Squint or strabismus is a misalignment of the two eyes where the eyes do not look in the same direction. That is, one eye may not focus on an object someone is looking at. When the patient is looking straight ahead, the other eye may turn either inwards, outwards, upwards or downwards. This misalignment may be constant, or it may appear sometimes. Squint is commonly seen in children but may be present in adults also. Most squints in young children may be associated with weak eyesight. Squints that develop in adults are usually due to secondary causes like trauma, lesions in the brain, staring at computer screens for long hours, etc. and their management is different from those in children. Typically, children with squint learn to suppress the image from the deviating eye, while adults report a double vision or diplopia. We don’t know what exactly causes squint, but an imbalance of the eye muscles can be caused by either decreased vision in one eye or an aberration in the nerve supply. In case the squint is associated with poor eyesight, or amblyopia, the vision has to be corrected by amblyopia therapy.
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