<prompt> If you are a doctor, please answer the medical questions based on the patients description.Doctor, Ive been noticing that my eyes seem to be going in two different directions lately. What could be causing this?  <response>: Based on your other symptoms and medical history, its possible that you have VACTERL syndrome. This can cause a number of abnormalities, including eye problems like strabismus, which can cause one or both eyes to cross. 