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Possible Answer form Many: Vertical Heterophoria Syndrome

Post a new topicby Karen Zakarian on Thu Feb 14, 2008 1:22 pm


I so identify with all of you writing on this forum. My story is similar to yours and I am simply going to post the information that gave me the majority of resolve to the condition, Vertical Heterophora Syndrome. You can go to the website and see if the symptoms fit you. The office welcomes calls for information as well.

My very best to all of you,

Karen Zakarian
Royal Oak, Michigan

http://www.visionspecialistsofbirmingham.com/

Given a complicated visual system, it’s not surprising that there are a number of ways in which this finely balanced system can be disturbed. Anything that makes it difficult for the eyes to work together to keep objects in clear focus can cause dizziness headaches, reading difficulty and blurred vision. Some patients have one of these symptoms, while others may have two or more symptoms. With the wide array of symptoms, it is not unusual for these people to have sought help from a number of different types of doctors, usually without adequate relief. Most people would not think that the visual system could be the cause of these symptoms and as a result have not sought help from a vision specialist. The most common conditions that can cause these symptoms include Vertcal Heterophoria Syndrome, nearsightedness (myopia), farsightedness (hyperopia) and incorrect eye glass prescription.

Vertical Heterophoria and Vertical Heterophoria Syndrome

Vertical Heterophoria Syndrome has as its root cause vertical heterophoria, which is a condition where the two eyes have difficulty keeping in vertical alignment. This can lead to double vision, which the brain does not tolerate. Sometimes one eye is physically higher than the other (figure 3). Sometimes the eyes are aligned correctly but muscle or nerve abnormalities cause the problem. In some instances, this condition may be caused by head trauma, stroke or neurological disorders. However, most often this is a condition you are born with (congenital). It may take years before symptoms occur, as the body will do the best it can to try and compensate for these problems.

In order for the brain to create one image from the two eyes (fusion) and avoid double vision, the brain forces the eyes to look at the exact same spot. To accomplish this, the eye muscles will strain to make one eye look up a little more, and the other eye to look down a little more. Over a long period of time, the stress and strain on the visual system causes Vertical Heterophoria Syndrome (VHS). VHS can cause headaches, usually in the front of the face or in the temples. VHS can also cause a feeling of being disoriented, lightheaded or dizzy. As the muscles strain, they become fatigued, causing the image seen by one eye to not continuously overlap the image seen by the other eye. In other words, fusion is no longer continuously maintained. This moving in and out of fusion creates the feeling of dizziness, lightheadedness and a sense of imbalance. Those who suffer from Vertical Heterophoria Syndrome may also have other symptoms in addition to those of headaches and dizziness These include:

* additional pain symptoms symptoms such as face ache, eye pain or pain with eye movement (symptoms similar to sinus problems, migraines TMJ problems); neck ache and upper back pain due to a head tilt (symptoms similar to spinal misalignment problems);
* additional vestibular symptoms such as motion sickness, nausea, poor depth perception, unsteadiness while walking or drifting to one side while walking (“I’ve always been clumsy”), lack of coordination (symptoms are similar to those seen in patients with MS sequela of a stroke, an inner ear disorder or Meniere’s Disease);
* reading symptoms such as difficulty with concentration (symptoms are similar to those experienced with ADHD), difficulty with reading and comprehension, skipping lines while reading, losing one’s place while reading, words running together while reading (symptoms similar to those seen with a learning disability);
* vision symptoms such as blurred vision, double or overlapping vision, shadowed vision (symptoms similar to those seen in patients with MS); light sensitivity, difficulty with glare or reflection;
* psychological symptoms such as feeling overwhelmed or anxious when in large contained spaces like malls or big box stores, feeling overwhelmed or anxious in crowds (symptoms similar to those seen in patients with anxiety or agoraphobia).

This syndrome tends to run in families. To correct this problem, the optometrist will add prism to your glasses. Prism is a way of making the glasses such that the image seen by the eye is moved up or down – whatever is needed to allow for fusion to occur without straining the extraocular muscles. Once this occurs, the headaches, dizziness blurred vision and other symptoms resolve.
Karen Zakarian
 
Posts: 1 | Joined: Thu Feb 14, 2008 1:10 pm

Re: Possible Answer form Many: Vertical Heterophoria Syndrome

Post a new topicby lognum on Fri Feb 15, 2008 4:27 pm

Greetings Karen,

I am from Canada and I too have found releif from Dr. Debby. It was the only thing that worked forme. Have all of your symptoms subsided? How far into the treatment are you?

lognum
lognum
 
Posts: 5 | Joined: Fri Feb 15, 2008 4:22 pm

Re: Possible Answer form Many: Vertical Heterophoria Syndrome

Post a new topicby strokesantafe on Thu May 29, 2008 2:49 pm


Prisms to visual eyeglasses?
strokesantafe
 
Posts: 3 | Joined: Thu May 29, 2008 2:13 pm

cron

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