Hypertropia is characterized by the misalignment of the eyes, in which the visual axis of one eye is higher than the other. Causes Hypertropia may be a congenital or acquired condition. Treatment for hypertropia may include prescription of eyeglasses to correct the refractive errors. Patching is used particularly in treating amblyopia in kids and diplopia in adults. Botulinum toxin botox injection and surgical correction are also recommended.