Neurological eye misalignment , in short, is when the eyes are not in the same alignment and look in other directions. It can also be defined as the deterioration of parallelism in synchronous eye movements.
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Causes of Eye Misalignment
The following factors are thought to play a role among the causes of eye misalignment, which is seen in approximately 2% to 4% of the population .
- The risk of strabismus increases in people with a family history of misalignment . For this reason, genetics is one of the main factors affecting strabismus .
- If the mother had a difficult pregnancy or had illnesses during pregnancy,
- Prolonged and difficult labor
- Early birth
- postnatal trauma
- Diseases with high fever
- experiencing visual impairments
- Sudden eye misalignment is a sign of masses forming in the head or inside the eye.
- childhood cataract
- uncontrolled diabetes
- systemic hypertension
- Neurological diseases
Symptoms of Eye Misalignment
Eye misalignment, especially seen in children, may not be noticed in the early stages. However , if eye misalignment progresses, amblyopia may occur. For this reason, attention should be paid to the symptoms seen in the early stages of eye misalignment . These symptoms include:
- Imbalance that develops after walking
- Turning the head or wool in one direction
- The light reflected from the eyes turns from red to yellow in photographs
- Squinting of one eye, especially in bright environments
- Loss of normal synchronous movements of the eyes
How is Eye Strain Diagnosed?
The full development of vision occurs between the ages of 7 and 10. For this reason, this age period is very important in terms of early detection of eye diseases that may occur in children. Because early diagnosis allows early treatment to be started, which increases the chance of success of the treatment. For this reason, regular eye checks should be performed starting from birth.
Routine check-ups should not be interrupted when children are 6 months old, 1 year old, 3 years old and 6 years old.
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Neurological Eye Strain Treatment
Determining the treatment for eye strain is planned by taking into consideration factors such as the age of the patient, whether there is vision loss, and the type of strabismus. For this reason, each treatment is specific to the patient.

Strabismus Treatment in Childhood
Regardless of age, strabismus is not a disease that can heal on its own. For this reason, it needs to be treated. The use of glasses is usually the first step of treatment for strabismus seen in childhood . If there is amblyopia , then one eye may need to be closed.
In eye closure treatment, the healthy eye is covered with eye pads for a period of time determined according to the degree of amblyopia . While applying eye-closing treatment, the use of glasses should also be continued.
After the initial closure period expires, an increase in visual acuity is observed. For this reason, the closing time of the eye is determined again and the second session is applied.
If children’s eyes continue to misalign despite using glasses, then eye misalignment surgery is required.
Eye Distortion Treatment in Adulthood
Strabismus that occurs in adulthood is very important. For this reason, the factor that causes strabismus must be determined. Since new-onset strabismus in adults causes double vision in its early stages , there is a serious decrease in the quality of life.
Neurological eye strain treatments seen in adulthood include botox application to the eye muscles , prismatic lenses and strabismus surgery .
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