Strabismus in Children: Causes, Symptoms, and Early Treatment

Strabismus in Children: Causes, Symptoms, and Early Treatment
Strabismus in Children: Causes, Symptoms, and Early Treatment
Strabismus is a common visual problem among children that occurs when the eyes do not move together in the same direction. In this condition, one eye may turn inward toward the nose or outward away from the normal axis, while the other eye remains focused on the target. Temporary misalignment may appear in infants, especially when tired, but it usually resolves by the age of three months.اضافة اعلان

The real risk arises if strabismus persists, as it can develop into amblyopia, also known as “lazy eye,” where the brain begins to ignore visual signals from the weaker eye. This weakens vision and affects depth perception and visual discrimination.

According to Johns Hopkins Medicine, strabismus may sometimes reflect other medical issues, such as brain injuries, retinopathy in premature infants, or certain neurological disorders like cerebral palsy, making early medical evaluation essential.

Symptoms to Watch For

Parents can often notice signs of strabismus by carefully observing their child. Key symptoms include:

Misalignment of the eyes or one eye visibly drifting.

Inconsistent eye movements when following objects.

Double vision or difficulty focusing.

Favoring one eye with loss of depth perception.

Frequent occurrence of these symptoms requires prompt examination to prevent long-term complications.

Diagnosis

If strabismus is suspected, an ophthalmologist may perform several tests, including:

Visual acuity measurement: To assess clarity of vision and the impact on the eyes.

Retinal examination: To ensure the internal health of the eye.

Neurological assessment: If a nerve or brain-related disorder is suspected.

These tests help the doctor determine the type of strabismus and the most appropriate treatment plan.

Available Treatments

Early intervention is key to avoiding permanent vision impairment. Treatment options include:

Eyeglasses and vision therapy: To strengthen eye muscles and improve alignment.

Patching: Covering the healthy eye for a period to stimulate the weaker eye.

Special drops or glasses: Alternatives for children who cannot tolerate patches.

Surgery: Adjusting eye muscles through precise procedures. Modern techniques, such as adjustable sutures, allow the doctor to fine-tune alignment immediately after surgery.

In some cases, medication may be used to temporarily relax tight eye muscles, helping the weaker eye regain balance.

When to See a Doctor

If a child is older than three months and still shows eye misalignment, or if parents notice the child tilting their head frequently or closing one eye while focusing, this is a clear sign to visit an ophthalmologist. Early treatment achieves the best results and prevents permanent vision loss.