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Squint

A squint, also known as strabismus, is a condition where eyes are misaligned because of an incorrect balance of the muscles that control them. One eye can turn inwards, outwards or upwards, while the other eye looks forward.

  • An eye that turns inwards is called an esotropia.
  • An eye that turns outwards is called an exotropia.
  • Less common is hypertropia, when an eye may turn upwards, and hypotropia, when an eye turns downwards.

Squints can be constant (apparent at all times) or intermittent (only apparent at certain times).

The cause, severity and direction of a squint varies from person to person. It's usually spotted in childhood, sometimes within weeks of a baby being born, and affects 5-8% of children (one or two in every 30).


How does a squint affect vision?

This depends on the type os squint and the age of your child.
In a young child a squint can lead to the development of a lazy eye.

To avoid double vision, the brain ignores the signals from the eye with a squint, and only ‘sees’ images from the normal eye. As the squinting eye is not being used, it will eventually become ‘lazy’. 

  • In an older child, a squint may give double vision but not produce a lazy eye. This is because their vision will be fully developed. 
  • Occasionally, children may experience headaches or blurred vision while their squint is being controlled.
  • If the vision in the squinting eye is poor, a child may have to wear a patch over the other eye to encourage the vision to develop.

Can Adults develop a squint?

Squints that have been corrected as a child can sometimes reappear in adulthood.

  • It's unusual to develop a squint as an adult, but if you do it may result in double vision because, having been trained to collect images from both eyes, the adult brain is much less able to suppress the image from the weaker eye. 

  • If a new squint develops in an adult, you always need a thorough investigation to find the cause.

Illustration of a squint

  1. Cornea
  2. Iris
  3. Eyeball
  4. Skull
  5. Eye muscles
  6. Optic nerve
squint

How do eyes work?

When light enters the eye through the pupil, the muscles inside the eye squeeze or relax to help the lens focus the image on to the retina.

Our eyes are moved by muscles, which allow us to look up and down and from side to side without moving our head. 

Normally, both eyes work together to form a picture on the retina, which is then interpreted by the brain. As each eye sees a slightly different picture, the resulting image is three-dimensional (binocular vision). This allows us to work out which object is nearer or further away (depth of vision).

Reproduced under the terms of Click-Use Licence number C2009000382. The content of this page has been published under a Click-Use Licence (link this to http://www.opsi.gov.uk/click-use/index) which covers the use of core Crown copyright information. The original material can be found on NHS Choices.