many complain to the doctor about pain in the heart, a feeling of increased heartbeat, pressure in the chest, interruptions in the work of the heart, but it is rarely possible to fix them with an ECG. Symptoms of autonomic dysfunction include decreased appetite, heartburn, flatulence, and other digestive disorders. The disease manifests itself in the form of frequent urination or urinary retention, chills and cold extremities, excessive sweating. Many complain of weather sensitivity, sleep disturbances, mood swings and irritability. In women with VVD, the menstrual cycle may go astray, or symptoms of premenstrual syndrome appear 1-2 weeks before menstruation.

The severity of signs of vegetovascular dystonia may vary. Depending on the frequency of symptoms, the following types of the disease are distinguished:

• paroxysmal – attacks of vegetative-vascular dystonia appear periodically;
• permanent – the symptoms of dystonia are constant, usually mild, but may be aggravated under the influence of provoking factors;
• mixed – includes features of the two previous types;
• latent type – signs of the disease appear only after severe stress, the rest of the time the symptoms do not bother.

Vegetovascular dystonia with a long course without treatment can lead to disturbances in the work of the heart. People who are overweight, malnourished and suffer from physical inactivity increase the risk of developing coronary heart disease and hypertension. In women, VVD at the age of 45-50 aggravates the course of menopause.

Diagnostic methods

Vegetovascular dystonia is an exception diagnosis. This means that it is put after a complete examination of the cardiovascular, nervous system, if they did not find any abnormalities in their work.

For diagnosis, you need to contact a general practitioner who, if necessary, will refer you to a cardiologist, neurologist or endocrinologist. In order for the doctor to be able to accurately diagnose, it is necessary to accurately describe the symptoms, the time of their appearance. The therapist will definitely clarify whether the patient drinks alcohol, nicotine, how often he drinks coffee and what daily routine he adheres to. These data are necessary to correctly formulate recommendations for the treatment of the disease.

The following methods are used to diagnose vegetovascular dystonia:

• laboratory diagnostics – general blood and urine analysis without specific changes, lipid ratio may be disturbed in the biochemical analysis;
• blood test for hormones – a study of thyroid hormones is indicative, with their increase, tachycardia, weight loss can be observed;
• ECG – changes are not typical for VVD, sometimes it is possible to fix tachycardia, single extrasystoles, but there are no signs of severe conduction disturbance in the heart;
• EEG – an electroencephalogram can reveal small deviations in the conduction of impulses in the brain;
• Ultrasound of the internal organs – an examination of the abdominal cavity with complaints of indigestion, a study of the heart, kidneys, and pelvic organs in women.

Nervous system dysfunction is not accompanied by damage to internal organs, most of the indicators are at the borderline of the norm, despite complaints of poor health.

Treatment of vegetovascular dystonia

The doctor chooses how to treat VVD on an individual basis. They begin with non-drug therapy and the elimination of factors that provoke deterioration. It is recommended to observe the daily routine, go to bed no later than 23 hours, and before going to bed, stop watching TV and using electronic gadgets.

Special diet helps. Regardless of the form of dystonia, coffee, energy drinks, alcohol are excluded from the diet, and they stop smoking. If there is a tendency to high blood pressure, limit the amount of salt consumed, adhere to a diet low in fat. With a tendency to be overweight, use means for losing weight.

Panic attacks and anxiety can be treated with herbal sedatives. The doctor may recommend herbal teas from chamomile, mint, and for high blood pressure – cranberries and bearberries.

Helps physiotherapy that calms, affects vascular tone, regulates the nervous system. It is recommended to go to electrosleep, take a course of coniferous-salt and radon baths, visit a pressure chamber, cryosauna, just swim in the pool or sign up for a contrast shower.

In order to treat VSD with drugs, it is necessary to make sure that other methods have not been effective. The doctor selects drug therapy with caution. These can be antipsychotics, high blood pressure pills, vitamin and tonic drugs.

Vegetovascular dystonia can be controlled and restrained if it is charged with a good mood, avoiding stress and evenly distributing the load throughout the day. Sleep patterns, proper nutrition and sensible exercise will benefit your body.

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Help to figure out

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Tachycardia chest pain during pregnancy

Good afternoon! Woman, 32 years old, height 178, weight 62 .Pregnant , term 11 weeks. All services passed, everything is normal, Ultrasound of the heart was done 3 months ago, only PMK 1 tbsp., I did an ecg a week ago, everything is normal. This morning I left the house …

anonymous (Male, 31 years old), January 31, 2022

Tachycardia due to IBS and hypogonadism

Good afternoon. I suffer from tachycardia as soon as the intestines begin to boil. It began after a neurological breakdown against the background of an orchiectomy on one side. testerone dropped to 9. Now it is up to 30 on hcg and menopause.…

anonymous (Woman, 39 years old), January 31, 2022

Disability registration

Good day, my brother, 59 years old, was decapitated in the hospital, they said the consequences covid. Have you been diagnosed with a heart defect, can you apply for disability? They were sent home to die.

anonymous (Male, 56), January 30, 2022

Low blood pressure during treatment after stenting

Good afternoon. He entered the center of vascular surgery with a diagnosis of coronary artery disease. ACS with ST segment elevation. Coronary angiography. Recanalization. BAP and PNA stenting. After discharge and taking 5 mg of enalapril, the pressure dropped below …

Anton Neskin (Male, 26 years old), January 30, 2022

Heart problems

Hello. I suffered from constant shortness of breath. Especially when I lie on my back. On my back, I generally start to choke. What to do about it?) There are no doctors in our city. I am only 26 years old. In 2015…

anonymous (Female, 21 years old), January 30, 2022

Shortness of breath worries my heart tingling in the heart, shortness of breath just through the nose, I can’t completely . ..

anonymous (Male, 35 years old), January 30, 2022

Betaloc and ED

Hello. I underwent a medical examination at work and when I went to the therapist, the pressure rose to a value of 170/90 and he prescribed me Betalok and Perinev. After a week of taking these drugs, I started…

Tina Shamina (Female, 37 years old), January 29, 2022

Is it worth continuing to take monosan valsartan indapamide mV and specifically cor if blood pressure drops to indicators 90 60 s 120 80

Grandma is 90 years old. Diagnosed with angina pectoris. Monosan, thrombo ass, valsartan, indapamide MV and concor cor were prescribed on a permanent basis. The diagnosis of covid has now been confirmed. Areplivir, cefixime and fluimmucil were prescribed, and…

anonymous (Female, 35 years old), January 29, 2022

Incomplete PNPG block and anesthesia

Good afternoon.