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Adult Strabismus


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Adult strabismus refers to ocular misalignment in patients over 18 years of age. The misalignment may start during childhood or be acquired in adulthood. Common causes include residual or recurrent childhood strabismus, cranial nerve palsies, thyroid eye disease, adult onset distance esotropia, intermittent exotropia, ocular surgery and trauma. If strabismus develops after visual maturation (about 10 years of age), affected individuals may experience double vision (diplopia), visual confusion and problems with depth perception. Although the evaluation of an adult with strabismus may be more complex than that of a child, treatment may be highly effective. Non-surgical treatment options include glasses with prisms, occlusion, and botulinum toxin (Botox™) injections.

In many cases, surgery may be considered to align the eyes, alleviate double vision and improve psychosocial well-being. Adult patients have the option of having local anesthesia with intravenous sedation or general anesthesia. They frequently also have the opportunity of selecting an adjustable suture technique, which allows fine-tuning of the ocular alignment shortly after surgery. Your physician will discuss the options that are best suited for you at the time of your visit.

Why Choose Bascom Palmer Eye Institute?

The Nation’s Number One Eye Care Provider. A difficult eye disorder requires highly skilled care. Ophthalmologists at Bascom Palmer Eye Institute, part of the University of Miami, use leading-edge research and the latest treatments to realign the eyes and restore normal visual development. On 16 occasions, U.S. News & World Report ranked Bascom Palmer Number One in America for ophthalmology.

Compassionate Vision Care. If you or your child struggle with a visual disorder, you deserve compassion and understanding. Our caring team guides you to the best treatment option and helps you manage your condition throughout the process.

University-based Care for Multiple Conditions. People with vision problems caused by nervous system or brain disorders or injuries need multidisciplinary care. As part of the University of Miami Health System, your eye care team connects you to a team of specialists.

Pediatric Eye Specialists. When your infant or child has an eye disorder that could lead to permanent vision problems, early intervention is key. Our pediatric doctors are trained to diagnose and treat the youngest patients. Their skill, combined with their passion for restoring vision, helps your child achieve the best possible results.

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