#asktheexpert esotropic squint in 14 months old

Question

Accepted Answer

Esotropic squint, or esotropia, is a condition where one or both eyes turn inward. In infants and young children, it can affect their vision and depth perception if not addressed. Here’s what you should know and consider regarding a 14-month-old with esotropic squint:

1. Signs and Symptoms

Inward Turning: One or both eyes may turn inward, especially when the child is tired or focusing on an object.

Eye Movement: The child may have difficulty following moving objects with both eyes.

Head Posture: They might tilt or turn their head to look at things.

Visual Acuity: May appear to have poor depth perception or difficulty seeing things at varying distances.

2. Possible Causes

Refractive Errors: Conditions like nearsightedness, farsightedness, or astigmatism can contribute.

Muscle Imbalance: Problems with the muscles that control eye movement.

Genetic Factors: A family history of squint or other eye conditions.

Neurological Issues: Rarely, neurological problems can lead to misalignment.

3. Diagnosis

Eye Examination: A pediatric ophthalmologist will perform a comprehensive eye exam to assess vision and eye alignment.

Visual Acuity Tests: These tests help determine how well the child can see.

4. Treatment Options

Corrective Lenses: Glasses may help correct any refractive errors contributing to the squint.

Eye Patching: Patching the stronger eye can sometimes help strengthen the weaker eye.

Surgery: In cases where the squint is significant or does not improve with glasses or other methods, surgery to align the eyes may be recommended.

Vision Therapy: Some children benefit from specific exercises to improve eye coordination.

5. Follow-Up

Regular follow-up appointments with an eye specialist are essential to monitor the condition and adjust treatment as necessary.

6. When to Seek Immediate Help

If the child shows sudden changes in vision or if the squint worsens, seek medical advice promptly.

Conclusion

Esotropic squint in a 14-month-old should be evaluated by a pediatric ophthalmologist. Early detection and intervention can significantly improve outcomes and help the child develop normal vision. If you notice signs of squinting or any other visual concerns, don’t hesitate to make an appointment for a thorough eye examination.