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Crossed Eyes

Crossed eyes, or strabismus, as it is medically termed, is a
condition in which both eyes do not look at the same place at the
same time. It occurs when an eye turns in, out, up or down and is
usually caused by poor eye muscle control or a high degree of
farsightedness.

When the eyes are misaligned or "crossed", the brain receives
two significantly different pictures. At first, this may cause a
child to see double. Eventually, the brain learns to ignore the
image from the turned eye. This can lead to a permanent
reduction of vision in that eye, a condition known as lazy eye or
amblyopia.

Eye turning may be constant or appear only at certain times,
such as when a child is tired, ill, or has done a lot of reading or
close work. In some cases, the same eye may turn each time,
while other times the turning may alternate between eyes.

Strabismus usually develops in infants and young children, most
often by age 3. There is a common misconception that a child
with strabismus will outgrow the condition. But that's not true.

In babies, it is possible to have a pseudostrabismus or "false
strabismus" where the infant's eyes appear to be misaligned, but
aren't. The appearance of crossed eyes may be due to extra skin
covering the inner corner of the eyes, or a wide bridge of the
baby's nose. Usually, this appearance of crossed eyes will
disappear as the baby grows. However, any child older than four
months whose eyes do not appear to be straight all the time
should be examined by an eye doctor.

Depending on the type and severity, crossed eyes can be treated
in a variety of ways including:

l Eyeglasses or contact lenses
l Prism lenses
l Vision therapy
l Eye medications
l Eye muscle surgery

If detected and treated early, crossed eyes can often be
corrected with excellent results.
TM