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Medical and surgical treatment of strabismus (crossed eyes) in children.

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Strabismus is most commonly seen in young patients from ages six months to two years. In some instances, both eyes can fixate one eye at a time. This is called alternating strabismus, where the vision will function normally in the individual eyes but binocular vision is not present. In children that either have one eye deviated in (esotropia) or deviated outward (exotropia) and do not fixate at all will develop a condition called amblyopia This abnormal suppression of the vision in the affected eye causes double vision. If not diagnosed and treated early, when the child grew into his teens and older, there would be no corrective options available.

Strengthening the weaker eye by patching the good eye for several hours a day and thereby forcing the weaker eye to do the work would be our first approach. If the child cannot tolerate a patch, we would dilate the pupil of the good eye to blur the vision, forcing the weaker eye to see. If these treatments are not successful, surgical treatment to realign the muscles of the affected eye would be necessary for the best possible cosmetic as well as functional result.