STEPHANIE WEST CONSULTANT OPHTHALMIC SURGEON
Specialist squint, double vision and children’s eye care in Southampton
A child’s eye may turn inwards, outwards, upwards or downwards. Because every squint is different, assessment focuses on vision, alignment, eye movements and how well the eyes work together.
A squint, or strabismus, means the eyes do not point in the same direction. Although some squints are constant, others only appear when a child is tired, daydreaming, focusing closely or looking into the distance.
First, an orthoptist measures vision, eye alignment, eye movements and 3D vision. Next, Stephanie examines the eyes and may use dilating drops to measure the full glasses prescription. Finally, the findings and treatment choices are explained clearly.
Treatment does not always mean surgery. Instead, the aim may be to improve vision, support binocular function, reduce an abnormal head posture or make the squint less noticeable.
Why long-sighted children may develop an inward squint.
Why an eye may drift out when a child is tired.
What happens before, during and after surgery.
A REASSURING GUIDE FOR FAMILIES
What to expect when you and your child visit Stephanie and the orthoptic team for the first time.
Tests are adapted to your child’s age and confidence. Eye drops may be needed to check their glasses prescription and eye health.
Some intermittent squints remain stable; however, a persistent or increasing turn should be assessed rather than assumed to resolve.
No. Treatment may involve glasses, amblyopia treatment, monitoring, exercises, botulinum toxin or surgery.
Yes, particularly in accommodative esotropia caused by long-sightedness.
No. Surgery changes alignment but does not directly treat amblyopia or remove the need for glasses.
Children with intermittent exotropia often close one eye in bright light, although other causes are possible.
Arrange a calm, detailed assessment with Stephanie and the orthoptic team.