Strabismus

​​​​​​​

Strabismus is a relatively common condition, affecting about 2-4% of the population worldwide. It is one of the most frequent eye disorders seen in children, though it can also develop in adults due to conditions like stroke or trauma. In the United States alone, it is estimated that around 12 million people are affected by strabismus, with varying degrees of severity. Early diagnosis and treatment are essential, as untreated strabismus in children can significantly impair visual development.

What is Strabismus?

Strabismus, commonly referred to as crossed eyes, is a condition in which the eyes do not properly align with each other when looking at an object. One eye may turn in, out, up, or down, while the other eye focuses correctly. This misalignment can be constant or intermittent and may affect one or both eyes. Strabismus occurs when the muscles controlling eye movement do not work together correctly, leading to difficulty in focusing both eyes on a single point. This condition can lead to visual issues such as double vision and, in some cases, can result in amblyopia (lazy eye) if left untreated.

How Does Strabismus Develop?

Strabismus develops when there is a disruption in the coordination of the muscles that control eye movement, leading to a misalignment of the eyes. This disruption can result from various causes, including genetic factors, neuromuscular conditions, or problems with the nerves that transmit signals to the eye muscles. In some cases, it may be present at birth, while in others, it can develop later in childhood or adulthood due to conditions such as cerebral palsy, Down syndrome, or even trauma to the eye or brain.

Signs and Symptoms of Strabismus

The primary symptom of strabismus is the visible misalignment of the eyes. However, there are other signs and symptoms that may indicate the presence of this condition:

• Blurred or double vision

• Headaches or eye strain

• Difficulty with depth perception and spatial awareness

• Reduced visual acuity in one eye

• Frequent eye rubbing or squinting

• Tilting or turning the head to compensate for the misalignment

​​​​​​​

The Importance of Comprehensive Eye Exams for Early Detection

Early detection and diagnosis of strabismus are crucial for effective treatment and the prevention of long-term vision problems. Regular comprehensive eye exams, particularly for young children, can help identify strabismus and other vision issues before they become more severe.

During a comprehensive eye exam, your eye doctor will:

• Assess the alignment and movement of your eyes

• Measure the refractive errors in your eyes

• Evaluate your visual acuity and depth perception

• Identify any underlying neurological or developmental factors that may be contributing to the strabismus

By catching strabismus early, your eye doctor can develop a personalized treatment plan to address the condition and help you maintain optimal vision and eye health.

Treatment Options for Strabismus

Treating strabismus involves various approaches depending on the severity, underlying cause, and the patient’s age. The primary goal of treatment is to improve the alignment of the eyes and restore binocular vision, allowing both eyes to focus together. One of the most common treatments is the use of corrective lenses or glasses, especially when the strabismus is related to refractive errors like farsightedness. These lenses help improve focus and can reduce the strain on the eye muscles, promoting better alignment. In some cases, prism lenses may be prescribed to bend light entering the eye, assisting the eyes in working together more effectively.

Vision therapy is another key treatment option, especially in cases of mild to moderate strabismus. This therapy involves specific exercises designed to strengthen the eye muscles and improve coordination between the eyes and brain. Vision therapy is particularly effective in children and can sometimes eliminate the need for surgery if initiated early.

In some cases, if non-surgical treatments are not effective, your eye doctor may recommend surgical intervention to address the underlying muscle imbalance.

Taking Action Against Strabismus for Better Vision

Strabismus is a common eye condition that can have a significant impact on your overall vision and quality of life. By understanding the nature of strabismus, its causes, and the available treatment options, you can take proactive steps to address this condition and improve your visual function.

If you suspect you or your child may be experiencing strabismus, schedule a comprehensive eye exam today. We can provide a thorough evaluation, diagnose the condition, and develop a personalized treatment plan to help you achieve better vision and eye health.