The ophthalmologists identify the cause of eye movement disorders that include double vision, crossed eyes (strabismus), lazy eye (amblyopia), and involuntary eye movements (nystagmus).

Double vision

When you open your eyes and see a single, clear image, you probably take it for granted. But it’s the result of a complex process that requires the many parts of your vision to work together smoothly. Double vision can occur with one eye or both. If it's in one eye when the other is closed, it is less worrisome, but still serious. If it occurs when both eyes are open, it could signal a major disorder.

Crossed eyes

Crossed eyes (or strabismus) occur when a person’s eyes are not able to align on the same point at the same time, and appear to be misaligned or pointed in different directions. Crossed eyes develop most often in babies. It is easier to correct when caught early. This is often not a condition babies or children simply outgrow so children with eyes that seem to be misaligned should be examined and treated if necessary.

Lazy eye

A lazy eye is when the vision of one of your eyes doesn’t develop the way it should. Doctors also call this amblyopia. Without treatment, your brain will learn to ignore the image that comes from the weaker eye. That could cause permanent vision problems.

Involuntary eye movements

Nystagmus is a condition where the eyes make repetitive movements. The eyes can jerk exclusively in one direction, or make back and forth movements. With nystagmus, the eye can look jittery and can affect either both the eyes or just one eye.

Nystagmus typically is accompanied by reduced visual acuity and depth perception, and it can affect balance and coordination.

Treatments for Eye Movement Disorders

Eye Patches

Eye patches reduce the risk of amblyopia and loss of sight in children with strabismus. Eye patches can also be used to manage double vision. The goal is to eliminate double vision by blocking the images produced by one eye.

Corrective Lenses

Eyeglasses and contact lenses can sometimes help straighten the eyes by reducing their focusing effort.

Prisms

Special lenses alter the light entering the eye, which can help eliminate double vision in patients with strabismus.

Vision Therapy/Orthoptic Eye Exercises

Computer and optical devices are used to correct some specific eye movement disorders through visual-motor-skill and endurance exercises.

Eye Muscle Surgery

Used for certain patients to change the eye alignment so that the brain can use both eyes together. Surgery weakens or strengthens one or more of the six muscles attached to the outside of the eyeball, depending on the particular case. Surgery to realign the eyes may be performed in steps, requiring more than one operation.

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Sarah Rose
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The Ophthalmologist: Clinical and Therapeutic Journal
Email: ophthalmologist@eclinicalsci.com