Dear Cindy,
Could you tell us how old your son it?
Best,
Otis
Engineer

Cindy

Many behavioural optometrists have identified reasons for these
deviations

The following might be useful to you as an introduction to this topic.
Your concerns are mentioned in the page below

http://www.beyond2020vision.co­m/healthyemotions.html

Even if you dont want to go down that particular route a physically
orientated vision training method obtained via a behaviourioural
optometrist might be successful if skillfully implemented by a
sympathetic and patient trainer.

Andrew

Cindy - how old is your son?

Often once these things start they don't get better on their own.

It may be that he is long-sighted and requires glasses to keep his eyes
straight. Long sighted eyes can be straight initially but then start to turn
at around age 3 (give or take). Or there are various other possibilities.

You should  try to observe his eyes and notice whether it's always the same
eye turning, which direction it turns, and if it tends to happen in certain
situations e.g. when he's reading a book (if he is of that age). Then take
this information to an optometrist or eye doctor who has experience with
kids. Ask around for recommendations.

Dom

Cindy,

I assume your son is not a baby anymore.
The careful parents who recognize such ''inturns'' of one eye are advised to
have there child  visit an eyecarespecialist (please do not wait a couple of
weeks).
It could be an early sign of being farsighted and then there is the
possibility of developing an  amblyopic (lazy) eye when not treaded at young
age (before 5-6 years of age)
Are you or his father hypermetropic? (using plus glasses for the distance)
or do one of the parents have  a ''lazy'' eye?
Then there is a great chance your son inherit the same hypermetropia.

In hypermetropia, one eye is turning in due to the accommodation necessary
to get the picture ''sharp''
When somebody accommodates to compensate for the lack of ''plus'' , he or
she also converge with the eyes (this is a coupled mechanism)
When your son accommodates both eyes are turning in (crossed eyes) and the
result is a double image (there was a lion (Clarence?) on television long
time ago who showed the results of looking with such crossed eyes)
To avoid the double image youngsters when accommodating are turning in one
eye more and are looking with the other to the subject they want to see.
If this happens for a longer time then the inturning eye is not used quit
enough and there is a chance to become ''lazy'' (vision perfection does not
develop quit well)

Cindy excuses for my poor English but I hope my answer helps a bit.

When did the provider want a follow up evaluation for your son?
If the provider you saw is experienced in pediatric eyecare and
s/he gave you a definite time frame for followup - monitoring
might be okay.  But there are some conditions for an "eye turn"
(strabismus), such as accommodative esotropia, that may
require treatment without waiting.

For peace of mind, you might indeed consider a second opinion,
again, with an eye doctor experienced in peds and strabismus.
Be careful considering the responses of some of the posters
in this thread who are eye care "wannabes" who have no business
answering to posts such as yours.

frank

On 3/20/05 5:40 PM, in article 4aad98f4ee2a4889ac73fbc9191c03c4@MedKB.com,

What doctor? The pediatrician (who may know little to none about this
problem), or an ophthalmologist or optometrist?

You didn't mention age. This kind of behavior is common in the 0-4 month
range.

If older, he needs a full eye examination including dilated exam, now.