Question on Strabismus

Updated on June 11, 2008
A.M. asks from Appleton, WI
5 answers

I have an 11 month old who I noticed just recently has a "Wondering Eye". It isn't all the time- in fact I just noticed it in the past couple of weeks and have only noticed it in the evenings and it is not every evening. It is only in one eye. Of course I have been on the internet today looking things up- and found a site about Strabismus and how there is intermittent Strabismus (not all the time). I was wondering if anyone has any experience with this, and if anyone has a child that has been diagnosed with this. Am I just over-reacting to her growing? Is this normal? How was your child diagnosed?

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So What Happened?

Just a short update-- we took our daughter to an eye doctor specializing in Strabismus and she has Pseudo Strabismus. Which is when a child’s eye appears to turn in towards her nose. However, when a pen light is pointed towards her eyes and the reflection is observed (called the Corneal Light Reflex test), the light reflections are actually symmetrical. Her eye appears to turn in due to the skin crease (called the epicanthal fold) in her left. Her are eyes are not turned, but are normal. She should outgrow this within the year.

Thank you to those of you that emailed me and sent me your experiences...I appreciate all of the support and advice.

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A.Z.

answers from Minneapolis on

My daughter was diagnosed with strabismus due to being farsighted (accomodative strabismus). We first noticed it at 9 months, and took her to an eye doctor who checked her vision and recommended waiting. At 12 months, we were noticing it even more so we took her back. She was diagnosed as being quite farsighted (all kids are, but she is much more so: +4.75 is her prescription). She has worn glasses, which help immensely since 14 months. If you'd like to see pictures of my daughter with the crossed eyes, check here: http://toddlerglasses.wordpress.com/2008/03/15/how-did-th...

Strabismus can be caused by eye muscles not working correctly, or because of the vision problems (like my daughters). I would recommend making an appointment with an eye doctor that works with young children. They'll do some vision tests, and probably dilate her eyes to check the curvature of the back of her eyes. If her eye is wandering, it makes her more at risk for a lazy eye later on, since she's probably seeing double and so ignoring the input from one of her eyes. The good news is that this is pretty treatable with corrective glasses, possibly patching, and if it's a problem with the muscles, possibly surgery. Since it's happening intermittently, I would guess that it's a result of her needing to work hard to focus, so it's probably a matter of getting glasses.

Take a couple of pictures of your daughter straight on with the flash. If you notice the reflections of the flash not lining up in her eyes, or that one eye has red eye and the other doesn't, print those out and take them with you to the eye doctors. We did that and our eye doctor found it to be very helpful, since Zoe doesn't always cross her eyes.

Good luck! Please let me know if you have any questions at all about this. I don't think you are overreacting, and it's a good thing to get checked out, but know that if it is strabismus, it is not a scary thing.

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B.H.

answers from Minneapolis on

I would take her in. My daughter started seeing a pediatric opthamologist at age3 or 4. They knew she farsighted(most kids are to a degree) and a stignatism... Wasn't bad enough for glasses but they wanted to monitor her kinda thing. We went in every 6mos. After struggling with reading in kindergarten we decided to try glasses and it made a world of a difference. It really was nothing to bring my daughter in every few months it was good to see if she was making progress or getting worse. There is alot you can do at a early age and correct alot of problems before they get worse and actually fix alot of vision problems if you start early.

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A.V.

answers from Minneapolis on

you should take her to an optimologist and have her officialy diagnosed my son was diagnosed with ambliopia (wandering eye) and he wears a patch around the house every once in a while to strengthen the eye and it has improved 60% so far. But you should go in soon to see if there is anything nonevasive to cure it they told us we could try patching or surgery we opted for patching for now and it is working great.

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K.K.

answers from Minneapolis on

I don't think you're over reacting at all. I would have her evaluated by a pediatric opthamologist soon. She may just need glasses or it may be something more serious. Either way, I would bet money it's easier to treat now than when she's older.

Good luck!

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P.K.

answers from Minneapolis on

There are probably many different degrees of a wondering eye and the muscles associated with the eye, so I'd check with your Ped, and/or an opthomologist to find out the severity and types of treatments available.

I have 2 friends with a wondering eye, and I've heard them say that it occurs more often, or the symptom worsens when they are tired.

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