During the last years, the incidence of asthenopia is steadily increasing into the general population due to the concomitant growth and spread of electronic screens.Young people, who often keep their eyes glued to video games, cell phones and computers all day long, even at school, are particularly exposed to eye fatigue.Displays can exacerbate preexisting visual defects or eye motility anomalies, especially if uncorrected refractive errors or labil binocular vision coexist.Herein, the case of an 11-year-old boy complained about onset of progressive eyestrain and diplopia, especially at near.A full orthoptic and ophthalmological examination was performed, revealing latent hyperopia, asthenopia and decompensated esophoria associated to transient diplopia.The aim of this case report is to highlight the possible correlation between electronic devices abuse and binocular imbalance, underlining the possible complications and the orthoptic management.