The assessment and management of strabismus in childhood

Abstract 

Strabismus is a common condition in childhood. Diagnosis is made from simple inspection of the alignment of the eyes and confirmed by covering the fixing eye and observing the movement of the deviated eye. Hospital assessment includes estimation of uniocular visual acuity and stereoacuity, making the distinction between concomitant and incomitant strabismus, measurement of refractive error and fundoscopy. Management consists of correction of significant refractive error, treatment of amblyopia, and surgery for cosmetically obtrusive deviations. For most strabismus, it is only possible to realign the eyes to within a cosmetically acceptable range, but for some total realignment and restoration of full binocular function is possible.

Keywords: strabismus, amblyopia

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• f1 Correspondence to: MC. Tel.: +44 (0)191 282 4002; Fax: +44 (0)191 227 5246; E-mail: m.p.clarke@ncl.ac.uk