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Strabismus, Pediatric

Leah G. Reznick, MD and Allison R. Loh, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Strabismus is defined as any form of ocular misalignment. It derives from the Greek word strabismos (to squint).

  • Strabismus can be intermittent or constant.

  • There are many types of str...

DIAGNOSIS

  • It is normal for infants <2 months of age to have intermittent strabismus but not constant strabismus.

  • After 4 months of age, any strabismus is abnormal and warrants an ophthalmologic exam...

TREATMENT

GENERAL MEASURES

  • If a child remains strabismic for a prolonged period, it can result in irreversible loss of depth perception and vision loss (amblyopia). Therefore, it is imperative that a c...

ONGOING CARE

Long-term follow-up is important for children to monitor their vision development until at least 10 years of age. There is a risk for amblyopia and strabismus recurrence even after a succ...

ADDITIONAL READING

  • American Academy of Ophthalmology Pediatric Ophthalmology/Strabismus Panel. Preferred Practice Pattern® Guidelines. Esotropia and Exotropia. San Francisco, CA: American Academy of...

CODES

ICD9

  • 378.9 Unspecified disorder of eye movements

  • 378.10 Exotropia, unspecified

  • 378.00 Esotropia, unspecified

  • 378.30 Heterotropia, unspecified

  • 378.31 Hypertropia

  • 378.20 Intermittent heterotropia, unspe...

FAQ

  • Q: Will a child’s strabismus resolve on its own?

  • A: In most cases, children do not outgrow strabismus. Diagnosis and treatment should not be delayed.

  • Q: Should a child wait to have surgery until he ...

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