How to prevent esotropia in babies

Disease science

How to Prevent Esotropia in Babies


Esotropia is a condition in which the eyes turn inward, causing crossed eyes. It is the most common type of strabismus, or misalignment of the eyes, in children. Esotropia can occur in one or both eyes and can range from mild to severe.

In most cases, esotropia is caused by a problem with the muscles that control the movement of the eyes. These muscles, called extraocular muscles, help to keep the eyes aligned properly. When these muscles are weak or damaged, the eyes can turn inward.

Esotropia can also be caused by a number of other factors, including:

Farsightedness (hyperopia)

Nearsightedness (myopia)



Retinoblastoma (a type of eye cancer)

Cerebral palsy

Down syndrome

Symptoms of Esotropia

The most common symptom of esotropia is crossed eyes. Other symptoms may include:

Double vision

Poor depth perception

Difficulty reading


Head tilting

Diagnosis of Esotropia

Esotropia is diagnosed with an eye exam. During the exam, the doctor will check the alignment of the eyes, measure the amount of misalignment, and look for any other signs of eye problems.

Treatment of Esotropia

The treatment for esotropia depends on the severity of the condition and the underlying cause. Treatment options may include:

Eyeglasses or contact lenses to correct farsightedness or nearsightedness

Eye drops or ointment to treat cataracts

Surgery to strengthen the extraocular muscles or to correct other eye problems

How to Prevent Esotropia in Babies

There is no sure way to prevent esotropia in babies, but there are some things that parents can do to reduce the risk:

Make sure your baby's vision is checked regularly.

Encourage your baby to play with toys that require eye coordination, such as blocks and puzzles.

Avoid exposing your baby to excessive amounts of screen time.

If your baby has any of the risk factors for esotropia, such as farsightedness or nearsightedness, be sure to talk to your doctor about ways to reduce the risk of developing the condition.

Prognosis for Esotropia

The prognosis for esotropia depends on the severity of the condition and the underlying cause. With early diagnosis and treatment, most children with esotropia can achieve good vision and alignment of the eyes. However, some children with esotropia may have persistent vision problems or may require additional treatment.

Esotropia Resources

[American Association for Pediatric Ophthalmology and Strabismus](

[National Eye Institute](

[Strabismus Support Page](

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