Childhood Diseases

Posted by: Anne | 2011/11/11


Baby''s eye

Good day,

My son is 10 months old. Since birth, his left eye has not been symmetrical with that of his right eye (making him look slightly cross-eyed). His paed says there is no problem (referring to the way the light reflects of his pupils). But I am still concerned. Should I take him to an opthamologist? If so, what are the treatments available?

Thank you.

Expert's Reply



It would definitely be a good idea to take your baby to be seen by a paediatric ophthalmologist now. Even if he/she does not recommned any specific treatment at this stage,at least your baby will be followed up so that treatment can be started if necessary.

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Posted by: Anne | 2011/11/14

Hi Heidi,

Thank you very much for the info. Will definitely get my little man checked out.

Reply to Anne
Posted by: heidi | 2011/11/11

my daughter was diagnosed with intermittent exotropia at 6 months and operated on at 8 months. the change has been remarkable. her right eye drfited outwards. her eye muscle was shortened in the operation.

i would suggest that you take your son to a pediatric opthalmologist or to an eye hospital. if you are in the cape town area, there is cape eye hospital in bellville (that''''s were her surgery was done). the lady who tested her eyes is bridget hill . her number is 021 948 8884. she is fantastic and i have never in my life encountered a more enthusiastic person - her work is her passion and she really cares. but this is if you are in cape town area.

here''s a bit more info.

Strabismus is a condition in which the eyes are out of alignment, that is one eye looks straight ahead whilst the other eye turns inwards, outwards, up or down. In most cases of childhood onset strabismus the misalignment is present constantly, but in intermittent exotropia (X(T)) an eye intermittently drifts outwards (exotropia), typically more so when looking into the distance, when tired or day-dreaming. When the child focuses on something close, the eye usually moves back to the centre. In X(T) ability to use the eyes together as a pair (binocular single vision) is typically retained during periods when the exotropia is controlled and the image from one eye is switched off or ''suppressed'' when the exotropia occurs. Treatment for X(T) may be sought to improve the appearance of misalignment or may be instigated if there is concern that it is worsening with potential or actual loss of binocular single vision. Treatment typically consists of surgery on the muscles around the eye: it may be either on the outside muscle of both eyes or on the inside and outside muscle of one eye. Exercises to strengthen the muscles may sometimes be used  sometimes patching or glasses for short/ near sightedness can be tried.

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