PSEUDOSTRABISMUS (Apparent)
- Pseudoesotropia- in prominent epicanthal folds, high myopia
- Pseudoexotropia- in hypertelorism
Pseudoesotropia
One of the most common reasons that an ophthalmologist is asked to evaluate an infant;
Patient is orthophoric but has an appearance of esotropia
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Flat, broad nasal bridge
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Prominent medial epicanthal folds
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Narrow interpupillary distance
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Can be differentiated from a true manifest deviation by use of the corneal light reflex and the cover-uncover test;Z
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When pseudostrabismus has been confirmed, parents can be reassured that the child will outgrow the appearance of esotropia.
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Look at the corneal light reflex!
after using torch seeing image of light in center of pupil its normal Z
Pseudoexotropia (Hypertelorism)
- Appearance of exodeviation when the eyes are in fact the eyes are properly aligned;
- May result from the following:
- Wide interpupillary distance (hypertelorism)
