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Suggest treatment for esotropia in a child

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Posted on Mon, 15 May 2017
Question: Dear Sir,

History: -
My Daughter is 3.5 years Old. A week ago while having lunch, I observed her left eye 'lazily' following her right eye as she was turning her head fro left to right & vice versa. This is the first time she has done this. It lasted only for a second or so. Her eyes were back to normal. My wife observed her doing this a day later. We also found out that she can do this at her will. She asks for us to see and brings her pupils towards her nose. We scolded her and asked her to stop doing this. Its been a week now and we have not caught her doing this again. All her developmental milestones are normal.

My Questions:-

1. Google tells me about a condition called crossed eyes. We are scared that my daughter has it. On the face of it, it seems she can do it at her will. But the first time it happened it was NOT INTENTIONAL. She was not tring to do anything at all when her left eye turned inwards. is this normal for a 3.5 yrs old?

2. Again from Google., Google tells me that crossed eyes is one of the earliest forms of DIPG, a fatal brain cancer. Does this point to something serious like that? We are very scared for her doc. She doesnt seem to have double vision or speech problems or any other early symptoms of DIPG. But Google says that the Cancer is dormant and comes back between 3 to 10 years. Could this point to something serious in the neural system?

Thanks
doctor
Answered by Dr. Diptanshu Das (1 hour later)
Brief Answer:
It is a form of squinting or strabismus

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone carefully through your query and have checked the attached images. Your daughter does have some Strabismus or crossed eyes. Since the eyes at rest seem to slightly converge inward it is called Esotropia. Such a thing occurs due to weak eye muscles. I do not suppose that there is any association with Diffuse Intrinsic Pontine Glioma (DIPG) and you need not worry about the same.

You need to take your daughter to a ophthalmologist. He would be able to exclude amblyopia or uneven distribution of eye power which could be a possible trigger. He would also be able to assess the degree of squinting and can suggest suitable solutions. Surgery is required in some cases.

Feel free to write back.

Regards
Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Diptanshu Das

Pediatric Neurologist

Practicing since :2005

Answered : 3871 Questions

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Suggest treatment for esotropia in a child

Brief Answer: It is a form of squinting or strabismus Detailed Answer: Thanks for asking on HealthcareMagic. I have gone carefully through your query and have checked the attached images. Your daughter does have some Strabismus or crossed eyes. Since the eyes at rest seem to slightly converge inward it is called Esotropia. Such a thing occurs due to weak eye muscles. I do not suppose that there is any association with Diffuse Intrinsic Pontine Glioma (DIPG) and you need not worry about the same. You need to take your daughter to a ophthalmologist. He would be able to exclude amblyopia or uneven distribution of eye power which could be a possible trigger. He would also be able to assess the degree of squinting and can suggest suitable solutions. Surgery is required in some cases. Feel free to write back. Regards