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What is pseudostrabismus/ false eye turn ?
• In normal vision, both eyes look at the same point, but in the event of cross-eye, the eyes look in different directions. The shift in the eye can be continuous or intermittent. The most important reason for strabismus under 1 year olds is a coordination disorder in the eye m
Why does it occur?
• Muscles which are attached around the eye area must work in harmony. In this way, the eyes will not cross. However, as in all muscles of babies, the development of eye muscles of babies lasts up to one year. This causes a slippage in the eyes.
• In infants under 1 year of age, the eyes may look as if they were not looking parallel. If the nasal root is flattened and the upper eyelid extends towards the back of the nose, eyes may appear as if they are slipping.
• Also, a significant difference between the visual axis and the geometric axis of the eye, abnormalities in the relationship between eyelid and eyeball may leave the impression of strabismus.
When does it improve?
• Eyes usually improve when the baby is 4 to 6 months old.
• If one or both eyes continue to slide (in, out, down, up) after 6-9 months, this is probably caused by cross-eyewhich is called 'strabismus' in medicine.
What should I do to distinguish pseudostrabismus in my baby?
• To be able to distinguish these pseudostrabismus cases, it is necessary to assess the reflection of the light source from the middle of the cornea by your physician during the first 9 months of routine pediatric visits and to evaluate the reflection of the light source through the cover test, if necessary. As with the false eye shift, your baby's eye development will be evaluated by your pediatrician during the first 6-9 months of routine baby controls.
What should I do to treat my baby with persisting cross-eye or diagnosed as strabismus?
• Early treatment of strabismus in children is particularly important because waiting too long or not resorting to treatment may cause permanent visual impairments. For this reason, the cross-eye in infants and children should not be thought of as “normal, temporary” and should immediately consult an ophthalmologist. When treated early, cross-eye can be treated with safe and effective methods.
What are the situations that can be confused with pseudostrabismus?
• Eye diseases that can be confused with pseudostrabismus are cataracts, eye tumors, neurological diseases, traumatic eye muscle nerve paralysis, and eye refraction defects (myopia, hyperopia and astigmatism).

Uzm. Dr. Süleyman Mevlitoğlu

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