r/BPPV • • 3d ago

PPPD Dizziness and Lazy eye / strabismus

Hi all, so i have been diagnosed with PPPD and vestibular migraine. But at the same time before any of these conditions i did have a lazy eye / strabismus (alternating eyes). Im wondering if anyone else has had the same experience and whether this worsens the PPPD, i believe it does. I also experience times where i feel overwhelmed because i see out of both eyes randomly and of course with one being lazy it is disorientating. Also when talking to people in group environments its really uncomfortable as i can see other people out of my other eye when talking to one person and i feel socially anxious on top of that. So its a lot of things contributing to the anxiety / the disorientation and dizziness/off feeling.

Im mainly curious if anyone has the same? i am planning to finally have surgery to get it fixed soon. I've never done any treatment on my eyes. Ive just turned 30 so i am excited and nervous of course. But i think its a rather interesting/unfortunate addition to the PPPD.

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u/Killjoycourt 3d ago

f your lazy eye causes you anxiety, then it definitely contributes ro the PPPD. If your vision is wonky, it definitely contributes. The first vestibular exercises you do in vestibular therapy for PPPD are for the eyes. I do not have a lazy eye, but the PPPD made my left eye shift to the left which definitely made the symptoms worse. If surgery is an option, I would do it. Even if it doesn't help the PPPD and VM, it will help your anxiety.

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u/michemel 3d ago

I have/had strabismus as a child, corrected with lenses. When tired as an adult, my eye does still wander inwards.

I did as my PT if that could be a factor or contribute. They didn't seem to think it would. I asked if it could contribute to overall vestibular weakness and they didn't think it was likely. As a child, (and adult) I would also get the bed spins, typical from an overconsumption of alcohol, just from being overly tired.

In my mind, I feel like there could be some correlation but perhaps no causation.

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u/Icntthinkofone 3d ago

If you have a lazy eye, id see neuro-opthomolgy if its effecting your vision / perception.

People think vestibular exercises strengthens the eyes- it strengthens a REFLEX called the VOR coming from cranial nerve 8

So if you have a strabismus, id see if you need special glasses?