Evaluation and management of strabismus in children
- David K Coats, MD
David K Coats, MD
- Professor of Ophthalmology
- Baylor College of Medicine
- Evelyn A Paysse, MD
Evelyn A Paysse, MD
- Section Editor — Pediatric Ophthalmology
- Professor of Ophthalmology and Pediatrics
- Baylor College of Medicine
Strabismus is the condition of misalignment of the eyes. Strabismus can be horizontal, vertical, or torsional.
The evaluation and management of strabismus in children will be reviewed here. The causes of strabismus are discussed separately. (See "Causes of horizontal strabismus in children" and "Causes of vertical strabismus in children".)
The terms used to describe strabismus depend upon the direction of eye deviation, the conditions under which it is present, and whether it changes with the position of gaze.
The prefix of the term describes the direction of eye deviation (figure 1):
●"Eso" − The prefix "eso" describes deviation nasally (inward) relative to the fixating eye.
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- DIFFERENTIAL DIAGNOSIS
- Physical examination
- - Corneal light reflex
- - Cover test
- - Cover/uncover test
- - Brückner test
- Additional evaluation
- INDICATIONS FOR REFERRAL
- OVERVIEW OF MANAGEMENT
- Vision impairment
- INFORMATION FOR PATIENTS
- SUMMARY AND RECOMMENDATIONS