Why Does a Baby Have Crossed Eyes?

Strabismus in Babies: Causes and Treatments

The appearance of strabismus (crossed eyes) in babies can be attributed to non-pathological factors such as congenital epicanthus and acquired squint, as well as pathological conditions like trichiasis and hordeolum.

Physiological Factors

1. Congenital Epicanthus: This occurs when the lacrimal caruncle is enveloped by excess fibrous tissue during embryonic development, affecting the normal abduction function of the eyes, leading to strabismus. Mild cases require no specific treatment and often improve with age. However, severe cases may necessitate surgical correction.

2. Acquired Squint: Typically caused by poor eye habits or trauma to the eyes, it restricts eyeball movement and can induce strabismus. Parents can follow medical advice to administer atropine mydriatic to babies or opt for prism glasses to correct vision.

Pathological Factors

1. Trichiasis: This refers to睫毛 growing towards the eyeball, irritating and damaging the cornea, causing symptoms like tearing, photophobia, and a foreign body sensation. Trichiasis can be plucked under medical guidance, and medications like tobramycin eye drops or erythromycin ointment may be prescribed as necessary.

2. Hordeolum: Usually caused by Staphylococcus infection, it manifests as localized redness, swelling, and pain. If left untreated, it can worsen and even impact vision. Antibiotic eye drops like levofloxacin or fusidic acid sodium eye drops can be prescribed for anti-infective treatment.

Additionally, strabismus can be related to refractive errors. It is advisable to seek prompt medical attention for a definitive diagnosis and tailored treatment. Daily habits should prioritize proper eye usage, avoiding prolonged close-up exposure to electronic devices.