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Strabismus

"Strabismus" — when both eyes can't look at the same spot

is a treatable condition, not a habit.

Strabismus is when each eye points in a different direction.
Untreated, it can cause amblyopia or reduced depth perception
and lower aesthetic confidence.
Restore correct alignment with Shinsegae Eye Center's
precision examination.

Strabismus

Strabismus types vary by direction

  • Esotropia

    Esotropia

    Eye turns inward

    toward the nose

  • Exotropia

    Exotropia

    Eye turns outward

    toward the ear

  • Hypertropia / Hypotropia

    Hyper/Hypotropia

    Eye drifts upward

    or downward

  • Cyclotropia

    Cyclotropia

    Eye is rotated off horizontal

Why does strabismus occur?

Strabismus often has no clear single cause and arises from a combination of factors

Causes of strabismus
  • Anatomical factors (structural)

    When the eye muscles or the surrounding bone structure themselves are abnormal
    Orbital (eye-socket) fracture, congenital craniofacial deformity, thyroid eye disease, structural eye-muscle abnormalities, etc.

  • Neurological factors (control)

    When the cranial nerves or signal pathways controlling the eye muscles are impaired
    Cranial nerve (3rd, 4th, 6th) palsy, myasthenia, other neurological disorders, etc.

  • Genetic & environmental factors

    Rather than strabismus itself, a predisposition or risk factors for it may be inherited
    Family history, visual-development environment, ethnic characteristics, etc.

Intermittent exotropia, the most common type of strabismus,
is a condition that requires a thorough examination

Does your child have any of these symptoms?

Intermittent exotropia is a form of exotropia: the eyes usually appear aligned but drift outward when the child is tired or unfocused. It is common in growing children, so early detection and care are important.

  • 1

    Severe glare in bright places, or frequently closing one eye

  • 2

    Tilts the head when watching TV or concentrating

  • 3

    Rubs or blinks the eyes frequently

Goals of strabismus treatment

  • Pediatric strabismus

    Pediatric strabismus

    Guiding normal visual development and preventing amblyopia
    to secure proper visual function
  • Adult strabismus

    Adult strabismus

    Relieving double vision and improving eye alignment
    to ease visual discomfort and cosmetic imbalance

Strabismus treatment

Step-by-step correction matched to cause and timing

01·03
STEP 1

Non-surgical treatment

After refraction screening: glasses, patching (amblyopia prevention), or prism glasses to align the eyes.

STEP 2

Surgical treatment

Eye-muscle strength is adjusted to correct alignment. Shinsegae's micro-incision and precise muscle work reduce scarring and recurrence.

STEP 3

Adult strabismus correction

Adult strabismus aims to resolve double vision and restore confidence in social life.

FAQ: common questions

Step-by-step correction matched to cause and timing

  • Q. When is the best time for strabismus surgery?

    Surgery is most appropriate when patients feel discomfort in daily life.

    If the strabismus angle exceeds a certain threshold and the patient wants improvement, surgery is possible at any age.

Amblyopia

When the eye is structurally normal

and not diseased, yet vision remains weak.

Amblyopia means the eye itself — cornea, lens, retina, optic nerve —
is structurally normal,
but corrective glasses or contacts
still don't produce normal vision.

It's a functional decline where visual signals

don't develop fully on their way to the brain.

Amblyopia

Amblyopia diagnosis

Precision early diagnosis determines vision outcomes

  • Refraction test

    Refraction & best-corrected vision

    Accurately confirms the best vision

    achievable with corrective glasses.

  • Cycloplegic refraction

    Cycloplegic refraction

    Temporarily paralyses focus to exclude pseudo-myopia

    and confirm true refractive error.

  • Fundus & organic disease check

    Fundus & organic disease check

    Rules out cataract, retinal abnormalities,

    optic nerve diseases and other organic causes.

Not amblyopia (myths & facts)

Symptoms alone aren't enough to diagnose amblyopia

Not amblyopia

Frequent eye inflammation or easy fatigue
isn't directly related to amblyopia.

Low vision from not wearing glasses (refractive error)
isn't amblyopia if glasses can correct it to 1.0 or better.

Amblyopia is diagnosed only when "vision is below
normal even with corrective aids like glasses."