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MiOTA Fall Conference 2026
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More Common Than We Think: The Hidden Impact of Binocular Vision Dysfunction in University Students
Saturday October 3, 2026 9:45am - 10:45am CDT
Bach (88)
Binocular Vision Dysfunction (BVD) is an often-overlooked visual condition in which the eyes fail to align properly along either the horizontal or vertical axes, contributing to symptoms such as headaches, dizziness, blurred vision, reading difficulties, anxiety, and challenges with attention and concentration. While commonly screened in childhood, BVD may remain undiagnosed in adults, particularly among university students where symptoms are frequently attributed to stress, ADHD, learning disabilities, or mental health concerns.
This session will present survey findings from university students highlighting the functional impact of BVD on academic participation, ADLS, work performance, and instrumental activities of daily living (IADLs) and presence of co-morbid diagnoses such as anxiety, and ADHD. Participants will examine the relationship between visual dysfunction and occupational performance, identify common signs and symptoms associated with BVD, and explore the implications for educational success and psychosocial well-being.
By the end of the session, participants will be able to:
  • Identify common symptoms and functional impacts associated with BVD 
  • Describe how BVD may influence ADLs, IADLs, academic performance, occupational participation, and psychosocial functioning. 
  • Discuss the importance of awareness, screening, referral, and interdisciplinary intervention approaches for adults with suspected BVD.


Rosner, M. S., Feinberg, D. L., Doble, J. E., & Rosner, A. J. (2016). Treatment of vertical heterophoria ameliorates persistent post-concussive symptoms: A retrospective analysis utilizing a multi-faceted assessment battery. Brain Injury, 30(3), 311–317. https://doi.org/10.3109/02699052.2015.1113564
Feinberg, D. L., Rosner, M. S., & Rosner, A. J. (2020). Validation of the Binocular Vision Dysfunction Questionnaire (BVDQ). Otology & Neurotology, 42(1), e66–e74. https://doi.org/10.1097/mao.0000000000002874
García-Muñoz, Á., Carbonell-Bonete, S., Cantó-Cerdán, M., & Cacho-Martínez, P. (2016). Accommodative and binocular dysfunctions: prevalence in a randomised sample of university students. Clinical and Experimental Optometry, 99(4), 313–321. https://doi.org/10.1111/cxo.12376
Jusyte, A., Zaretskaya, N., Höhnle, N. M., Bartels, A., & Schönenberg, M. (2018). Binocular rivalry transitions predict inattention symptom severity in adult ADHD. European Archives of Psychiatry and Clinical Neuroscience
Speakers
avatar for Afnan Mansour

Afnan Mansour

Masters of Occupational Therapy student, Eastern Michigan University
Afnan Mansour is a second-year Occupational Therapy student at Eastern Michigan University. She has been working alongside Dr. Renuka Roche to research the prevalence of binocular vision dysfunction among college students and its impact on daily functioning and academic participation... Read More →
avatar for Dr. Renuka ‘Ray’ Roche

Dr. Renuka ‘Ray’ Roche

Program Director and Associate Professor, Eastern Michigan University
Dr. Renuka Roche is the Program Director of and Associate Professor in the Occupational Therapy Program at Eastern Michigan University. Her research focuses on Occupation-centered improvement of performance with the eventual goal of developing intervention methods and best practice... Read More →
avatar for Alon Samuel

Alon Samuel

Combined Occupational Therapy Student, Eastern Michigan University
Alon Samuel is a second-year Occupational Therapy student at Eastern Michigan University. He is fulfilling research requirements for graduation by presenting the Binocular Vision Dysfunction research led by EMU faculty member Dr. Renuka Roche and Dr. Mark Rosner of the Vision Specialist... Read More →
avatar for Mark Rosner

Mark Rosner

Chief Operating Officer, Vision Specialists of Michigan
Dr. Mark Rosner is the  COO of Vision Specialists of Michigan, a clinic dedicated to the practice of NeuroVisual Medicine, a new optometry specialty focusing on binocular vision / eye misalignment since 2000. He specializes in analyzing and publishing studies in binocular vision... Read More →
Saturday October 3, 2026 9:45am - 10:45am CDT
Bach (88)
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