e has been intracranial damage, one or more of the cranial nerves can be affected. This is especially true for the fourth (trochlear) nerve as it is very long and slender and susceptible to damage following trauma. When a strabismus is seen following suspected abuse, neuroophthalmological investigation must be done. The complete break-down of all the traumatic strabismus types is beyond the scope of this article and the reader is referred to neuro-ophthalmological text for this.
There is nothing factual or in evidence based medicine because it is psychological and not tangible, like physical abuse, and probably not been researched.
I will add that I am a 52 year old male with this condition in my left eye, that was observed by a physician when I was aprox. 6 years old. My daughter who is now 22, exhibited these symptoms some time after her mom and I divorced after her 6 year of life. We have joint custody. I come from a large family and there are no others that I know of that exhibit these symptoms.
Thank You for your feedback
It's your opinion and that's fine, there is nothing factual or in evidence based medicine to support your opinion.
JCH MD
I disagree, and here is the basis of my argument.
Whether it be Strabismus or lazy eye, knowing what we do now of psychology and the early development of the neural pathways,and I will point to the development of the brain in newer textbooks. An abrupt change in nurturing and depraved indifference in my opinion could cause the fine motor control of one of the more delicately controlled organs of the body to exhibit these symptoms. What is your opinion?
I appreciate your feedback and thank you.
Granted in the case illustrated, the mother indicates physical violence. But could the cause of Strabismus be psychological abuse, for instance neglect, or deprived indifference.
Thank You
Jerry Stevenson
gerald_s_08873***@****
You were given bad information. Strabismus or eye muscles problems in children over three is not rare in face age 2 to 4 is the most common age for accommodative esotrophia.
There is a big difference between eyes caused by strabismus and that caused by head trauma. The differece is that the spontaneious onset is symmetrical (commitant) while the crossing due to injury is assymetrical (incommitant).
Trauma to a child usually results in bleeding into the back of the eye.
If you have joint custody you can always take the child to a pediatric ophthalmologist of your chosing for a second opinion.
JCH III MD