The goals of treatment are to re-establish ocular alignment, maximize binocular vision, relieve any double vision, and manage any associated amblyopia.If amblyopia is present and surgery is being considered, it is best to address the amblyopia with eye-patch therapy before surgery is performed.If ocular misalignment is detected, the degree of misalignment is measured so that the child can be fitted with the appropriate glasses.Initial treatment of esotropia may involve the prescription of eyeglasses or contact lenses to correct the child’s farsightedness. Children whose eyes cross even when they are wearing glasses or contact lenses may benefit from a bifocal lens.Esotropia cannot be prevented, but complications resulting from it be prevented if the problem is detected early and treated properly.
The appearance of crossed eyes in an infant is not always a sign of esotropia; it can be a result of the shape of the eyelids or nasal bridge, and as the infant grows, the misalignment goes away. Infants and children with suspected esotropia are typically evaluated by a pediatric ophthalmologist or optometrist, who will review the child’s medical and family histories and then perform an examination to determine the child’s visual acuity.
The ophthalmologist or optometrist will pay close attention to whether the acuity is equal in both eyes or if one eye is stronger than the other.
If there is a strong preference for one eye over the other, amblyopia may occur.
The opposite of esotropia is exotropia, which is characterized by eyes that point outward, toward the ears.
The degree of esotropia may vary from small-angle (hardly noticeable) to large-angle (very noticeable), and the condition may be characterized as .