Strabismus (Squint)

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CLINICAL DESCRIPTION

Misalignment of the eyes

Types

• Esotropia: eye rotated so that cornea is turned nasally
• Exotropia: eye rotated so that cornea is turned temporally
• Hypotropia: eye rotated so that cornea is turned downwards

CLINICAL FEATURESSIGNS AND SYMPTOMS

• Eye strain
• Double vision

INVESTIGATIONS

• Misalignment seen on corneal light reflex and cover tests

Treatment

• Depends on the type of strabismus and the underlying cause
  • Non-surgical: refractive error correction or use of prisms
  • Surgical: strabismus surgery
  • Amblyopia treatment such as patching, in children
• Complications
  • Amblyopia (in children), double vision
• Referral Criteria
  • Refer ALL cases