{"id":1861,"date":"2017-10-17T19:14:31","date_gmt":"2017-10-17T19:14:31","guid":{"rendered":"http:\/\/inof.es\/estrabismo-infantil-y-de-adultos\/"},"modified":"2024-05-22T17:21:56","modified_gmt":"2024-05-22T17:21:56","slug":"strabismus-in-children-and-adults","status":"publish","type":"page","link":"https:\/\/inof.es\/en\/strabismus-in-children-and-adults\/","title":{"rendered":"Strabismus in children and adults"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row full_width=&#8221;stretch_row&#8221; content_placement=&#8221;middle&#8221; parallax=&#8221;content-moving&#8221; wpex_bg_overlay=&#8221;color&#8221; css=&#8221;.vc_custom_1577985718705{background-image: url(https:\/\/inof.es\/wp-content\/uploads\/2019\/12\/tratamiento-estrabismo.jpg?id=3328) !important;background-position: center;background-repeat: no-repeat !important;background-size: cover !important;}&#8221; min_height=&#8221;400&#8243; visibility=&#8221;hidden-phone&#8221; wpex_bg_overlay_color=&#8221;#000000&#8243;][vc_column][vc_empty_space height=&#8221;40px&#8221;]<style>.vcex-heading.vcex_69dc7f73236e1{color:#ffffff;font-size:60px;font-family:'Titillium Web';font-weight:600;}@media (max-width:1024px){.vcex-heading.vcex_69dc7f73236e1{font-size:50px;}}@media (max-width:959px){.vcex-heading.vcex_69dc7f73236e1{font-size:50px;}}@media (max-width:767px){.vcex-heading.vcex_69dc7f73236e1{font-size:40px;}}@media (max-width:479px){.vcex-heading.vcex_69dc7f73236e1{font-size:40px;}}<\/style><div class=\"vcex-heading vcex-heading-plain vcex-module wpex-heading wpex-text-2xl wpex-text-left vcex_69dc7f73236e1\"><span class=\"vcex-heading-inner wpex-inline-block\">STRABISMUS<\/span><\/div>[vc_column_text font_weight=&#8221;300&#8243;]<span class=\"tlid-translation translation white-text\" lang=\"en\" style=\"font-size: 32px;\"><span title=\"\">Children and adults<\/span><\/span>[\/vc_column_text][vc_empty_space height=&#8221;20px&#8221;][vc_row_inner content_placement=&#8221;middle&#8221;][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text font_weight=&#8221;300&#8243;]<span style=\"font-size: 28px; color: #99ccff;\">Cure the eye misalignment. Improve your vision and your sight.<\/span>[\/vc_column_text]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:40px;\"><\/div><style>.vcex-button.vcex_69dc7f73277ae{background:#5884ca;color:#ffffff!important;padding-inline:20px;font-size:18px;font-weight:600;}.vcex-button.vcex_69dc7f73277ae:hover{background:#1c5ec9!important;}.vcex-button.vcex_69dc7f73277ae .theme-button-icon-left{padding-inline-end:20px;}<\/style><div class=\"theme-button-wrap theme-button-block-wrap wpex-block wpex-clear wpex-clr\"><a href=\"tel:933933156\" class=\"vcex-button theme-button align-left block vcex_69dc7f73277ae\"><span class=\"vcex-button-inner theme-button-inner wpex-flex wpex-flex-wrap wpex-items-center wpex-justify-center\"><span class=\"vcex-button-icon vcex-icon-wrap theme-button-icon-left\"><span class=\"wpex-icon\" aria-hidden=\"true\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path d=\"M164.9 24.6c-7.7-18.6-28-28.5-47.4-23.2l-88 24C12.1 30.2 0 46 0 64C0 311.4 200.6 512 448 512c18 0 33.8-12.1 38.6-29.5l24-88c5.3-19.4-4.6-39.7-23.2-47.4l-96-40c-16.3-6.8-35.2-2.1-46.3 11.6L304.7 368C234.3 334.7 177.3 277.7 144 207.3L193.3 167c13.7-11.2 18.4-30 11.6-46.3l-40-96z\"\/><\/svg><\/span><\/span>Request an appointment 933 933 156<\/span><\/a><\/div> [\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221; parallax=&#8221;content-moving&#8221; css=&#8221;.vc_custom_1510526908261{background-position: 0 0;background-repeat: no-repeat !important;}&#8221; visibility=&#8221;hidden-phone&#8221;][vc_column][vc_empty_space height=&#8221;20px&#8221;][\/vc_column][\/vc_row][vc_row visibility=&#8221;visible-phone&#8221;][vc_column][vc_empty_space height=&#8221;20px&#8221;]<style>.vcex-heading.vcex_69dc7f7328385{color:#6b6b6b;font-size:40px;font-family:'Titillium Web';font-weight:200;}<\/style><div class=\"vcex-heading vcex-heading-plain vcex-module wpex-heading wpex-text-2xl wpex-text-center vcex_69dc7f7328385\"><span class=\"vcex-heading-inner wpex-inline-block\">SPECIALITIES<\/span><\/div>[vc_empty_space height=&#8221;20px&#8221;]<style>.vcex-heading.vcex_69dc7f7328a09{color:#ffffff;}<\/style><h2 class=\"vcex-heading vcex-heading-plain vcex-module wpex-heading wpex-text-2xl vc_custom_1553349322959 vcex_69dc7f7328a09\"><span class=\"vcex-heading-inner wpex-inline-block\">Strabismus in children and adults<\/span><\/h2>[\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;5\/6&#8243;][vc_tta_tabs shape=&#8221;square&#8221; spacing=&#8221;15&#8243; gap=&#8221;15&#8243; alignment=&#8221;center&#8221; active_section=&#8221;1&#8243; css=&#8221;.vc_custom_1508256027653{border-top-width: 1px !important;border-right-width: 1px !important;border-bottom-width: 1px !important;border-left-width: 1px !important;border-left-color: #cccccc !important;border-right-color: #cccccc !important;border-top-color: #cccccc !important;border-bottom-color: #cccccc !important;}&#8221;][vc_tta_section title=&#8221;What is?&#8221; tab_id=&#8221;1508251362686-4ac9fce9-13f7ec28-b431&#8243;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;]<h3 class=\"vcex-heading vcex-heading-plain vcex-module wpex-heading wpex-text-2xl\"><span class=\"vcex-heading-inner wpex-inline-block\">What is strabismus?<\/span><\/h3><div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_column_text]Strabismus is the loss of ocular alignment. This occurs when one of the eyes has deviated and lost coordination with the other. The point of gaze is no longer the same when looking at an object, and the eyes are not aligned anymore. The condition occurs in both children and adults.<\/p>\n<p>It may lead to double vision (<strong>diplopia<\/strong>), confused vision and a loss of binocular vision, losing depth perception. Signs may include an abnormal head position (<strong>torticollis<\/strong>) or winking one eye to avoid double vision (diplopia).<\/p>\n<p>If strabismus is not diagnosed and treated at an early age, it may lead to sensory alterations such as suppression of the unaligned eye, causing <strong>amblyopia <\/strong>(or lazy eye).[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:15px;\"><\/div>[vc_single_image image=&#8221;1474&#8243;][vc_column_text]\n<blockquote><p>5% of children suffer from strabismus.<\/p><\/blockquote>\n[\/vc_column_text]<div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_video link=&#8221;https:\/\/youtu.be\/APQ2FOSmEXw?t=7s&#8221; align=&#8221;center&#8221;][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section title=&#8221;Causes&#8221; tab_id=&#8221;1508256089541-8b045f78-48a2ec28-b431&#8243;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_row_inner][vc_column_inner width=&#8221;2\/3&#8243;]<h3 class=\"vcex-heading vcex-heading-plain vcex-module wpex-heading wpex-text-2xl\"><span class=\"vcex-heading-inner wpex-inline-block\">Causes of Strabismus<\/span><\/h3><div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_column_text]<strong>Idiopathic:<\/strong> In other words, there is no known cause. This is the most frequent situation.<\/p>\n<p><strong>Accommodative:<\/strong> When a child attempts to accommodate in order to compensate for long sightedness, generally inwards (esotropia).<\/p>\n<p><strong>Anisometropia:<\/strong> The difference in the refraction defect between both eyes leads to the development of strabismus.<\/p>\n<p><strong>Amblyopia:<\/strong> The visual deficit in some types of amblyopia may lead to a lazy eye becoming misaligned over time.<\/p>\n<p><strong>Systemic or neurological muscular paralysis:<\/strong> Paralysis in an extra-ocular muscle due to a neurological condition or systemic diseases that affect muscle innervation may lead to strabismus.[\/vc_column_text]<div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_video link=&#8221;https:\/\/youtu.be\/HgrHl3Ilc14&#8243; align=&#8221;center&#8221;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:15px;\"><\/div>[vc_column_text]Strabismus composed with horizontal (endotropia) and vertical component (hypotropia).[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:15px;\"><\/div>[vc_single_image image=&#8221;1476&#8243;][vc_column_text]\n<blockquote><p>Strabismus does not always have a concrete cause.<\/p><\/blockquote>\n[\/vc_column_text]<div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_video link=&#8221;https:\/\/youtu.be\/Zc5CVsJufPk&#8221;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:15px;\"><\/div>[vc_column_text]Accommodative esotropia.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section title=&#8221;Types&#8221; tab_id=&#8221;1508256790280-6cca5488-e3c6ec28-b431&#8243;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_row_inner][vc_column_inner width=&#8221;2\/3&#8243;]<h3 class=\"vcex-heading vcex-heading-plain vcex-module wpex-heading wpex-text-2xl\"><span class=\"vcex-heading-inner wpex-inline-block\">Types of strabismus<\/span><\/h3><div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_column_text]Strabismus is normally classified by the direction of the misalignment.<\/p>\n<ul>\n<li><strong>Horizontal:<\/strong> This might be a divergent strabismus, where one of the eyes deviates outwards, also known as exotropia. In contrast, convergent strabismus occurs when one of the eyes deviates inwards, also known as esotropia.<\/li>\n<li><strong>Vertical<\/strong>: When one of the eyes deviates up or down (hypertropia or hypotropia).<\/li>\n<li><strong>Torsional<\/strong>: When the deviated eye rotates about the eye\u2019s visual axis. This is also known as cyclotropia.<\/li>\n<li><strong>Combinations of the above:<\/strong> Sometimes there are horizontal, vertical and even torsional misalignments at the same time.<\/li>\n<\/ul>\n<p>There are other specific types of strabismus, such as <strong>Duane syndrome<\/strong>, <strong>Brown syndrome<\/strong>, <strong>ocular-motor paralysis<\/strong>, <strong>nystagmus<\/strong> or <strong>fibrosis of the inferior rectus muscle<\/strong>.[\/vc_column_text]<div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_media_grid element_width=&#8221;6&#8243; grid_id=&#8221;vc_gid:1716398469298-66141950-dd7d-3&#8243; include=&#8221;1480,1482&#8243;][vc_column_text]Convergent strabismus of the left eye and divergent strabismus of the right eye.<\/p>\n<p><span style=\"font-size: 14px;\">\u00a0<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:15px;\"><\/div>[vc_single_image image=&#8221;1864&#8243; alignment=&#8221;center&#8221; onclick=&#8221;img_link_large&#8221;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_video link=&#8221;https:\/\/youtu.be\/94LxXRz5Xik&#8221;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:15px;\"><\/div>[vc_column_text]Esotropia: one of the eyes deviates out.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section title=&#8221;Evaluation&#8221; tab_id=&#8221;1508258154839-35b76ff9-306eec28-b431&#8243;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_row_inner][vc_column_inner width=&#8221;2\/3&#8243;]<h3 class=\"vcex-heading vcex-heading-plain vcex-module wpex-heading wpex-text-2xl\"><span class=\"vcex-heading-inner wpex-inline-block\">Evaluation<\/span><\/h3><div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_column_text]<span style=\"font-size: 21px;\">Diagnostic techniques<\/span><\/p>\n<p><strong>Cover test<\/strong><\/p>\n<p>This test objectively determines the presence and amount of ocular deviation. It is used to determine and measure the presence of evident strabismus or tropia, latent strabismus or phoria. It consists of two parts:<\/p>\n<p>The <strong>cover-uncover test<\/strong>, in which one eye is continuously covered and uncovered and the movements of both eyes are observed (to measure tropia).<\/p>\n<p>The <strong>alternating cover test<\/strong>, in which the eye that is covered is alternated and the movements of the eyes are observed when the other is covered and uncovered (to measure tropia and evaluate phoria).<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 21px;\">Technological instruments<\/span><\/p>\n<p><strong>Gazelab\u2122 Video-oculograph<\/strong><\/p>\n<p>Gazelab<sup>TM<\/sup> video-oculography is based on computer vision technology and projection system put on the patient\u2019s own head. We are then able to achieve objective measurements to study strabismus: ocular movements, nystagmus, pupils and eyelids, with a greater degree of precision than other types of video-oculography.<\/p>\n<p>Gazelab\u2122 is the only system that projects and films from a helmet. This makes testing much easier, and opens up the possibility of examining children (who are unable to sit still for an examination with a chin rest).[\/vc_column_text]<div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_video link=&#8221;https:\/\/youtu.be\/zvZTFe6D1Sc&#8221;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_video link=&#8221;https:\/\/youtu.be\/Qy1INWIBTWs&#8221;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:40px;\"><\/div>[vc_column_text]<strong>Synoptophore<\/strong><\/p>\n<p>This instrument is used to evaluate and diagnose strabismus. It is also used for visual training and to stimulate lazy eyes (amblyopia). The synoptophore can be used to measure other aspects of vision such as the level of binocular fusion.<\/p>\n<p><strong>Hess Lancaster Screen Test<\/strong><\/p>\n<p>The Hess Lancaster test (H-L) is a subjective-objective motor evaluation test that examines the extra-ocular muscle function; with one eye being fixated while the other is evaluated. It can help to differentiate paretic strabismus caused by a neurological injury from a motor restriction.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:15px;\"><\/div>[vc_single_image image=&#8221;1582&#8243; alignment=&#8221;center&#8221; onclick=&#8221;img_link_large&#8221;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:15px;\"><\/div>[vc_column_text]The cover test consists of covering each of the eyes alternately or continuously.[\/vc_column_text]<div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_single_image image=&#8221;1584&#8243; alignment=&#8221;center&#8221; onclick=&#8221;img_link_large&#8221;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:15px;\"><\/div>[vc_column_text]The synoptophore can be used to examine and diagnose strabismus.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][\/vc_tta_tabs][\/vc_column][vc_column visibility=&#8221;visible-desktop&#8221; width=&#8221;1\/6&#8243;][vc_column_text css=&#8221;.vc_custom_1716398514153{padding-top: 10px !important;padding-right: 10px !important;padding-bottom: 10px !important;padding-left: 10px !important;background-color: #5884ca !important;}&#8221; font_weight=&#8221;500&#8243;]\n<p style=\"text-align: center;\"><span class=\"white-text\" style=\"font-size: 14px; color: #ffffff;\">OTHER SPECIALITIES<\/span><\/p>\n[\/vc_column_text]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:15px;\"><\/div><style>.vcex-navbar.vcex_69dc7f732cd09 a.vcex-navbar-link{color:#5884ca;background:#eaeaea;}.vcex-navbar.vcex_69dc7f732cd09 a.vcex-navbar-link:is(:hover,.active){color:#ffffff;background:#5884ca;}.vcex-navbar.vcex_69dc7f732cd09{font-size:14px;}<\/style><nav class=\"vcex-navbar vcex-navbar--expanded vcex-module vcex_69dc7f732cd09\"><div class=\"vcex-navbar-inner wpex-clr\"><a href=\"https:\/\/inof.es\/en\/strabismus-in-children-and-adults\/\" class=\"vcex-navbar-link vcex-navbar-link--1861 wpex-block wpex-float-left wpex-mb-5 theme-button clean expanded local-scroll wpex-text-1em has-bg-hover\"><span class=\"vcex-navbar-link-text\">STRABISMUS<\/span><\/a><a href=\"https:\/\/inof.es\/en\/amblyopia\/\" class=\"vcex-navbar-link vcex-navbar-link--1871 wpex-block wpex-float-left wpex-mb-5 theme-button clean expanded local-scroll wpex-text-1em has-bg-hover\"><span class=\"vcex-navbar-link-text\">AMBLYOPIA<\/span><\/a><a href=\"https:\/\/inof.es\/en\/diagnosis-and-treatment-of-diplopia\/\" class=\"vcex-navbar-link vcex-navbar-link--4194 wpex-block wpex-float-left wpex-mb-5 theme-button clean expanded local-scroll wpex-text-1em has-bg-hover\"><span class=\"vcex-navbar-link-text\">DIPLOPIA<\/span><\/a><a href=\"https:\/\/inof.es\/en\/diagnosis-and-treatment-of-cataracts\/\" class=\"vcex-navbar-link vcex-navbar-link--1877 wpex-block wpex-float-left wpex-mb-5 theme-button clean expanded local-scroll wpex-text-1em has-bg-hover\"><span class=\"vcex-navbar-link-text\">CATARACTS<\/span><\/a><a href=\"https:\/\/inof.es\/en\/refractive-surgery\/\" class=\"vcex-navbar-link vcex-navbar-link--1884 wpex-block wpex-float-left wpex-mb-5 theme-button clean expanded local-scroll wpex-text-1em has-bg-hover\"><span class=\"vcex-navbar-link-text\">REFRACTIVE SURGERY<\/span><\/a><a href=\"https:\/\/inof.es\/en\/ocular-aesthetics\/\" class=\"vcex-navbar-link vcex-navbar-link--3180 wpex-block wpex-float-left wpex-mb-5 theme-button clean expanded local-scroll wpex-text-1em has-bg-hover\"><span class=\"vcex-navbar-link-text\">OCULAR AESTHETICS<\/span><\/a><a href=\"https:\/\/inof.es\/en\/diagnosis-and-treatment-of-glaucoma\/\" class=\"vcex-navbar-link vcex-navbar-link--1887 wpex-block wpex-float-left wpex-mb-5 theme-button clean expanded local-scroll wpex-text-1em has-bg-hover\"><span class=\"vcex-navbar-link-text\">GLAUCOMA<\/span><\/a><a href=\"https:\/\/inof.es\/en\/neuro-ophthalmology\/\" class=\"vcex-navbar-link vcex-navbar-link--1890 wpex-block wpex-float-left wpex-mb-5 theme-button clean expanded local-scroll wpex-text-1em has-bg-hover\"><span class=\"vcex-navbar-link-text\">NEURO OPHTALMOLOGY<\/span><\/a><a href=\"https:\/\/inof.es\/en\/diagnosis-and-treatment-of-retinal-diseases\/\" class=\"vcex-navbar-link vcex-navbar-link--1899 wpex-block wpex-float-left wpex-mb-5 theme-button clean expanded local-scroll wpex-text-1em has-bg-hover\"><span class=\"vcex-navbar-link-text\">RETINA<\/span><\/a><a href=\"https:\/\/inof.es\/en\/ocular-surface-treatments\/\" class=\"vcex-navbar-link vcex-navbar-link--1905 wpex-block wpex-float-left wpex-mb-5 theme-button clean expanded local-scroll wpex-text-1em has-bg-hover\"><span class=\"vcex-navbar-link-text\">OCULAR SURFACE<\/span><\/a><a href=\"https:\/\/inof.es\/en\/eyelids-orbit-and-tear-duct\/\" class=\"vcex-navbar-link vcex-navbar-link--1908 wpex-block wpex-float-left wpex-mb-5 theme-button clean expanded local-scroll wpex-text-1em has-bg-hover\"><span class=\"vcex-navbar-link-text\">EYELIDS, ORBIT AND TEAR DUCT<\/span><\/a><a href=\"https:\/\/inof.es\/en\/clinical-optometry\/\" class=\"vcex-navbar-link vcex-navbar-link--1924 wpex-block wpex-float-left wpex-mb-5 theme-button clean expanded local-scroll wpex-text-1em has-bg-hover\"><span class=\"vcex-navbar-link-text\">CLINICAL OPTOMETRY<\/span><\/a><\/div><\/nav>[\/vc_column][\/vc_row][vc_row][vc_column]<style>.vcex-heading.vcex_69dc7f733bfea{color:#ffffff;}<\/style><h2 class=\"vcex-heading vcex-heading-plain vcex-module wpex-heading wpex-text-2xl vc_custom_1553349475439 vcex_69dc7f733bfea\"><span class=\"vcex-heading-inner wpex-inline-block\">Related videos<\/span><\/h2>[\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/2&#8243;][vc_video link=&#8221;https:\/\/youtu.be\/FpNA5zQOTIo&#8221; align=&#8221;center&#8221;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:15px;\"><\/div>[vc_column_text]<span style=\"font-size: 21px;\">Cases of pre and postoperative strabismus.<\/span>[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_video link=&#8221;https:\/\/youtu.be\/-TiyU_Twhio&#8221; align=&#8221;center&#8221;][\/vc_column][\/vc_row][vc_row][vc_column]<style>.vcex-callout.vcex_69dc7f733cd1a .vcex-callout-link{color:#ffffff;font-size:21px;}<\/style><div class=\"vcex-callout vcex-module wpex-boxed with-button wpex-text-center wpex-md-text-initial wpex-md-flex wpex-md-items-center vcex_69dc7f733cd1a\"><div class=\"vcex-callout-caption wpex-last-mb-0 wpex-text-md wpex-mb-20 wpex-md-w-75 wpex-md-pr-20 wpex-md-mb-0\"><p><span style=\"font-size: 21px\">If you want to see other videos related to strabismus and diagnostic tests, visit our channel.<\/span><\/p>\n<\/div><div class=\"vcex-callout-button wpex-md-w-25 wpex-md-text-right\"><a href=\"https:\/\/www.youtube.com\/channel\/UCOK86vawyDB209S0-i8dFDg\/playlists\" title=\"See more videos\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"vcex-callout-link theme-button flat full-width wpex-text-center wpex-text-base\">See more videos<\/a><\/div><\/div><div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[\/vc_column][\/vc_row][vc_row][vc_column]<style>.vcex-heading.vcex_69dc7f733e087{color:#ffffff;}<\/style><h2 class=\"vcex-heading vcex-heading-plain vcex-module wpex-heading wpex-text-2xl vc_custom_1524242100141 vcex_69dc7f733e087\"><span class=\"vcex-heading-inner wpex-inline-block\">Strabismus treatment<\/span><\/h2>[\/vc_column][\/vc_row][vc_row][vc_column][vc_tta_tabs shape=&#8221;square&#8221; spacing=&#8221;15&#8243; gap=&#8221;15&#8243; alignment=&#8221;center&#8221; active_section=&#8221;1&#8243; css=&#8221;.vc_custom_1508256027653{border-top-width: 1px !important;border-right-width: 1px !important;border-bottom-width: 1px !important;border-left-width: 1px !important;border-left-color: #cccccc !important;border-right-color: #cccccc !important;border-top-color: #cccccc !important;border-bottom-color: #cccccc !important;}&#8221;][vc_tta_section title=&#8221;For adults&#8221; tab_id=&#8221;1508260684930-fbc8337b-4cc9ec28-b431&#8243;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_row_inner][vc_column_inner width=&#8221;2\/3&#8243;]<h3 class=\"vcex-heading vcex-heading-plain vcex-module wpex-heading wpex-text-2xl\"><span class=\"vcex-heading-inner wpex-inline-block\">For adults<\/span><\/h3><div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_column_text]In low-grade deviations or small angles of misalignments, surgery is the most appropriate treatment option, together with glasses, prisms or visual therapy.<\/p>\n<blockquote><p>Surgery is very effective in terms of aesthetic results.<\/p><\/blockquote>\n<p>Accommodative strabismus can only be corrected with glasses or contact lenses. The refractive error causing strabismus may be corrected with <strong>refractive surgery<\/strong>, eliminating the strabismus in passing, without the need for surgery.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;]<div class=\"vcex-spacing wpex-w-100 wpex-clear hidden-phone\" style=\"height:50px;\"><\/div>[vc_video link=&#8221;https:\/\/youtu.be\/FpNA5zQOTIo&#8221; align=&#8221;center&#8221;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:15px;\"><\/div>[vc_column_text]Adult with convergent strabismus before and after surgery.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section title=&#8221;For children&#8221; tab_id=&#8221;1508260680445-628c0f6d-99d9ec28-b431&#8243;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_row_inner][vc_column_inner width=&#8221;1\/3&#8243;]<h3 class=\"vcex-heading vcex-heading-plain vcex-module wpex-heading wpex-text-2xl\"><span class=\"vcex-heading-inner wpex-inline-block\">For children<\/span><\/h3><div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[vc_column_text]Convergent strabismus and hypermetropia can only be optically corrected (glasses or contact lenses). In all other cases, surgery may be required in addition to optical correction. The surgery is simple, but will require a general anaesthesia in the case of children.<\/p>\n<p>If divergent strabismus occurs from birth, we first request a neurological examination, as this type of strabismus may be accompanied by a prior pathology.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:50px;\"><\/div>[vc_single_image image=&#8221;1484&#8243;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:15px;\"><\/div>[vc_column_text]Convergent strabismus can be corrected with glasses or contact lenses.[\/vc_column_text]<div class=\"vcex-spacing wpex-w-100 wpex-clear\"><\/div>[\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:50px;\"><\/div>[vc_single_image image=&#8221;1486&#8243; onclick=&#8221;img_link_large&#8221;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:15px;\"><\/div>[vc_column_text]A child with divergent strabismus, before and after surgery.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][\/vc_tta_tabs][\/vc_column][\/vc_row][vc_row][vc_column]<style>.vcex-heading.vcex_69dc7f734134d{color:#ffffff;}<\/style><h2 class=\"vcex-heading vcex-heading-plain vcex-module wpex-heading wpex-text-2xl vc_custom_1524242564022 vcex_69dc7f734134d\"><span class=\"vcex-heading-inner wpex-inline-block\">Frequently Asked Questions<\/span><\/h2>[\/vc_column][\/vc_row][vc_row][vc_column][vc_tta_accordion shape=&#8221;square&#8221; gap=&#8221;10&#8243; c_icon=&#8221;triangle&#8221; active_section=&#8221;1&#8243;][vc_tta_section title=&#8221;If I have strabismus, when should I see an ophthalmologist?&#8221; tab_id=&#8221;1508266816826-246aed61-1e01ec28-b431&#8243;][vc_column_text]If the strabismus has been constant since birth, you should make an appointment as soon as possible; if the misalignment is intermittent, you can visit us from 6-7 months. Early diagnosis of this pathology may avoid learning difficulties and above all, could prevent <strong>amblyopia<\/strong> or a <strong>lazy eye<\/strong>, as strabismus is the main cause of these conditions. If strabismus appears in adulthood, then neuro-ophthalmological causes must be ruled out.[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Do all types of strabismus require surgery?&#8221; tab_id=&#8221;1508266862409-d10de19a-04abec28-b431&#8243;][vc_column_text]No. In many cases, strabismus is combined with refractive problems such as <strong>hypermetropia<\/strong>. We know that when this occurs early in life, it may lead to convergent strabismus. When hypermetropia is corrected with glasses or lenses, the strabismus partially or even totally disappears. In children, hypermetropia may subside over time or disappear on its own, taking the strabismus with it.[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;What does strabismus surgery consist of?&#8221; tab_id=&#8221;1508266907907-dd75489a-4347ec28-b431&#8243;][vc_column_text]Strabismus surgery is performed on the muscles that move the eyes. The surgical procedure is an operation on the extraocular muscles in charge of ocular motility. Depending on the type and intensity of the deviation, one eye or both are operated. The surgery consists in weakening the most active muscle or muscles, together with strengthening the weakest muscles, if necessary.<\/p>\n<p>Strabismus surgery is usually carried out as an outpatient procedure, causing mild or moderate irritation that is alleviated with common painkillers. Children will require a general anaesthesia.[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Can torticollis, or wry neck, be caused by an ocular pathology?&#8221; tab_id=&#8221;1508266969929-a76dd542-fc50ec28-b431&#8243;][vc_row_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_column_text]Yes, it can. Patients slant or turn their head in an attempt to minimise the vision problems caused by the original eye condition. The usual causes of ocular torticollis are <strong>eyelid ptosis<\/strong>, <strong>ocular paralysis<\/strong>, <strong>nystagmus<\/strong> and, more frequently, some vertical types<strong> of strabismus<\/strong>.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;1490&#8243; onclick=&#8221;img_link_large&#8221;][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section title=&#8221;What is nystagmus?&#8221; tab_id=&#8221;1508267030903-3f559c00-cbbeec28-b431&#8243;][vc_row_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_column_text]Nystagmus (or the clinical term opto-kinetic nystagmus) is when an involuntary natural and physiological movement of both eyes occurs when attempting to focus your gaze on a stimulus. In the majority of cases, there is no definite origin and it is present from birth.<\/p>\n<p>When nystagmus is acquired or pathological, it is usually accompanied by a visual acuity deficit and in many cases torticollis (wry neck), towards the point of gaze where the nystagmus is reduced or disappears, known as the block position.<\/p>\n<p>The objective of treating nystagmus is to improve visual comfort, improve visual acuity and minimise torticollis. It is normally treated with glasses, but it may sometimes require surgery. Generally, the characteristics of nystagmus surgery are similar to those of and strabismus surgery.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_video link=&#8221;https:\/\/youtu.be\/n378pOAOSBo&#8221;][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section title=&#8221;What is a false strabismus?&#8221; tab_id=&#8221;1508267077080-cac4c1bc-c09dec28-b431&#8243;][vc_row_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_column_text]Sometimes there may appear to be a strabismus where one does not actually exist. This is known as a false strabismus (pseudostrabismus). The two most frequent causes of a false strabismus are: the <strong>epicanthal fold,<\/strong> which looks like a convergent strabismus, and <strong>hypertelorism<\/strong>, which mimics a divergent strabismus.<\/p>\n<p>Hypertelorism is an exaggerated distance between the eyes, which may give the appearance of an outward strabismus. In the case of the epicanthal fold, one of the eyes may appear to be misaligned because of the nasal fold in some children (vertical, bilateral cutaneous folds extending from the upper or lower eyelids to the inner edge), with an increased perception of misalignment if the said folds are asymmetrical. The epicanthal fold disappears as the child grows and does not require surgery or treatment.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;1492&#8243; onclick=&#8221;img_link_large&#8221;][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][\/vc_tta_accordion][\/vc_column][\/vc_row][vc_row][vc_column]<style>.vcex-heading.vcex_69dc7f73418e8{color:#ffffff;}<\/style><h2 class=\"vcex-heading vcex-heading-plain vcex-module wpex-heading wpex-text-2xl vc_custom_1577986304611 vcex_69dc7f73418e8\"><span class=\"vcex-heading-inner wpex-inline-block\">Related entries<\/span><\/h2>[\/vc_column][\/vc_row][vc_row][vc_column]<div class=\"vcex-module vcex-post-type-grid-wrap wpex-clr\"><div class=\"wpex-row vcex-post-type-grid entries wpex-clr\"><div class=\"vcex-post-type-entry vcex-grid-item wpex-clr col span_1_of_2 col-1 entry post-2013 type-post has-media cat-158 cat-69 post_tag-160 post_tag-162 post_tag-161 post_tag-155 post_tag-159 post_tag-163 translation_priority-230\"><div class=\"vcex-post-type-entry-inner entry-inner wpex-first-mt-0 wpex-last-mb-0 wpex-clr\"><div class=\"vcex-post-type-entry-media entry-media wpex-relative\"><a href=\"https:\/\/inof.es\/en\/what-is-congenital-strabismus\/\" title=\"What is congenital strabismus?\"><img width=\"779\" height=\"377\" src=\"https:\/\/inof.es\/wp-content\/uploads\/2017\/10\/estrabismo_congenito-bebe.jpg\" class=\"vcex-blog-entry-img wpex-align-middle\" alt=\"\" loading=\"lazy\" decoding=\"async\" srcset=\"https:\/\/inof.es\/wp-content\/uploads\/2017\/10\/estrabismo_congenito-bebe.jpg 779w, https:\/\/inof.es\/wp-content\/uploads\/2017\/10\/estrabismo_congenito-bebe-768x372.jpg 768w\" sizes=\"auto, (max-width: 779px) 100vw, 779px\" \/><\/a><\/div><div class=\"vcex-post-type-entry-details entry-details wpex-bordered wpex-first-mt-0 wpex-last-mb-0 wpex-clr\"><h2 class=\"vcex-post-type-entry-title entry-title wpex-mb-5\"><a href=\"https:\/\/inof.es\/en\/what-is-congenital-strabismus\/\">What is congenital strabismus?<\/a><\/h2 ><div class=\"vcex-post-type-entry-excerpt entry-excerpt wpex-my-15 wpex-text-pretty wpex-last-mb-0 wpex-clr\"><p>Before commenting on what congenital strabismus is, keep in mind that strabismus can be classified in relation to several factors:&hellip;<\/p><\/div><div class=\"vcex-post-type-entry-readmore-wrap entry-readmore-wrap wpex-my-15 wpex-clr\"><a href=\"https:\/\/inof.es\/en\/what-is-congenital-strabismus\/\" class=\"entry-readmore theme-button\" aria-label=\"Read more about What is congenital strabismus?\">Read more<\/a><\/div><\/div><\/div><\/div><\/div><\/div>[\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row full_width=&#8221;stretch_row&#8221; content_placement=&#8221;middle&#8221; parallax=&#8221;content-moving&#8221; wpex_bg_overlay=&#8221;color&#8221; css=&#8221;.vc_custom_1577985718705{background-image: url(https:\/\/inof.es\/wp-content\/uploads\/2019\/12\/tratamiento-estrabismo.jpg?id=3328) !important;background-position: center;background-repeat: no-repeat !important;background-size: cover !important;}&#8221; min_height=&#8221;400&#8243; visibility=&#8221;hidden-phone&#8221; wpex_bg_overlay_color=&#8221;#000000&#8243;][vc_column][vc_empty_space height=&#8221;40px&#8221;][vc_column_text font_weight=&#8221;300&#8243;]Children and adults[\/vc_column_text][vc_empty_space height=&#8221;20px&#8221;][vc_row_inner content_placement=&#8221;middle&#8221;][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text font_weight=&#8221;300&#8243;]Cure the eye misalignment. Improve your vision and your sight.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221; parallax=&#8221;content-moving&#8221; css=&#8221;.vc_custom_1510526908261{background-position: 0 0;background-repeat: no-repeat !important;}&#8221; visibility=&#8221;hidden-phone&#8221;][vc_column][vc_empty_space height=&#8221;20px&#8221;][\/vc_column][\/vc_row][vc_row visibility=&#8221;visible-phone&#8221;][vc_column][vc_empty_space height=&#8221;20px&#8221;][vc_empty_space height=&#8221;20px&#8221;][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;5\/6&#8243;][vc_tta_tabs shape=&#8221;square&#8221; spacing=&#8221;15&#8243; gap=&#8221;15&#8243; alignment=&#8221;center&#8221; active_section=&#8221;1&#8243; css=&#8221;.vc_custom_1508256027653{border-top-width: 1px !important;border-right-width:&hellip;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_joinchat":[],"footnotes":""},"class_list":["post-1861","page","type-page","status-publish","hentry","entry","has-media"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Strabismus in children and adults<\/title>\n<meta name=\"description\" content=\"Everything related to childhood and adult strabismus: what it is, types, causes, evaluation, treatment, videos... 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