"How to Determine If Someone Has Esotropia?"

Diagnosing Esotropia

To determine the presence of esotropia, it is necessary to observe eye movements, visual fatigue, gaze nature, diplopia, and ocular appearance. If esotropia is suspected, it is recommended to promptly visit a hospital for examination.

1. Eye Movements

When examining the eye movements of both eyes, observe for any asymmetry. If the movements of both eyes are essentially the same, it indicates no esotropia. However, if the movements exhibit alternating hypertropia or vertical squint, it suggests the possibility of esotropia.

2. Visual Fatigue

Prolonged gazing at electronic screens or reading in dimly lit environments can lead to excessive eye strain, causing visual fatigue. This can result in an imbalance in the eye's adjustment function, potentially leading to esotropia.

3. Gaze Nature

When observing infants or young children, if their eyes deviate when focusing on a target, it may indicate the presence of esotropia or possibly accommodative esotropia.

4. Diplopia

Diplopia can also be observed. If it occurs simultaneously during binocular gaze, it suggests esotropia. Conversely, if diplopia occurs during monocular gaze, it may indicate other factors contributing to esotropia.

5. Ocular Appearance

Examine the patient's eye sockets for redness, swelling, or other abnormalities to assess the presence of ocular diseases. If the ocular appearance is normal, it can largely rule out muscular or neurological causes of strabismus.

6. Others

Observe for compensatory head posture, such as tilting the head towards the affected side. Additionally, look for symptoms like abnormal headaches or orbital pain, which may indicate esotropia. If esotropia is suspected, prompt consultation with an ophthalmologist for examination and correction through methods like glasses or surgery is advised.

In daily life, maintain good eye hygiene and avoid bad habits like rubbing eyes with hands.