Crossed eyes–medically known as strabismus–is a condition where the eyes do not align properly and may point in different directions. While some misalignment can be normal in newborns, persistent or worsening strabismus may require attention to prevent long-term vision problems. Our rule of thumb? If your child’s eyes are consistently crossed beyond three to six months of age, it’s time to consult an eye care professional.
Flamborough Family Eyecare offers comprehensive eye exams and treatment options specifically designed for children, to help confirm that their vision is developing correctly.
Understanding Strabismus
Strabismus occurs when the muscles that control eye movement are not working together correctly, causing one or both eyes to turn inward, outward, upward, or downward. This misalignment can affect one or both eyes intermittently or consistently. There are different types of strabismus, including esotropia (inward turning), exotropia (outward turning), hypertropia (upward turning), and hypotropia (downward turning).
It’s not uncommon for infants to see occasional eye misalignment, especially in the first few months of life. However, by three to six months, a baby’s eyes should work together and focus on the same object. If the eyes are still misaligned after this period, it could mean strabismus, and it’s important to seek an evaluation from an eye care professional.
Why Strabismus Needs Attention
If left untreated, strabismus can lead to several complications, including:
- Amblyopia (Lazy Eye): When one eye is consistently misaligned, the brain may start ignoring its input, leading to amblyopia or “lazy eye.” If not treated early, this condition can result in permanent vision loss in the affected eye.
- Double Vision: Strabismus can cause double vision because the eyes are not focusing on the same object, making it difficult for your child to see clearly. Double vision can affect their ability to perform everyday tasks.
- Depth Perception Problems: Proper eye alignment is crucial for developing depth perception. Children with strabismus may struggle with activities that require good depth perception, such as catching a ball or navigating stairs.
- Social and Emotional Impact: Visible eye misalignment can affect your child’s self-esteem and social interactions. They may become self-conscious about their appearance or be teased by peers, impacting their emotional well-being.
When to Worry About Crossed Eyes
You should closely monitor your child’s eye alignment, especially during their first year of life. While some temporary misalignment can be normal, certain signs may indicate that it’s time to consult an eye care professional:
- Consistent Eye Misalignment: If your child’s eyes are consistently crossed or misaligned for more than three to six months, it’s important to seek an evaluation.
- Worsening Alignment: If the misalignment is becoming more pronounced or frequent.
- Family History: If there is a family history of strabismus, amblyopia, or other eye conditions.
- Difficulty Focusing: If your child seems to have trouble focusing on objects or if their eyes drift when looking at something.
- Complaints of Vision Problems: Older children may complain of double vision, headaches, or difficulty seeing.
Diagnosis & Treatment of Strabismus
If you suspect your child has strabismus, the first step is to schedule an eye exam with a qualified eye doctor. During the exam, the eye care professional will assess your child’s vision, eye alignment, and overall eye health. They may use various tests, such as the cover test, to determine the degree and type of strabismus.
Treatment for strabismus depends on the severity of the condition and the underlying cause. Common treatment options include:
- Glasses or Contact Lenses: If the strabismus is related to a refractive error, corrective lenses may help align the eyes.
- Patching: In cases of amblyopia, patching the stronger eye can force the brain to use the weaker eye, helping to improve its vision and alignment.
- Vision Therapy: Involves exercises and activities designed to strengthen the eye muscles and improve coordination. Vision therapy can be particularly effective for children and may be combined with other treatments.
- Surgery: In some cases, surgery may be required to correct the alignment of the eye muscles. This is usually considered when other treatments are unsuccessful or the misalignment is severe.
Managing Your Child’s Crossed Eyes
Strabismus is a condition that should not be ignored, as it can lead to long-term vision problems if left untreated. If your child’s eyes are consistently crossed beyond three to six months of age, or if you notice any worsening of their eye alignment, it’s important to seek professional advice.
At Flamborough Family Eyecare, we are committed to providing comprehensive eye care for children, including the diagnosis and treatment of strabismus. Contact us today to schedule an appointment to help keep your child’s eyes healthy and well-aligned.
