Binocular Vision Evaluation

A Binocular Vision Evaluation is an assessment by a neuro-optometrist or developmental optometrist to assess, evaluate, diagnose, manage, and treat visual pathway and/or vision processing disorders causing many varying symptoms (see a brief list below). A neuro-optometrist or developmental optometrist assesses interaction or eye teaming of your two eyes (binocular system) by evaluating the overall strength, endurance, flexibility at distance & near, peripheral vision awareness, and/or the vestibular-ocular reflex of the binocular system.


Patients often experience signs/symptoms as follows:

  • Double Vision

  • Blurry vision at near or focusing problems

  • Blurry vision at distance

  • Skipping lines when reading

  • Tracking problems

  • Headaches

  • Closing an eye to see clearer

  • Words moving on a page

  • Poor Depth Perception

  • Squinting

  • Head Tilts (right, left, up, down)

  • Eye Turns

  • Dizziness

  • Motion sickness

  • Balance problems

  • Poor reading ability

  • Difficulties with body-hand-eye coordination


Patients are diagnosed with many of the following:

  • Focusing Problems: Accommodative Spasms, Accommodative Infacility, Accommodative Insufficiency, Ill-Sustained Accommodation

  • Eye Muscle Problems: Convergence Insufficiency, Convergence Excess, Divergence Insufficiency, Divergence Excess, Esophoria, Exophoria, Intermittent Esotropia, Intermittent Exotropia, Vertical Heterophoria

  • Eye Turns: Exotropia, Esotropia, Intermittent Exotropia, Intermittent esotropia, Vertical Strabismus, Strabismus, Strabismic Amblyopia

  • Lazy Eye: Amblyopia, Refractive Amblyopia, Strabismic Amblyopia

  • Other Eye Concerns: Aniseikonia, Anisometropia

  • Eye Teaming: Deficit of Saccadic Dysfunction, Deficit of smooth pursuits

  • Palsies: Third Nerve Palsies, Fourth Nerve Palsies, Sixth Nerve Palsies, Conjugate Gaze palsies

  • Nystagmus (involuntary eye movements back & forth/up & down)

  • Photophobia (light sensitivity)


These binocular vision disorders/dysfunctions manifest many vision & eye related problems that may impact a patient’s lifestyle, work and/or school productivity, sports performance, and many other everyday activities that many of us without these binocular vision dysfunctions/deficits do not experience.

Comprehensive Eye Exam Binocular Vision Evaluation/Assessment
Exam Differences
  • Ancillary Testing
  • Visual Acuities
  • Extraocular Muscles
  • Peripheral Vision
  • Keratometry/Auto-Refractor
  • Refraction
  • Eye Health Check
  • Dilation
  • Ancillary Testing
  • Visual Acuities
  • Extraocular Muscles
  • Peripheral Vision
  • Keratometry/Auto-Refractor
  • Refraction
  • Eye Health Check
  • Dilation
  • Binocular Vision Check
  • Focusing Ability
  • Eye Muscule Testing
  • In-Depth Cover Testing
  • Eye Teaming
  • Eye Tracking
  • Vision Skills
Approximate Time with Optometrist 10-20 minutes 40 minutes-1 hour
Coverage? Most major medical insurance carriers have routine eve examination coverage. Problem-oriented visit similar to an office visit for another medical issue that applies to your individual deductibl, co-insurance, and/or copays that apply for medical services.
Approximate Cost $200-$320 $350-$500
Range of Cost Explanation Testing and obligation by your insurance carrier Complexity of the problem-oriented visit
Vision Discount Plans Swoop Eye Care is NOT in-network with any vision discount plan Binocular Vision Evaluation = Non-Covered Service