The most important aspect of strabismus is early identification and treatment. Because some eye turns are not noticeable, the AOA recommends all children have their first eye exam by 6 months of age (Pediatric Vision Care Service). This allows for identification of strabismus or risk factors that might lead to strabismus in the future. If the examination findings are normal then the next examination should be scheduled when the child is 3 years of age. If the findings are significant or there are risk factors such as a family history of strabismus or developmental delays (e.g., Down syndrome or cerebral palsy) then the examinations should be scheduled on a more frequent basis. Left untreated, eye turns can lead to a loss of vision, affect school performance, reduce productivity at work, and impact career choices.

Early identification leading to early treatment increases the possibility of a good outcome (Strabismus/Amblyopia Evaluation). Some types of strabismus can be treated with glasses alone while others require treatment beyond glasses. Treatment may include prisms, occlusion (patching), vision therapy, surgery, or a combination. Vision therapy works by developing the brain’s ability to use both eyes simultaneously. Surgical treatment physically moves the muscles to new locations in an attempt to mechanically straighten the eye. Which treatment may be best for you or your child can be determined by your eye care provider after a thorough vision assessment.