This course will outline the role the human eyes play in centering the head and body, in standing, based on the guidance, or misguidance, of somatic information provided to the brain. The attendee will be provided information on the most common visual vertical related implications related to visual heterophorias, strabismus, and astigmatism inconsistencies, in addition to higher degrees of amblyopia. Understanding both physical and somatic symptomology related to this visual vestibular automaticity, will help the practitioner refine and modify both optometric treatment and upright forward locomotion. Guidelines on how to work with an optometrist, and recommendations on how to improve standing postural orientation to de-stress binocular rivalry, will be offered for these binocular conditions listed above. Considerations for the patient who demonstrates persistent unilateral biased functional dominance in stages of forward locomotor movement and subjective visual vertical testing, will also be discussed.