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Need help? Contact your dedicated Account Manager. Connect with Us. All rights reserved. The child often has a family history of strabismus. Although most children with infantile esotropia are otherwise normal, there is a high incidence of this disorder in children with cerebral palsy and hydrocephalus.

Many infants appear to have strabismus, but do not. Rather, they have a condition known as pseudostrabismus or pseudoesotropia , in which a widened nasal bridge or an extra fold of skin makes the white sclera less visible on the nose side of the eye.

This gives the appearance that the eyes are crossed. This usually goes away as the infant grows and the facial structures change.

Accommodative esotropia is seen in children who are very farsighted. Their eyes cross because of difficulty focusing on nearby objects.

Parents notice the child's eyes turning in sometimes, usually when he or she is concentrating on something up close. Accommodative esotropia typically is diagnosed between ages 2 and 3 years.

A family history of this condition is common. Strabismus has mistakenly been called lazy eye or amblyopia, which refers to diminished vision in one or both eyes beyond what is expected after correcting any eye problem as fully as possible.

However, strabismus can lead to amblyopia. When the eyes are not aligned, the brain receives two different images, resulting in double vision.

In young children the visual system has not reached full maturity and the brain is able to suppress the image from one eye to avoid double vision.

Amblyopia results if vision from one eye is consistently suppressed and the other eye becomes dominant. Among children with strabismus, one-third to one-half develop amblyopia.

Although strabismus may be obvious to the observer, only an eye doctor can confirm the diagnosis of amblyopia. Your doctor will ask about your child's medical history, and will test how well your child sees with each eye.

The doctor will evaluate the alignment of your child's eyes, looking for evidence of uncoordinated eye movements. In infants and young children with limited ability to cooperate, the doctor will test alignment by comparing the position of a light reflecting off each eye.

However, this test may not detect intermittent strabismus unless the strabismus is occurring at the time of testing. In children who are able to cooperate, both intermittent and constant strabismus can be detected using the "cover-uncover" and "alternating cover" tests.

In these tests, the child stares at an object and the examiner watches the response of each of the child's eyes when the other is covered and uncovered.

The intermittent strabismus seen in infants is associated with normal development and typically goes away before 3 months of age.

Other types of strabismus do not go away unless treated. Strabismus cannot be prevented. However, complications of strabismus can be prevented if the problem is detected early and treated properly.

Children should be monitored closely during infancy and the preschool years to detect potential eye problems, particularly if a relative has strabismus.

The American Association for Pediatric Ophthalmology and Strabismus, the American Academy of Pediatrics, and the American Academy of Family Physicians recommend that at a minimum all children be screened for eye health before age 6 months, regularly during each check-up, and again between 3 and 5 years of age by a pediatrician, family practitioner or ophthalmologist.

Routine vision screening for young children includes testing for strabismus, usually using the light reflex for infants, and cover testing for preschool-age children.

Some health care professionals screen for vision problems with a special camera that takes instant pictures of a child's eyes.

Crescents of light reflected off the eyes can indicate strabismus or other eye problems including nearsightedness, farsightedness and cataracts.

The primary goal of treatment is to preserve or restore as much visual function as possible. Treatments vary, depending on the type and cause of strabismus.

Glasses are used to correct vision in the weaker eye. A patch can be worn over the preferred eye to force the child to use the weaker or suppressed eye.

Eye drops are used to temporarily blur the vision of the preferred eye for the same purpose. Exercises may be prescribed to strengthen specific eye muscles.

Forcing a child to use the weaker eye can improve sight by reinforcing the connection between the eye and the brain.

Surgery to tighten or loosen specific eye muscles usually is required to realign the eyes. This short operation typically is done under general anesthesia and may involve one or both eyes.

Occasionally, the first surgery doesn't align the eyes completely and additional surgery is needed. You should talk to your child's health care professional as soon as possible about any concerns about a child's ability to see or about the alignment of his or her eyes.

If you have this condition, your eyes look in different directions. And each eye will focus on a different object.

The condition is more common in children, but it can also occur later in life. In older children and adults, crossed eyes can be caused by a variety of underlying medical conditions, like cerebral palsy or stroke.

If you have crossed eyes, your eyes might point inward or outward or focus in different directions. You might also have:. When your brain receives a different visual message from each eye, it ignores the signals coming from your weaker eye.

Crossed eyes are common in children. Often the underlying cause is unknown. Infantile esotropia is a type of crossed eyes that appears in babies during their first year of life.

Esotropia runs in families and usually requires surgery to correct. Acquired esotropia occurs in children usually between the ages of 2 and 5.

Eyeglasses can usually correct it. Crossed eyes can also occur later in life. You may also develop crossed eyes if you have a lazy eye or are farsighted.

To prevent vision loss, early diagnosis and treatment for crossed eyes is important. If you develop symptoms of crossed eyes, make an appointment with an eye doctor.

If you have other physical symptoms along with crossed eyes, your doctor may examine your brain and nervous system for other conditions.

If your baby has crossed eyes that persist beyond 3 months of age, make an appointment with their doctor. Young children should undergo an eye exam before 3 years of age.

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Upload an Image. Drag image here. Visual Search. Going cross eyed, an exotic and beautiful young oriental girl, with long black hair ready to eat a fresh strawberry fruit on a fork.

The doctor will evaluate the alignment of your child's eyes, looking for evidence of uncoordinated eye movements. In infants and young children with limited ability to cooperate, the doctor will test alignment by comparing the position of a light reflecting off each eye.

However, this test may not detect intermittent strabismus unless the strabismus is occurring at the time of testing. In children who are able to cooperate, both intermittent and constant strabismus can be detected using the "cover-uncover" and "alternating cover" tests.

In these tests, the child stares at an object and the examiner watches the response of each of the child's eyes when the other is covered and uncovered.

The intermittent strabismus seen in infants is associated with normal development and typically goes away before 3 months of age.

Other types of strabismus do not go away unless treated. Strabismus cannot be prevented. However, complications of strabismus can be prevented if the problem is detected early and treated properly.

Children should be monitored closely during infancy and the preschool years to detect potential eye problems, particularly if a relative has strabismus.

The American Association for Pediatric Ophthalmology and Strabismus, the American Academy of Pediatrics, and the American Academy of Family Physicians recommend that at a minimum all children be screened for eye health before age 6 months, regularly during each check-up, and again between 3 and 5 years of age by a pediatrician, family practitioner or ophthalmologist.

Routine vision screening for young children includes testing for strabismus, usually using the light reflex for infants, and cover testing for preschool-age children.

Some health care professionals screen for vision problems with a special camera that takes instant pictures of a child's eyes.

Crescents of light reflected off the eyes can indicate strabismus or other eye problems including nearsightedness, farsightedness and cataracts.

The primary goal of treatment is to preserve or restore as much visual function as possible. Treatments vary, depending on the type and cause of strabismus.

Glasses are used to correct vision in the weaker eye. A patch can be worn over the preferred eye to force the child to use the weaker or suppressed eye.

Eye drops are used to temporarily blur the vision of the preferred eye for the same purpose. Exercises may be prescribed to strengthen specific eye muscles.

Forcing a child to use the weaker eye can improve sight by reinforcing the connection between the eye and the brain.

Surgery to tighten or loosen specific eye muscles usually is required to realign the eyes. This short operation typically is done under general anesthesia and may involve one or both eyes.

Occasionally, the first surgery doesn't align the eyes completely and additional surgery is needed. You should talk to your child's health care professional as soon as possible about any concerns about a child's ability to see or about the alignment of his or her eyes.

A child who has constant strabismus at any age or intermittent strabismus that lasts beyond 3 months of age should be evaluated by a pediatric ophthalmologist.

An adult who develops double vision or other signs of strabismus should contact his or her health care professional for further evaluation.

With early detection, accurate diagnosis and proper treatment, the outlook for children with strabismus is excellent. Treatment before age 6 years of age, and especially before 2 years of age, gives the best results.

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