Squint or Strabismus is a deviation of eyes (one or both). It is more common in children, but can be seen in adults as well. The eye may be deviated inwards (Esotropia) or outwards (exotropia). There can also be vertical deviation, in which one eye is higher than the other.
Squint is usually noticed by the patient or their parents/relatives. It may increase with time. If the squint has recently started, then the patient may have double vision (diplopia). If the squint is present since early childhood or it is large deviation, it can lead to poor vision in one or both eyes (Lazy eye or Amblyopia).
Squint can be present at birth or may appear later in life. It is usually due to imbalance in power of the eyes or imbalance between the muscles of the eyes. If it presents suddenly in adulthood, it is most likely associated with damage to the nerves supplying the muscles of the eye due to diabetes, stroke, high blood pressure, or trauma.
Main evaluation of Squint is done by a thorough clinical examination. This includes vision with and without glasses, pupil reaction, eye movements and other tests if they seem necessary. May include dilated retinal examination.
Treatment for squint may include glasses, exercises for eye muscles and surgical correction. This treatment will be decided by your treating doctor as per suitability and may include one or more of these.