Osmosis video - Strabismus: Nursing

Strabismus is a common condition characterized by misalignment of the eyes due to a lack of eye-muscle coordination. Strabismus can present occasionally or constantly and is commonly referred to as crossed eyes or squint.

Strabismus is caused by a variety of factors, such as conditions affecting cranial nerves III, IV, and VI, or the muscles controlling the eye, or other problems in the brain. Risk factors include family history, neuromuscular disorders, prematurity, and low birth weight. Symptoms of strabismus include uncoordinated eye movements and eyes that don't aim in the same direction, and there may also be blurred vision, tired eyes, headaches, squinting, head tilting, or a tendency to bump into objects.

Treatment for strabismus usually involves glasses, visual training exercises, and surgery. Nursing management includes providing supportive care during treatment and monitoring for adherence to the treatment plan. Client and family education emphasizes treatment adherence and when to contact the healthcare provider.