Patients with Binocular Vision Dysfunction (BVD) when their eye doctors complain about how unstable their vision is and how often their prescription changes: One of the most common things I see with BVD patients is constant prescription changes. Their vision feels unstable because their eye muscles and nerves are stuck in a cycle of strain and spasm. Once we calm the spasms and retrain the dynamic visual system with the right prism correction and vision therapy, their prescription finally stabil

POV: You’re trying to figure out if someone has undiagnosed Binocular Vision Dysfunction (BVD). Watch for the subtle signs: one eyebrow sitting higher, a slight head tilt to one side, and pupils that don’t look perfectly aligned or reflect light evenly. These are all visual clues that the eyes aren’t working together in sync. Most people miss it because the brain hides it well, but the posture, facial tension, and pupil reflexes don’t lie. Schedule a consultation with Dr. David Antonyan, O.D. at

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