Before 4 months: If your baby shows signs of permanent strabismus, consult a pediatric ophthalmologist immediately. Don't worry if it's intermittent—most cases resolve naturally by 4 months. Often, it appears due to an epicanthus, where skin from the nose root covers part of the eye's white corner, creating an optical illusion that fades over time (though it can sometimes hide true strabismus). When in doubt, seek professional evaluation.
From 4-5 months: Whether mild or pronounced, schedule a consultation promptly. It's often early strabismus linked to hyperopia, requiring glasses. Occlusion therapy—patching one eye—may prevent amblyopia, or "lazy eye," which can lead to vision loss if untreated early.
Family history or prematurity: Even without obvious issues, visit an ophthalmologist by age 1. These routine eye exams are as vital as dental checkups.
Act swiftly: Early glasses improve visual acuity significantly, but rest assured, it doesn't mean lifelong vision challenges or loss of binocular vision.
For more information: www.strabisme.fr. Thanks to Dr. Mitra Goberville-Hananeh, Pediatric Ophthalmologist.
