Pseudostrabismus
Pseudostrabismus is the false impression that the eyes are misaligned, which may lead to the incorrect diagnosis of strabismus.
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It is more likely to be observed in East Asian or Native American infants due to epicanthic folds.
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Pseudostrabismus is more likely to be observed in East Asian or Native American infants, due to the presence of epicanthic folds obscuring the medial aspect of each eye.
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It generally occurs in infants and toddlers whose facial features are not fully developed.
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Pseudostrabismus generally occurs in infants and toddlers , whose facial features are not fully developed.
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A wide and flat nose bridge creates telecanthus, contributing to the appearance.
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The bridge of their nose is wide and flat, creating telecanthus (increased distance between medial canthus of both eyes).
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The condition presents as a false appearance of crossed eyes.
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False appearance of crossed eyes
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Clinicians use a flashlight to shine into the child's eyes to detect the difference between strabismus and pseudostrabismus.
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To detect the difference between strabismus and pseudostrabismus, clinicians use a flashlight to shine into the child's eyes.
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If the eyes are aligned, the reflection from the light will be in the same spot of each eye.
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If the eyes are aligned with one another, the reflection from the light will be in the same spot of each eye.
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No treatment is required because the eyes are properly aligned.
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There is no treatment required if the child is having pseudostrabismus as the eyes are properly aligned.
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True crossed eyes are a serious condition requiring an ophthalmologist's care.
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When a child's eyes are truly crossed, it is always a serious condition and requires the care of an ophthalmologist
With age, the bridge will narrow, and the epicanthic folds in the corner of the eyes will go away, causing the eyes to appear wider and thus not have the appearance of strabismus.
Pseudostrabismus is the false impression that the eyes are misaligned, which may lead to the incorrect diagnosis of strabismus.[citation needed]
Pseudostrabismus is more likely to be observed in East Asian or Native American infants, due to the presence of epicanthic folds obscuring the medial aspect of each eye.[citation needed]
Pseudostrabismus generally occurs in infants and toddlers, whose facial features are not fully developed. The bridge of their nose is wide and flat, creating telecanthus (increased distance between medial canthus of both eyes). With age, the bridge will narrow, and the epicanthic folds in the corner of the eyes will go away. This will cause the eyes to appear wider and thus not have the appearance of strabismus.[citation needed]
To detect the difference between strabismus and pseudostrabismus, clinicians use a flashlight to shine into the child's eyes. When the child is looking at the light, a reflection can be seen on the front surface of the pupil. If the eyes are aligned with one another, the reflection from the light will be in the same spot of each eye. If strabismus is present, the reflection from the light will not be in the same spot of each eye.[citation needed]
Rakel's Textbook of Family Medicine states, "A common misconception is that children with crossed eyes outgrow the condition, but this is generally not the case. This belief stems from the confusion between true strabismus and pseudostrabismus. When a child's eyes are truly crossed, it is always a serious condition and requires the care of an ophthalmologist.There is no treatment required if the child is having pseudostrabismus as the eyes are properly aligned."[1]
- ↑ Rakel, R. E. (2002). Textbook of Family Medicine. Philadelphia: Elsevier.