# Visual Vertical vs Pupillary Distance

The clearest difference is price: Pupillary Distance at $1.99 against Visual Vertical's $11.99. Pupillary Distance also leads on update cadence (every 9 days vs every 38 months) and chart position (#189 vs unranked). On ads, in-app purchases, device support and iOS requirement there is nothing between them.

Visual Vertical costs $11.99 and Pupillary Distance $1.99 up front. Neither carries in-app purchases, so what you see is what you pay.

Visual Vertical ships an update every 38 months, Pupillary Distance every 9 days. The most recent releases landed on September 24, 2026 and September 3, 2026 respectively.

## The numbers

| Metric | Visual Vertical | Pupillary Distance |
| --- | --- | --- |
| Price | $11.99 | **$1.99** |
| Rating | **[2.0 (5 ratings)](https://appshunter.io/ios/app/visual-vertical/id419017746/reviews)** | — |
| Number of ratings | **5** | — |
| Positive reviews | 100.0% of reviews | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 38 months | **Every 9 days** |
| Monetization | Paid | — |
| Best chart rank | — | **#189** |
| Size | 10 MB | 1 MB |
| Requires iOS | 16.6 | **16.0** |
| Devices | iPhone | iPhone |
| Age rating | 12+ | 4+ |
| Developer | [Clear Health Media](https://appshunter.io/developer/419017749) | [My Call Bag LLC](https://appshunter.io/developer/1243282862) |

## What reviewers say

### Visual Vertical

[App page](https://appshunter.io/ios/app/visual-vertical/id419017746)

This medical app offers a quick, accurate, and low-cost method for measuring subjective visual vertical. It's designed for neurologists and vestibular rehabilitation specialists to test patients, especially for brainstem lesions and otolithic function, using just an iPhone or iPad.

**Highlights:** Measure subjective visual vertical, Accurate and low-cost testing, Suitable for neurology and vestibular rehab, Tests for brainstem lesions, Evaluates otolithic function, Multiple readings and averaged results, Single, one-off readings

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


### Pupillary Distance

[App page](https://appshunter.io/ios/app/pupillary-distance/id6605920571)

**Currently charting:** #189 Top Paid · Medical (US App Store)

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


## Frequently asked questions

### Is Visual Vertical free?

Visual Vertical costs $11.99, with no in-app purchases.

### Is Pupillary Distance free?

Pupillary Distance costs $1.99, with no in-app purchases.

### Do Visual Vertical or Pupillary Distance have ads?

Neither Visual Vertical nor Pupillary Distance shows ads.

### Which is updated more often, Visual Vertical or Pupillary Distance?

Visual Vertical ships an update every 38 months, and Pupillary Distance every 9 days. Most recently, Visual Vertical was updated on September 24, 2026 and Pupillary Distance on September 3, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*