Eye Alignment Challenges


The following eye problems deal with the perception or reality of misaligned eyes, resulting in the suppression or “turning off” of one eye, weakening its abilities and causing a child to rely on the overuse of the other, clear eye.  A comprehensive eye exam is necessary to accurately diagnose and treat these conditions.

Pseudostrabismus is known as falsely misaligned eyes.  Sometimes infants appear to have crossed eyes, yet the eyes are truly straight. Caused by the presence of a wide nasal bridge or extra folds of skin between the nose and the inside of the eye, it can give a child a cross-eyed appearance.  While most children outgrow the condition, having an eye examination is still important.

Strabismus, known as crossed or wandering eyes, is caused by the brain’s inability to coordinate both eyes simultaneously.  As a result, one eye may point in or out, up or down.  Because both eyes are not pointing at the same place, two different pictures are sent to the brain, resulting in double vision. The brain suppresses the picture from the misaligned eye to avoid seeing double, inhibiting development in that eye as well as binocularity. Strabismus is divided into two categories: esotropia ("crossed" eye), meaning an eye turns in towards the nose, and exotropia ("wandering" eye), meaning an eye turns out away from the nose.