Vision can have a big impact on dizziness and balance disorders. The visual system and vestibular system are linked together by something called the vestibular-ocular reflex. Any problem with how efficiently the eyes take in information can affect how these systems work together. Symptoms of visual-vestibular dysfunction include:
Dizziness
Motion sensitivity
Anxiety while driving
Not feeling grounded
Difficulty tolerating busy visual environments
Poor eye tracking
In some patients with vestibular disorders, secondary visual dependence develops, meaning the brain chooses to weight visual information more heavily, making the patient more visually sensitive. If any problem with how the eyes work together or the brain processes visual information exists, it worsens the problem. Many patients with visual-vestibular systems have a form of binocular vision dysfunction- most often vertical heterophoria or convergence insufficiency. Treatment of visual-vestibular problems may include:
Prism glasses to aid eye alignment
Yoked prisms re-establish spatial awareness
Tinted lenses to improve light and motion sensitivity
Optometric vision therapy to treat binocular vision dysfunction and improve visual-vestibular integration.