Pseudo-strabismus, often referred to as false strabismus, is a visual phenomenon that can make a child’s eyes appear misaligned when they are not. It is a common occurrence in infants and young children and is usually a temporary and harmless condition. Pseudo-strabismus can sometimes cause concern for parents, but it is important to differentiate it from true strabismus, which is a genuine misalignment of the eyes.

Pseudo-strabismus occurs when a child’s eyes appear to be misaligned, giving the illusion that they are looking in different directions. However, in reality, the eyes are properly aligned and working together. The appearance of misalignment is often due to certain facial features and the way light reflects off the eyes.

Pseudo-strabismus is primarily caused by the following factors:

1. Epicanthal Folds: Some children are born with skin folds that cover the inner corners of their eyes, creating an optical illusion of crossed eyes.

2. Wide Nasal Bridge: A broad nasal bridge can give the impression of outwardly deviated eyes even though the eyes are actually aligned.

3. Prominent Eye Folds: The presence of extra skin folds around the eyes can create the appearance of misalignment.

While pseudo-strabismus is generally harmless and resolves on its own, it is crucial to differentiate it from true strabismus, which requires medical attention. The key differences include:

1. Eye Movement: In pseudo-strabismus, both eyes move together and are coordinated. In true strabismus, one eye may not move in sync with the other.

2. Cover Test: During a professional eye examination, an orthoptist or ophthalmologist can perform a cover test to accurately determine if the eyes are truly misaligned.

If you are unsure whether your child has pseudo-strabismus or true strabismus, or if you have any concerns about your child’s eye health, it is advisable to schedule a comprehensive eye examination. An eye care specialist can provide an accurate diagnosis and appropriate guidance. Ask your primary care physician or Optometrist for a referral or search for a paediatric strabismus specialists in your area.

Ask your primary care physician or Optometrist for a referral or search for a paediatric or adult strabismus specialists in your area.