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Ophthalmology Clinic
Common eye problems: Strabismus

 

Strabismus is a broad category of eye muscle disorders that causes misalignment of the eyes. These problems often are corrected with surgery that repositions some of the six muscles that control eye movement. Eye patches, prescription glasses or a muscle relaxant such as Botox may also reduce or eliminate strabismus.

Strabismus is commonly known as crossed eyes, "lazy" eyes, wandering eyes, wall eyes, double vision, or floating eyes. Medical terminology for these conditions are amblyopia, esotropia, exotropia, hypertropia, diplopia or cranial nerve palsy. Eye muscle disorders affect up to 4 percent of children and are not just a cosmetic problem.

Some types of strabismus are corrected early in infancy, at 4 to 6 months of age. Other types are better watched and treated later. For instance, wall eyes tends to occur intermittedly and are most often corrected with surgery at 4 to 5 years old.

Ophthalmologists at Texas Children's often operate on adults with strasbismus. Read more in a feature published by the Houston Chronicle.

Poor vision during childhood interferes with learning, school performance, and sports play, and leads to poor socialization and self-esteem problems. Even in young children, successful strabismus surgery may improve a patient's self-confidence and feelings of attractiveness.

While it most often appears and is corrected in childhood, strabismus also occurs in adulthood. Because it is so rarely seen in adults, adult strabismus patients are usually referred to pediatric ophthalmologists for surgery. The Texas Children's Ophthalmology Clinic is nationally known for its ability to handle complex strabismus cases for both children and adults.

Blocked tear ducts

Blocked tear ducts occurs in 6 percent of all children and usually resolves itself by the time a baby is six months to 1 year old. In the few children where the problem does not correct itself, outpatient surgery may be required at 9 to 10 months of age.

Other terms for blocked tear ducts include:

  • Nasolacrimal duct obstruction

  • Dacryocystitis

  • Dacryocele

Non-surgical treatment usually includes massaging the area between the eye and nose and using antibiotic drops.

Read more about blocked tear ducts in babies and how it is corrected.