How to examine strabismus

Jun 11, 2024 Source: Cainiu Health
Disease description:

My daughter is in the third grade of elementary school this year, and she particularly enjoys watching TV. The first thing she does every day after coming home from school is turn on the television. Yesterday, I noticed that her eyes might be crossed, so I'd like to consult: how is strabismus diagnosed?

Doctor's answer (1)
Dr. Wang Shuai
Strabismus examination typically involves several specialized steps. First, through external observation, the physician evaluates whether the position of the eyes is symmetrical and checks for any signs of deviation. Next, the cover-uncover test is performed by alternately covering and uncovering the patient's eyes to observe any eye movement, thereby determining the presence and type of strabismus. Further assessment may involve the corneal light reflex test, which uses the reflection of a light spot on the cornea to estimate the degree of ocular misalignment. For complex cases of strabismus, the prism cover test may be used to precisely measure the angle of deviation. Additionally, eye movement examination is essential to determine whether there are restrictions or overactions in ocular motility. Finally, by integrating the patient's symptoms, age, medical history, and visual acuity test results, a comprehensive evaluation is made to determine the nature, severity, and appropriate treatment plan for the strabismus.