In strabismus, one or both of the eyes turn in, out, up, or down. It usually occurs in children but may occur in adults. Permanent vision loss may result if strabismus is not detected and treated in a timely manner.
The doctor will ask about your symptoms and medical history, and perform a physical exam. You should be examined by an ophthalmologist, who will test your visual acuity, measure your strabismus, examine your eye for other problems, and check for the need for glasses. You may also be given a neurologic exam and other tests to rule out other possible causes.
Treatment may include:
Glasses or contact lenses may be prescribed to improve your ability to focus and help overcome poor vision. With better eyesight, strabismus may improve. For some conditions, special prism lenses can be placed in the glasses to help reduce double vision that may occur with strabismus.
In children, an eye that is not properly aligned may not mature visually. If this is not corrected, permanent visual loss can occur (amblyopia). In some cases, a patch is applied over the good eye. This forces you to fixate and use the affected eye, therefore promoting visual development. The length of time the patch is worn depends on the severity of the condition and the age of the child.
Eye drops or ointment may be put in the good eye to blur the vision (usually by making the pupil large and preventing the eye from focusing well). This forces the affected eye to fixate properly and may be used as a substitute for patching.
In rare cases, injections of botulinum toxin may also be used to treat strabismus.
Surgery may be used to straighten the eyes if nonsurgical means are not successful. Strabismus surgery may improve the ability of the eye muscles to bring the eyeball into proper alignment. During strabismus surgery, the eye surgeon generally moves one or more of the eye muscles to a different location on the eyeball.
There is no known way to prevent strabismus. However, it is important to evaluate and treat strabismus as soon as it occurs. If you notice that you or your child’s eyes are not properly aligned, visit your eye doctor immediately.
Please be aware that this information is provided to supplement the care
provided by your physician. It is neither intended nor implied to be a
substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER
IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the
advice of your physician or other qualified health provider prior to
starting any new treatment or with any questions you may have regarding a