But some babies may actually have the problem. Strabismus is also classified according to other clinical features (2). Strabismus is a lack of coordination between the eyes. Strabismus is a condition in which one eye is directed on an object, and the other eye is misaligned (1). Various factors might put an infant at a higher probability of developing strabismus. Untreated strabismus can lead to the following conditions. Momjunction believes in credibility and giving our readers access to authentic and evidence-based content. Often diagnosed at the age of two to three years, it is usually more common among children who have far-sightedness (medically known as hypermetropia) and thus cannot clearly see nearby objects. However, by the age of three to four months, the baby should be able to have a straight alignment of eyes and focus on objects. Do you have anything to share about strabismus in babies? Strabismus can be confirmed if an uncovered eye does not remain straight but moves inward, outward, upward, or downward to focus on the object. Your feedback helps us serve you better and maintain a long-term relationship with the most important people in our business — you.

The basic cause of strabismus is the problem with the eye muscles.

The same step is performed by covering the other eye. It is normal for a newborn’s eyes to wander during the first few months of life since the little one is learning to focus. Most young children with strabismus are diagnosed between the ages of 1 and 4 — and the earlier the better, before connections between the eye and the brain are fully developed.

If other methods do not improve the conditions, then surgical correction may be done. Always seek a doctor’s opinion if you think that your baby has strabismus. The unaffected eye is covered with an eye patch for several hours a day for weeks or months to force the brain to use the deviated eye.
Downward turning is called hypotropia.


The false appearance usually disappears as the baby grows, and the facial structure develops.

This information is for educational purposes only and not a substitute for professional health services. • Eyes moving inward • Eyes moving outward • Crossed eyes • One eye closed • Turning or tilting the head often to look at objects. However, this is not true. People often believe that a child with strabismus will outgrow the condition. Strabismus usually develops in infants and young children,most often by age 3. Double vision is a common complaint with strabismus, but non-verbal babies cannot communicate it. All rights reserved. There are a few variants of esotropia (3). So, how do you identify strabismus in babies, and what causes this problem? Strabismus may occur at any age but is most common in infancy and childhood. Strabismus is classified according to the direction in which the eye turns under the following types (1). It may also be required if strabismus is caused by damaged nerves. How Is Strabismus Diagnosed? Outward turning is called exotropia 3. Treatment will be required to correct it. If your baby is less than three months old, then the doctor may wait for the baby to cross four months before performing any tests. In this MomJunction post, we provide information on the types of strabismus, their causes, symptoms, and ways to cure the condition. The doctor will cover one eye of the baby, and the baby might be made to focus on an object like a colorful toy with the other eye. Alternating, when it happens in an alternate eye at a time. Strabismus is curable with prompt medical intervention. Strabismus cases that go beyond three to four months of age may require treatment to prevent visual impairment. It's normal for a newborn's eyes to wander or cross occasionally during the first few months of life. If you suspect your baby to have strabismus, it is good to seek medical attention as early as possible. In such cases, the child’s eyes may misalign to focus on closer objects. The doctor may request other tests if needed. If your child's eyes seem to point in different directions or not focus on the same object, strabismus could be the culprit. If there is any lack of sufficient evidence, we make sure we mention it. Signs And Symptoms Of Strabismus In Infants, Diagnosis and management of childhood squints: investigation and examination with reference to red flags and referral letters, Understanding, detecting, and managing strabismus, Strabismus at Age 2 Years in Children Born Before 28 Weeks’ Gestation: Antecedents and Correlates, Identification of strabismus in children born to mothers misusing substances during pregnancy: A clinical and research challenge, OPHTHALMIC INVOLVEMENT IN THE FETAL ALCOHOL SYNDROME: CLINICAL AND ANIMAL MODEL STUDIES, Tests for detecting strabismus in children aged 1 to 6 years in the community, Infantile Esotropia Linked to Developmental Delays, 250 Most Popular Baby Boy Names With Meanings For 2019, Safe Sleeping Positions during First Trimester of Pregnancy, 9 Simple Steps To Make Train Travel Safe For You And Your Baby, 30 Fun Loving Summer Activities For Toddlers And Preschoolers, Baby Neck Rash: Causes, Symptoms And Treatment, Acid Reflux In Babies: Causes, Symptoms And Treatment, Mucus In Baby’s Stool: Causes, Diagnosis And Treatment, 7 Reasons Why Babies Wake Up Crying Hysterically, Baby Dry Skin: Causes, Symptoms, Treatment, And Home Remedies, Heredity can cause strabismus. The baby has a wide nasal bridge and extra fold of skin that gives an appearance of their eyes being crossed.

Please read our Disclaimer. But older children and adults can also develop the condition. Our stringent editorial guidelines allow us to cite only from reputed research institutions, academic journals, medically established studies, and highly regarded media and news agencies. Rarely, persistent strabismus may be the first sign of childhood cataract, glaucoma, or tumors of the eye, optic nerve, or the brain (9). It is usually associated with a family history of strabismus and can be diagnosed by the age of six months. 1. It is often also known as “cross-eye,” “wandering eye,” or “squint.” Babies appear to be crossed-eyed that come and go until the age of 3-4 months, and it is normal. There are a … Strabismus is a problem with the way the brain is controls the eyes, not with the eye muscles. Studies have shown that strabismus may cause difficulty in achieving milestones like grasping, sitting, crawling, standing, and walking (12). As the baby grows and becomes more aware, strabismus might pose a threat to the child’s self-confidence and self-esteem. Although mostly seen in healthy babies, it is prevalent in babies with hydrocephalus and cerebral palsy too. If the signs of strabismus extend beyond three to four months of age, then the doctor may perform the following tests. Inward turning is called esotropia 2.

A good prognosis is seen in cases treated on time. It is often also known as “cross-eye,” “wandering eye,” or “squint.” Babies appear to be crossed-eyed that come and go until the age of 3-4 months, and it is normal. But some babies may actually have the problem. 1. Upward turning is called hypertropia 4. See a medical professional for personalized consultation. It helps stimulate adequate control of the eye muscles and restore normal vision. Leave a comment in the section below. If one or both eyes continue to wander in, out, up, or down — even once in a while — it's probably due to strabismus. It is seen more commonly in babies whose direct family members have strabismus, Certain medical conditions such as hydrocephalus, Down Syndrome, or cerebral palsy. Babies born preterm may be at a higher risk of developing strabismus, Prenatal exposure to drugs might cause strabismus in babies, Maternal smoking during pregnancy might also cause strabismus in babies, Hirschberg test, which is a simple and quick test to determine misalignment of eyes in babies. Consult a pediatrician to diagnose strabismus in your child and to plan further management. If you discover any discrepancy in our content, we welcome you to write to us. An injury to the eye or surrounding structures. But by the time a baby is 4 to 6 months old, the eyes usually straighten out. Unilateral, depending on the involvement of the same eye, every time 3. It is not true strabismus. Esotropia is the most common type of strabismus among children (7). Infants, who continue to have problems and develop strabismus, will display the following symptoms (2). According to the Harvard Medical School, strabismus affects up to 5% of children — both boys and girls equally (3). In some babies, strabismus might be corrected by wearing spectacles with the right type of lens required to correct the condition. If strabismus persists after the age of four months, then the baby is unlikely to outgrow the condition without medical intervention (11). It might happen due to one or more of the following reasons (2) (4). Continuous or intermittent, depending on the frequency 2. Surgery can be used to adjust the length and position of the affected eye muscles. Strabismus is a condition in which one eye is directed on an object, and the other eye is misaligned (1). (That's why experts don't usually recommend eye exercises for strabismus.) Every article goes through multiple reviews to ensure this.

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