Insight Into Eyesight: Hyper-Phoria Can Be A Pain In The Neck!

Hyper-phoria is an eye condition where one eye tends to look higher than the other eye.

The problem with eyes being out of alignment is similar to your automobile wheels being out of their alignment. You tend to use one eye more than the other eye, and that works your eyes unevenly. When eyes do not work in sync, but fight against each other, reading becomes extremely difficult.

In most cases of hyper-phoria, you can compensate for this misalignment by tilting your head to one side, even if slightly only, to prevent seeing double vision. In severe cases, you will not only tilt your head, but also your neck, the shoulders, and your spine as well. This leads to headaches, neck aches, shoulder pains as well as backaches, all stemming from your eye problem!

It is important to have an examination of your eyes’ hyper-phoria if you experience one  of more of the above symptoms. To do this, one eye is patched for two days and then the other eye is assessed for hyper-phoria using special lenses called prisms.

If you do not have significant hyper-phoria that causes you any of the above symptoms, special prescription eye glasses with prisms are the most common and helpful solution to the above multitude of problems. Additionally, your other benefits include much better reading and learning abilities.


(Hons. BSc, MSc, O.D., F.I.O.S)

6633 Hwy 7 at 9th Line

Markham, Ontario

905-471-EYES (3937)

Insight into Eyesight is a series of short informative articles on eye care that have been published in the Markham Economist and Sun for over a decade. To read more of these articles, please click on the Insight to Eye Sight link in the Categories section on the right of the page.


  1. I finally found out about my eye its been two years and half I have been dealing this on my own and on top of that anxiety disorder stated at the same time as well..thank you guys very much

  2. I found out I had vertical hyperphoria after suffering agoraphobia for 45 years. I went to vision specialists of Michigan and was fitted with prism glasses and over a period of 3 years all of my agoraphobia left. There are many people who have this same condition but just don’t know it.

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