The primary symptom of strabismus is an eye that is not straight. The misalignment may be permanent and always noticeable (constant strabismus), or it may come and go, appearing normal at times and abnormal at others (intermittent strabismus). One eye may be directed straight ahead while the other eye is turned inward, outward, upward, or downward. In other cases, the turned eye may straighten at times, and the straight eye may turn (alternating strabismus).
Sometimes a youngster will close one eye in bright sunlight. Faulty depth perception may be present. Some children turn or tilt their heads in a specific direction in order to use their eyes together.
Up to the first 6 months of age, intermittent strabismus is a normal developmental milestone. After 6 months, it needs to be evaluated.
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