Pseudostrabismus

Pseudostrabismus is a medical condition often mistaken for strabismus, a condition where the eyes do not properly align with each other when looking at an object. Pseudostrabismus is characterized by the appearance of misalignment without actual deviation of the eyes. This condition is common in infants and young children due to the broad and flat nasal bridge, which can give the illusion of misaligned eyes.

Causes

Pseudostrabismus is primarily caused by the physical features of a child's face. The broad and flat nasal bridge, along with prominent skin folds at the inner corners of the eyes (epicanthal folds), can make the eyes appear crossed. This condition is not caused by any muscle or nerve problems, unlike true strabismus.

Diagnosis

Diagnosis of pseudostrabismus is typically made by an ophthalmologist or optometrist. They will perform a detailed eye examination, including a cover test to check the alignment of the eyes. In pseudostrabismus, the cover test will be normal, indicating that the eyes are properly aligned.

Treatment

As pseudostrabismus is not a true eye misalignment, no treatment is necessary. The appearance of crossed eyes often improves as the child grows and the facial features change. However, regular eye examinations are recommended to ensure that true strabismus does not develop.

See also

• Strabismus
• Ophthalmology
• Optometry

References

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