From the Guidelines
False strabismus in babies, also known as pseudostrabismus, is a common and harmless condition that does not require treatment, as it is not a medical problem and will typically resolve on its own as the child's face grows and develops. This condition is often caused by facial features such as a wide nasal bridge, epicanthal folds, or a flat bridge of the nose, which can create an optical illusion of misaligned eyes. According to the American Academy of Pediatrics, as stated in their policy statement on eye examinations 1, ocular alignment is important, but false strabismus can be distinguished from true strabismus through simple tests. Some key points to consider about false strabismus in babies include:
- It is a common condition that affects many infants
- It is usually caused by facial features that create an optical illusion of misaligned eyes
- No treatment is needed, as it will typically resolve on its own as the child grows and develops
- Parents can distinguish false strabismus from true strabismus by looking at the corneal light reflex, which should shine symmetrically in both eyes if it is pseudostrabismus. If there are concerns about a baby's eye alignment, it is best to consult a pediatrician who can perform simple tests, such as the corneal reflex test, cross cover test, and random dot E stereo test, as recommended by the American Academy of Pediatrics 1, to confirm whether it is false strabismus or true strabismus that requires intervention.
From the Research
False Strabismus in Babies
- False strabismus, also known as pseudostrabismus, is a common condition in infants where the appearance of crossed eyes is present, but the eyes are actually aligned properly 2.
- This condition can be caused by a wide nasal bridge, epicanthal folds, or other facial features that give the illusion of crossed eyes.
- In some cases, false strabismus can be a sign of a more serious underlying condition, such as actual strabismus or other eye problems.
Diagnosis and Treatment
- Diagnosis of false strabismus typically involves a comprehensive eye exam to rule out any underlying eye problems 3.
- Treatment for false strabismus is usually not necessary, as the condition often resolves on its own as the child grows and develops.
- However, in some cases, treatment may be necessary to correct any underlying eye problems or to improve the appearance of the eyes.
Important Considerations
- It is essential to have a comprehensive eye exam to determine if the child has true strabismus or false strabismus 2.
- Parents should be aware that false strabismus is a common condition in infants and that it often resolves on its own.
- If parents have concerns about their child's eye alignment, they should consult with an eye care professional for proper evaluation and treatment.