This guideline last updated 07/05/2022 10:15:58

 Differential Diagnosis

• Manifest vs Latent strabismus
• Presence or absence of binocularity
• Effect of refraction on Strabismu

Possible Management by Optometrist

Treatment

• Correction of refractive error

Advice                 

• Refer to Orthoptist and Hospital Eye Service if patient presenting with symptomatic visual difficulties

Management Category

• Early referral for manifest strabismus advised to exclude underlying pathology

Possible Management by Ophthalmologist

• Identification of underlying pathology, and onward referral,as appropriate
• Surgical Intervention

Possible Management by Orthoptist

• Overcome associated amblyopia
  • Occlusion techniques
• Strengthen binocularity where appropriate
  • Optical and Orthoptic exercises
• Advice on surgical management
  • Timing
  • Procedure
  • Amount