This article is an analysis of literature relating to ocular-motor imbalance and the potential postural consequences. It aims to highlight the importance of sensory integration between the visual and vestibular systems and proprioception. The consequences of extra-ocular muscle imbalance are discussed in terms of the disruption to this sensory integration. The symptoms that this may give rise to include spinal pain, postural instability and potential increased risk of falls. This paper therefore encourages a wider multi-disciplinary awareness in managing patients with such symptoms.