Strabismus

Image of a cross-eyed young girl.

Commonly called crossed eyes, strabismus is a condition in which eyes do not work together, failing to maintain proper alignment. While one eye focuses on an object, the other does not. The failure of the eyes to work together causes double vision, and if untreated can lead to an extreme reduction of vision in one eye, amblyopia. Strabismus is classified by the direction of misalignment, frequency, and the eye or eyes in which strabismus occurs. These classifications include:

  • Esotropia - inward turning eye
  • Exotropia - outward turning eye
  • Hypertropia - upward turning eye
  • Hypotropia - downward turning eye

Strabismus is further classified by the frequency of the condition (constant or intermittent), whether one (unilateral) or both eyes (alternating) show signs of strabismus, and the degree of the turn (large or small angle).

Causes

Six external (extraocular) muscles control each eye's movement and position. In order for binocular vision to work properly, the positioning, function, and neurological control of these muscles must work together perfectly to control the eyes. An anatomical problem, neurological condition, or trouble with the center of the brain which controls binocular vision can make it difficult to control the extraocular muscles, leading to strabismus.

Individuals with uncorrected farsightedness can also develop strabismus. If the eyes are overly strained while attempting to focus on a distant object, they can become crossed. This condition is known as accommodative esotropia, and can usually be treated with corrective lenses.

Genetics also play a prominent role in strabismus. Those with a parent who has strabismus have a much greater chance of developing the condition themselves. In addition, certain medical conditions such as Down syndrome, cerebral palsy, and stroke put individuals at a higher risk or developing strabismus.

Signs and Symptoms

The most prominent sign of strabismus is the misalignment of eyes, which can lead to amblyopia and vision problems. Small angle strabismus often leads to eye strain and headaches. In addition, strabismus often causes young sufferers significant emotional stress, as it affects the ability to make normal eye contact with others.

Diagnosis and Treatment

Eye care professionals diagnose strabismus using a series of tests: visual acuity, refraction, alignment and focusing, and an examination of eye health. Once strabismus is diagnosed, it can be treated according to its cause and severity. A case of accommodative esotropia can be corrected with glasses, but more serious cases of strabismus might require muscle surgery and vision therapy.

Location

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Hours of Operation

We are closed for lunch daily from 12:00 PM to 1:00 PM

Brier Creek Vision Care

Monday:

8:00 AM - 5:00 PM

Tuesday:

8:00 AM - 5:00 PM

Wednesday:

8:00 AM - 5:00 PM

Thursday:

8:00 AM - 5:00 PM

Friday:

8:00 AM - 5:00 PM

Saturday:

Closed

Sunday:

Closed

Testimonial

  • "Excellent office. Staff is helpful and polite when dealing with my special needs child. They understand when he needs break and how to redirect to another technique to achieve goal. Would highly recommend to others!"
    Jennifer, Raleigh, NC
  • "I needed an eye doctor to see me for my concussion issue that effected my eyesight. There isn't many who are able to assess. Dr. Durham knew just how to work with my case in a gentle manner to help keep me calm. I finally have hope for healing now."
    Elizabeth 3/15/19 - Answer to Prayer
  • "Dr Durham is amazing. She takes the time to hear the patient and is extemely knowlegable."
    Susan 3/16/19 - Amazing
  • "All the staff were very helpful & Susan Durham was very thorough & professional"
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  • "Dr. Durham and her staff are the best and most knowledgeable dealing with brain injuries. Highly recommended!"
    Kristina 3/11/19 - Absolutely the best!
  • "Thought exam was personal, deteilrd and fully explained. Staff were prompt, kind, snd professional. I’d recommend Dr. Durham’s clinic to anyone needing eye care."
    Thomas 3/10/19
  • "The staff was very polite and extremely patient with my condition. Very specific about my condition and caring to help me recover. We will have a long road to recovery together."
    Elizabeth 3/11/19
  • "Didn't have to wait. Very thorough eye exam."
    Sandy 3/7/19 - Great eye checkup
  • "My visit was more than I could of asked for. I told my friends about my visit to the future. Dr. Dunham was extremely knowledgeable, concerned and determined to get it right, Her staff seemed to respect her greatly. staff was trained very well and gave me the confidence they knew what they were doing.
    I have already told my friends about my visit to the future."
    Patricia 2/24/19 - Everything was perfect.
  • "My daughter and I have have had great experiences at Brier Creek Vision! Dr. N. Is fantastic!! The office staff is super friendly, accommodating and very pleasurable to work with. Eye glass frames are plentiful and the opticians are helpful, suggestive and patient! Thanks to everyone for making all of visits wonderful!!"
    Cynthia 2/14/19 – Great Experience
  • "Dr Nakagawara is open, friendly and extremely knowledgeable. Karim Glover in the optical dispensary took great care in explaining and helping me to get great value on a new set of prescription sunglasses that will do much more than my previous set. Extremely happy.
    Loved the Optician!"
    Thomas 2/22/19 - Great Doctors and Team...
  • "I cannot tell you how happy I am with Brier Creek Vision. Everyone from the moment you enter, all the way through the appointment, is knowledgeable friendly and caring. I receive excellent and professional care. Highly recommend!"
    Helen 2/21/19 - Excellent care
  • "Went from 20/30 to 20/20! The sky is the limit with dr Patel. Will continue to bring both my kids here...."
    Temidayo 2/17/19 - Dr Patel Rocks!!!!
  • "I have had nothing but amazing experiences here! The entire staff is very friendly and knowledgeable. I have never walked away unsatisfied."
    Shelby 2/14/19 - Awesome!
  • "This office has all of the latest equipment and skills to take care of your eyes."
    Wales 2/6/19 - Great eye care!
  • "The atmosphere in the office is very pleasant and welcoming. I always feel comfortable in both the waiting room and the exam rooms. Selecting glasses is also a breeze, as the staff is extremely helpful and knowledgable."
    Kris 1/31/19 - Amazing Experience
  • "Our family visit was over the top. The entire staff took their time and made sure each and everyone's exam was through. No pressure to buy glasses. Our experience with Dr. Nakagawara was outstanding!!"
    Melissa 1/31/19 - Recommend
  • "I always have the best visit at Brier Creek Vision. My Doctor, Esther Nakagawara, is the best at what she does! She handles the procedures with care, caution and concern, explains well and has the best solutions to keep your eyes healthy. The staff is accommodating, patient and very kind to everyone; they never mind answering questions. The opticians are helpful in assisting with the selection of eyecare that looks good and works the best for you. I have told many people about my positive experiences at Brier Creek Vision and recommended this office as well."
    Kailah 1/30/19 - The Best in Eyeccare!!
  • "My family and I have been patients of Brier Creek Vision for 2 years. Dr. Nakagawara is a very caring and skilled OD who communicates, teaches and plans well. The staff and optometrists are inviting, knowledgeable and very helpful. We have recommended BCV to all our friends and family!"
    Cynthia 1/30/19 - Highly recommend
  • "I was thrilled to learn about the new Shaw lens concept to treat my daughter's amblyopia!"
    Molly 1/30/19 - Excellent Experience