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When Should You Worry About Your Child’s Crossed Eyes?

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Close-up of a female child's crossed eyes

Seeing your child reach new milestones is one of the most joyous aspects of parenting. However, it’s important to stay vigilant about their health and development, including their eye health.

Strabismus, commonly known as crossed eyes, can first present in children at a young age. Early detection is crucial to help protect your child’s vision as they grow, so know when you should bring your child to the optometrist.

You should be concerned about your child’s crossed eyes if the condition persists beyond six months of age, worsens over time, or if your child experiences difficulty with vision or eye alignment.

Why Do Eyes Become Crossed?

Crossed eyes, or strabismus, is a condition in which the eyes do not properly align when focusing on an object. This misalignment can lead to confusion in the brain, which might ignore the input from one eye to help maintain clear vision. The types of strabismus depend on which direction the turned eye points, such as esotropia (inward turning), exotropia (outward turning), and hypertropia (upward or downward turning).

Common causes of crossed eyes include:

  • Genetics: A family history of strabismus can increase the likelihood of your child developing this condition.
  • Uncorrected refractive errors: Uncorrected vision issues like nearsightedness, farsightedness, or astigmatism may contribute to misalignment.
  • Muscle imbalance: Problems with the eye muscles that control movement can lead to misalignment of the eyes.
  • Neurological conditions: Certain disorders affecting the nervous system can result in strabismus.
  • Injury or trauma: Physical trauma to the eye or head can disrupt normal eye alignment.
  • Environmental factors: This can include excessive screen time or unhealthy visual habits during crucial developmental stages.

Signs & Symptoms of Crossed Eyes

While a notably misaligned eye is a strong indicator of strabismus, not every symptom is as obvious. Sometimes, the eyes only cross during intense focus, and your child may get frustrated that they can’t see clearly but not be able to explain why in words. 

Alternatively, some signs of crossed eyes include:

  • Head tilting
  • Squinting or closing one eye
  • Difficulty judging distances due to poor depth perception
  • Frequent complaints of blurriness
  • Eye fatigue or rubbing their eyes
  • Avoiding eye contact

Babies’ and toddlers’ eyes may appear to be crossed, but this is sometimes a condition called pseudostrabismus, caused by extra skin around the eyes. So don’t panic if you notice it occasionally in infants under 6 months. However, strabismus will not get better without treatment.

If your child’s eyes appear consistently misaligned or if they show signs of visual discomfort, consult an eye care professional. Even if you think it may be pseudostrabismus, it’s better to be safe. An optometrist or ophthalmologist can provide a comprehensive assessment to determine the best course of action for your child’s unique needs.

How Strabismus Can Lead to Amblyopia

When a child has strabismus, their eyes are not aligned properly, which can confuse the brain. Normally, both eyes send signals to the brain about what they see, and the brain combines these signals to create a clear, single image. However, if one eye is turned in a different direction, the brain might ignore the input from that eye because it makes seeing more complicated. 

Over time, this can lead to a condition called amblyopia, or lazy eye. Amblyopia occurs when one eye doesn’t develop normal vision because the brain isn’t using it. It’s like the brain chooses to “turn down the volume” on the confused eye, resulting in weaker vision.

This is why it’s so important for parents to watch for any signs of strabismus early on—catching it can help ensure both eyes work together to form a clear image and allow for healthy visual development.

A child gets an eye exam with a slit-lamp from an optometrist for crossed eyes

Diagnosis & Treatment Options for Crossed Eyes

Diagnosing strabismus usually involves a series of eye tests to assess vision, alignment, and coordination. An optometrist can often diagnose strabismus simply by looking at your child’s eyes, so these tests are designed to be kid-friendly and non-invasive.

Treatment options vary depending on the severity and type of strabismus but may include:

  • Corrective eyewear
  • Prism lenses
  • Vision therapy
  • Surgery.

Each approach aims to improve alignment and vision cooperation between both eyes.

Treating strabismus early can make a world of difference. Early intervention increases the likelihood of successful treatment, helping to prevent long-term vision problems. It’s never too early to prioritize your child’s eye health.

Practical Tips for Parents of Children with Crossed Eyes

Supporting your child through treatment is essential for their success. Encourage them to wear their glasses or an eye patch consistently and participate in any recommended vision therapy exercises. Your optometrist may suggest exercises to create a visually stimulating environment with activities encouraging eye tracking and coordination.

Regular check-ups with your optometrist can help monitor progress so we can adjust treatments as needed.

A Vision for the Future with Insight Eyecare

Keeping a close watch on your child’s vision is an investment in their future. If you’re concerned about crossed eyes or any other eye health issues, don’t hesitate to reach out for professional guidance.

At Insight Eyecare, we’re passionate about providing the highest standard of care for your child’s eyes. Our team of experienced professionals is here to help every step of the way so your little one can see the world confidently.

Schedule an appointment with us today to give your child a healthy start on their visual journey!

Written by Dr. Karen Sahota

Dr. Karen Sahota is originally from Maple Ridge, BC. She received her undergraduate degree in Biology from the University of British Columbia. She then went to Pacific University of College of Optometry, where she received her Doctor of Optometry degree (with distinction) in 2008. She and her husband, Dr. Avi Sahota, started Insight Eyecare – Doctors of Optometry in 2010. Dr. Sahota is a member of the Beta Sigma Kappa International Optometric Honour Society, BC Doctors of Optometry, and the Canadian Association of Optometrists. Besides giving exceptional optometric exams for general eye health and vision correction, Dr. Sahota also specializes in contact lens fittings and diagnosis of early glaucoma, cataracts, and retinal pathologies. She is very experienced in pediatrics, infant vision, and pre- and post-operative LASIK and cataract surgery through her training in the United States at the Spokane VA Eye Clinic, Eugene Oregon Eye Care Centre, and the Oak Harbor Naval Hospital. Dr. Sahota is also fluent in Punjabi. She is dedicated to educating her patients and increasing public awareness about the importance of regular eye health check-ups and providing her patients with the utmost best care possible. Currently, Dr. Sahota resides in South Surrey with her husband, Dr. Avi Sahota and her two sons, Kai and Luka. In her free time, she enjoys spending time with her family, travelling, and reading.
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