Strabismus in adults can present in different ways. The main types include: patients whose childhood strabismus treatment was insufficient, strabismus that develops later due to systemic, ocular, or muscular disorders, nerve palsies, and trauma. The most prominent complaints in adults with acquired strabismus are esthetic and social concerns, double vision, and/or abnormal head posture.
In adults presenting with strabismus, a thorough medical history should be taken first. If the strabismus is newly developed and there is no history of childhood eye deviation, the underlying cause must be investigated.
Treatment options for adult strabismus include prisms, botulinum toxin injections, and strabismus surgery. Since the brain’s ability to adapt in adults is lower than in children, a detailed preoperative evaluation and proper patient counseling are important before surgery.
