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[edit on Wikidata] Hypertropia is a condition of misalignment of the eyes (strabismus), whereby the visual axis of one eye is higher than the fellow fixating eye. Hypotropia is the similar condition, focus being on the eye with the visual axis lower than the fellow fixating eye. Dissociated Vertical Deviation is a special type of hypertropia leading to slow upward drift of one or rarely both eyes, usually when the patient is inattentive.
A mass or swelling in the eyelid â This condition can press on the front of the eye. Dry eye â Your eyes do not produce enough tears. Some retinal problems â Double vision can happen when the surface of the retina is not perfectly smooth, which can have a variety of causes. Binocular diplopia is double vision related to a misalignment of the eyes. The double vision stops if either eye is covered. Any problem that affects one or more of the muscles around the eyeball that control the direction of the gaze can cause binocular diplopia. These are called extraocular muscles.