Adult strabismus

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Strabismus may occur in adults due to a stroke, diabetes, a tumour, thyroid dysfunction or an injury. It may also be a recurrence of a childhood strabismus that has been surgically corrected. Adult patients with sudden onset strabismus will often experience diplopia double vision.

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Leonid Skorin Jr. A 6-month-old child comes in with a large angle esodeviation. The child is otherwise healthy.

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Strabismus is a failure of the two eyes to maintain proper alignment and work together as a team. If you have strabismus, one eye looks directly at the object you are viewing, while the other eye is misaligned inward esotropia, "crossed eyes" or "cross-eyed"outward exotropia or "wall-eyed"upward hypertropia or downward hypotropia. Strabismus can be constant or intermittent.

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Many adults have misaligned eyes strabismus which can cause double vision, poor depth perception and social problems. Strabismus can be corrected in some cases with prisms ground into or attached to eyeglass lenses, injecting botulinum toxin into an eye muscle or eye muscle surgery. Strabismus surgery is generally performed on an outpatient basis by repositioning the eye muscles. In some cases, fine adjustments are made to the position of the eye muscles in the recovery room to optimize the alignment of the eyes.

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Adult strabismus—a misalignment of the eyes that occurs when the muscles in each eye are unable to move the eyes together—can be a recurrence from childhood, or it can be acquired in the adult years. Strabismus that develops later on can be caused by stroke, ischemic disease, tumors, thyroid eye disease, diabetes, or certain neurologic conditions. Others find that their eyes begin to wander involuntarily, resulting in discomfort and eye strain.

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Adults can benefit from some of the same treatment options that are available to children for treating strabismus. Treatment options may include prismatic glasses and surgery. Most adults with misaligned eyes are able to have successful surgical correction [See figure 1].

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Strabismus crossed eyes is a condition in which the eyes do not line up with one another. In other words, one eye is turned in a direction that is different from the other eye. Under normal conditions, the six muscles that control eye movement work together and point both eyes at the same direction.

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Access your health information from any device with MyHealth. You can message your clinic, view lab results, schedule an appointment, and pay your bill. Many adults have misaligned eyes strabismus which can cause double vision, poor depth perception and social problems.

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Request an appointment online or call us. View a list of insurance plans accepted at Bascom Palmer Eye Institute. Adult strabismus refers to ocular misalignment in patients over 18 years of age.

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Physician Jason H. Peragallo, MD Natalie C. Weil, MD.


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