Strabismus – Symptoms, Diagnosis, Treatment Options and Risks

Symptoms, Diagnosis, Treatment Options, and Risks are all covered in this article. In addition, you will find some tips to help you manage your condition.


Symptoms of strabismus can include headache, double vision, or misalignment of the eyes. In some cases, strabismus can be a sign of a more serious eye condition. For this reason, people who are experiencing problems with their vision should have regular eye exams to see whether they have strabismus. The symptoms of strabismus can vary from person to person. If you are concerned about your vision, contact your healthcare professional right away.

The most common type of strabismus is esotropia, which is when the eye turns inward toward the nose. Another form of strabismus is called vertical strabismus, which is when the eye turns up. Usually, these types of strabismus occur in infants and children. Some adults may have esotropia or vertical strabismus.

Depending on the severity of the strabismus, it can be treated by eye muscle surgery, patching, or by wearing glasses. The surgery involves a small incision in the conjunctiva, or the thin white part of the eye, which allows the surgeon to gain access to the muscles of the eye. The goal of the surgery is to alter the muscle to improve eye movement. In some cases, surgery is performed on both eyes. In other cases, only one eye is surgically altered.

Generally, the best time to treat strabismus is before the child turns six years old. The most common forms of strabismus are esotropia and vertical strabismus. Other forms of strabismus are intermittent exotropia and accommodating esotropia. This condition is commonly caused by uncorrected farsightedness or an injury to the eye.

Treatment of strabismus in children is a two-step process. First, the child is prescribed glasses or patches to align the eyes. In rare cases, the child is surgically corrected. In most cases, the child is able to adjust to the new eye position. If the child does not respond to these treatments, the child may have to undergo additional surgery to correct the strabismus. The patient will typically return to regular activity within a week.

When the patient does not receive adequate treatment, the strabismus can lead to permanently poor vision in the turned eye. In these cases, the brain ignores signals from the eye with misaligned vision. This makes the weaker eye weaker and functionally blind.


Approximately four percent of the US population suffers from strabismus, a disorder that results from the inability of the eyes to turn at the same time. This condition affects vision and is often the first sign of glaucoma, cataracts, and tumors of the eye. The causes of strabismus are not well understood but include general health problems and eye muscle problems. If left untreated, strabismus can lead to permanent vision loss in the affected eye.

Various tests are used to identify strabismus. These tests are used in both primary care and in the community. Some of these tests are based on the position of light reflecting off the eyes. Others are used to examine the alignment of the eyes.

In infantile esotropia, both eyes are turned inward, typically starting in infancy. This condition is usually treated with surgery on the muscles of one or both eyes. Symptoms of esotropia include double vision and a tilting or turning head. Some people with esotropia may wear glasses or patch the eye to compensate for the misalignment.

In intermittent exotropia, one eye points outward. This condition can occur at any age and can cause a headache. Other symptoms include double vision, difficulty reading, and eyestrain. Some children with intermittent exotropia have no apparent symptoms. This condition can be treated with glasses, patching, or surgery. The treatment plan will be discussed with the child’s doctor. Surgical procedures are commonly performed under anesthesia.

In adults, a strabismus diagnosis can be made using the cover-uncover test. This test evaluates the alignment of the eyes by observing the movement of the eye when the fixating eye is covered and the deviating eye is uncovered.

The cover-uncover test is used in some screening programs. It is based on the observation that the eye that is fixating moves back and forth more when it is covered. This movement is interpreted as a manifestation of strabismus.

There are two types of strabismus: accommodating esotropia and intermittent exotropia. Symptoms of accommodating esotropia include double or nearsightedness, tilting or turning of the head, and covering one eye when viewing objects. This condition can be treated by adjusting the length of the eye muscles or surgery on the eye muscles.

Treatment options

Generally, strabismus occurs when one of the six eye muscles does not work properly. This causes the brain to ignore the image coming from the turned eye. This can cause a number of problems including loss of vision, double vision, and even a lazy eye. Fortunately, treatment options for strabismus exist to help you overcome the problem.

In some cases, the problem can be corrected with glasses, contact lenses, or patching. Other treatments include medication or surgery.

If the strabismus is mild, a patch can be worn over the affected eye to limit the amount of eye turning. A prism lens can also be used to help relieve diplopia in small-angle strabismus. If the strabismus is severe, then the child may require surgery.

Strabismus can be caused by a number of different health conditions, including hydrocephalus, stroke, and head trauma. In addition, genetic conditions can increase the risk of strabismus. It is also important to consult your doctor if you suspect that you have strabismus. The sooner you diagnose the problem, the better the treatment will be.

During a routine eye exam, your doctor will examine the internal and external structures of your eyes. He or she will also perform tests to determine your visual acuity, refractive error, and teamwork between your eyes. If your ophthalmologist discovers that you have strabismus, he or she will develop a treatment plan.

In some cases, your ophthalmologist can correct the problem with Botox injections. These injections target an overactive extraocular muscle and reduce the angle of deviation. The treatment takes two to three days to take effect. The ophthalmologist will monitor your progress until the condition has improved. You will need to return to your doctor for follow-up appointments.

In older children, the procedure can be done in the office. In some instances, the ophthalmologist may prescribe eye drops to help reduce the strain on the eye. In some cases, the ophthalmologist will perform a surgical procedure to correct the strabismus.

In some cases, a child can wear glasses to correct strabismus. In these cases, the doctor will help you choose which glasses are most suitable. If you are using contact lenses, your ophthalmologist will explain the benefits and limitations of each type.


Surgical procedures, including strabismus surgery, are safe and have a low rate of complications. However, all surgical procedures carry risks. You need to consider the benefits and risks of a particular procedure and discuss it with your doctor.

Strabismus surgery is a treatment that improves the alignment of the eyes. This can help reduce double vision, headaches, and strain in reading. In addition, it can help older children with strabismus improve their binocular vision. The patient may need glasses after the operation.

The procedure is performed under local or general anesthesia. A small incision is made in the eye muscle tissue. An antibiotic ointment is placed in the eye, and the incision is then closed. The stitches will dissolve on their own in about six weeks.

During the procedure, the eye muscles are loosened. The muscles are then reattached. The incision is usually close to the conjunctiva, or the membrane covering the white part of the eye. A patch is often placed over one eye. This patch can be removed when the patient is ready.

After surgery, the patient will have red or sore eyes. They may also have difficulty with depth perception. This may occur for up to two weeks. If they continue to experience double vision, additional surgery may be necessary.

During strabismus surgery, an incision is made through the thin membrane covering the white part of the eye. Then, reattachment of the eye muscle is done using absorbable stitches.

An infection at the site of the surgery is rare. Occasionally, the patient will develop an allergic reaction. A patch is often placed over the eye, and an antibiotic ointment is placed in it. A person who smokes may experience slow healing.

Other complications, such as bleeding and double vision, are not common. The most serious complication is a perforation of the globe. This is more likely in young children. In adults, this complication is much less likely.

The risks of strabismus surgery vary with each individual. Some patients may have an allergic reaction or a reoccurrence of strabismus. Surgical complications can be avoided if caught early.

Health Sources:

Health A to Z. (n.d.).

U.S. National Library of Medicine. (n.d.).

Directory Health Topics. (n.d.).

Health A-Z. (2022, April 26). Verywell Health.

Harvard Health. (2015, November 17). Health A to Z.

Health Conditions A-Z Sitemap. (n.d.).

Susan Silverman

Susan Silverman

Susan Silverman is a Healthy Home Remedies Writer for Home Remedy Lifestyle! With over 10 years of experience, I've helped countless people find natural solutions to their health problems. At Home Remedy Lifestyle, we believe that knowledge is power. I am dedicated to providing our readers with trustworthy, evidence-based information about home remedies and natural medical treatments. I love finding creative ways to live a healthy and holistic lifestyle on a budget! It is my hope to empower our readers to take control of their health!

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