Treatment / management:
- Surgery does not change the vision; it attempts to align the eyes by shortening, lengthening, or changing the position of one or more of the extraocular eye muscles and is frequently the only way to achieve cosmetic improvement.
- Glasses affect the position by changing the person’s reaction to focusing.
- Prisms change the way light, and therefore images, strike the eye, simulating a change in the eye position. Prism lenses can also be used to provide some comfort for sufferers and to prevent double vision from occurring.
- Botox may also be used in the treatment of strabismus, to improve cosmetic appearance. Most commonly used in adults, the toxin is injected in the stronger muscle, causing temporary paralysis.
Differentials: pseudostrabismus – often mistaken in infants with wide flat noses. This appearence is lost with time.
Prognosis:When strabismus is congenital or develops in infancy, it can cause amblyopia in which the brain ignores input from the deviated eye. The appearance of strabismus may also be a cosmetic problem. One study reported that 85% of adult strabismus patients “reported that they had problems with work, school and sports because of their strabismus.