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Eye misalignment (Strabismus)

Most eye misalignment occurs as a result of an abnormality of the brain, nerve, and muscle that control eye movements.

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Eye misalignment (strabismus)

Eye misalignment (strabismus) is a condition in which two eyes do not look in the same direction. One eye turns either outwards, inwards, upwards, or downwards relative to the other eye. The condition may occur all the time or come and go.

What are the causes of eye misalignment?

Most eye misalignment occurs as a result of an abnormality of the brain, nerve, and muscle that control eye movements. There are numerous specific diseases that can cause this abnormality. In some cases, the cause of eye misalignment is unknown.

What are the symptoms of eye misalignment?

The patient or their acquaintances may notice that the patient’s eyes are not aligned or are not able to track objects together. Some patients may have eye strain and may develop head tilting posture. In addition, adult patients and older children can experience “seeing double”.

When to see the doctor?

Please ask for an evaluation by a strabismus specialist if you experience aforementioned symptoms. Although timely appropriate management of eye misalignment by a specialist is recommended in all patients, this issue is especially important for young children as delayed management can lead to long-term disability such as permanent loss of binocular vision and 3-dimensional depth perception.

How to prevent eye misalignment?

There is no specific measure to prevent the development of misalignment. However, timely appropriate management of this condition can improve quality of life and reduce the risk of long-term disability.

How is eye misalignment diagnosed?

Complete eye examination by a strabismus specialist is recommended to accurately diagnose eye misalignment.

How is eye misalignment treated?

Suitable treatments depend on the types and causes of strabismus. Treatment options include

  • Wearing appropriate eyeglasses
  • Wearing an eye patch
  • Strabismus surgery
  • Treating underlying diseases such as brain, nerve, and muscle diseases.

Article by

  • Asst. Prof. Dr Worawalun Honglertnapakul
    Asst. Prof. Dr Worawalun Honglertnapakul An Ophthalmologist Specializing in Pediatric Ophthalmology and Strabismus

Published: 28 Mar 2022

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