Pseudostrabismus PIAG 26

Information for parents and carers

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Introduction

This fact sheet is aimed at providing parents and carers with information about pseudostrabismus. This is also known as pseudosquint or false squint.

What is false squint or pseudostrabismus?

Pseudostrabismus is the term used when a baby’s eyes look like they are pointing in different directions even though they are not. It is often noticed in photographs, especially if when the baby’s head is slightly turned, or if the photograph is taken at an angle.

Babies often have a wide, flat bridge to their nose that can make their eyes look crossed. Some babies can have folds in the skin on the eyelids that cover the inner white part of the eyes. These are called epicanthic folds. This can also make babies eyes look crossed. The eyes may look more crossed when the baby looks to one side.

Here are two photographs of babies with pseudostrabismus. In each, the left eye looks as if it is turning inwards, but both babies have straight eyes.

How is it diagnosed?

The Orthoptist will use various clinical assessments to assess your child’s vision, eye position, and assess how the eyes work together. The Orthoptist will be able to determine if there is a true squint present (strabismus) or if it is pseudostrabismus (false squint).

How is it treated?

No treatment is required for pseudostrabismus because the child’s eyes are straight and work together as a pair. The appearance of a false squint will improve as the baby grows; the bridge of the nose will develop and the epicanthic folds become less prominent.

Will my child be tested for glasses?

All children attending Ophthalmology will be offered a test for glasses especially if there is a family history of glasses wear from a young age or a history of true strabismus.

If you require further information or have any queries, please contact the Orthoptic Department on 0151 252 5215 between Monday and Friday, 9am to 5pm

This leaflet only gives general information. You must always discuss the individual treatment of your child with the appropriate member of staff. Do not rely on this leaflet alone for information about your child’s treatment.

This information can be made available in other languages and formats if requested.