The onset of strabismus after early childhood is often accompanied by symptomatic diplopia due to the inability to suppress the deviating image. These deviations may be incomitant in nature and limited to certain gaze positions, or large enough to extend into multiple positions of gaze creating severe functional disability. Although surgical intervention is often necessary to align the eyes to a position in which binocular vision may be achieved, conservative measures should also be considered in certain cases. The use of prisms are most effective in treating small-angle strabismus; however, their use can also be efficacious in cases of more complex, restrictive forms of strabismus, including thyroid orbitopathy.
展开▼
