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Strabismus (Pediatric)

What is strabismus?

Strabismus refers to any situation in which binocular vision is compromised by misalignment of the eyes. It encompasses a wide range of conditions. Although it may occur in isolation, it may also be a sign of underlying neurological condition, or be secondary to other causes such as tumors, malformations, neuromuscular syndromes, trauma, stroke, inflammatory conditions, thyroid disease, and others.

How is strabismus diagnosed?

Strabismus may be suspected based on the eyes appearing to be crossed or misaligned in some way, but an examination by a pediatric ophthalmologist is critical to making the correct diagnosis. During the examination the ophthalmologist will be able to determine not only if strabismus is present, but its severity, its impact on vision, the need for additional testing, and the correct treatment.

Advanced imaging studies or diagnostic testing may be required in some cases, and the comprehensive array of medical specialists and testing resources at Columbia make it an ideal center to accomplish these goals.

How is strabismus treated?

Treatment is particularly critical in early childhood to prevent the development of permanent vision loss or loss of binocularity. Accurate detection and diagnosis must be followed by timely treatment that may include optical corrections, patching, topical medication, or eye muscle surgery.