Can Adults Develop Strabismus?

Posted by: Eye Health Northwest in General Eye Health on March 3, 2023

While strabismus is more commonly diagnosed in children, adults can experience this eye condition as well. You may not realize you have strabismus until you start seeing double lines of text on your phone, tablet, or computer. 

You may see two sets of headlights when you’re driving at night, or others may recognize that one of your eyes is not aligned properly. Keep reading to learn more about strabismus and if adults can develop strabismus!

What is Strabismus?

Strabismus occurs when the eyes do not align properly. Strabismus often causes one eye to appear to be looking in another direction. 

For example, one eye may look straight ahead while the other eye turns in, out, up, or down. Since both eyes must aim at the same spot together to see properly, strabismus impacts your vision.

Strabismus is usually related to a problem in the eye muscles, which must be balanced and working together. 

What Causes Strabismus?

Strabismus is usually related to an issue with your eye muscles. To focus and coordinate the vision, eye muscles must be balanced and work together to position the eyes appropriately.

Most adults with strabismus have had it since childhood, but others develop it later in life. Often, as the eye ages, the muscles don’t function properly, or they weaken. 

For adults who’ve had strabismus as children, the condition can reappear.

Certain health conditions increase the risk of strabismus, particularly those affecting circulation or neurological function. 

Possible causes of strabismus in adults include:

  • Diabetes
  • Thyroid diseases such as Graves’ disease
  • Myasthenia gravis
  • Brain tumors
  • Strokes or mini-strokes
  • Accidents or head injury
  • Damage to eye muscles during eye surgery

What Are the Symptoms of Strabismus?

These may be consistent or may worsen or lessen depending on specific activities. It may only happen when you’re looking in one direction or another. 

You may not realize that you tilt your head to see better or shut one eye to see more clearly. Some common symptoms of strabismus are double vision, blurry vision, difficulty reading, or a loss of depth perception. 

The onset can be sudden or gradual, and distortion may occasionally occur or only in specific situations. You may also feel like your eye muscles are weak and have the sensation of something pulling around your eyes.

If you’re experiencing any of these symptoms, visit your eye doctor for a proper diagnosis.

Are There Different Types of Strabismus?

It’s estimated that four percent of American adults will experience strabismus in their lifetimes. There are four types, and they describe the misalignment of the eyes:

Esotropia: one eye deviates inward

Exotropia: one eye deviates outward

Hypertropia: one eye deviates upward

Hypotropia: one eye deviates downward

How Do Eye Doctors Treat Strabismus?

The best treatment options for strabismus will depend on the severity of the condition. For those with mild strabismus, a special glasses prescription using prisms can help to realign the eyes.

In more severe cases, surgery can improve alignment, depending on the type of strabismus. Surprisingly, though long regarded as a condition affecting mostly young children, strabismus is also common among adults. 

If symptoms or changes in vision affect your ability to do tasks you’ve always done easily, talk to your eye doctor about what you’re experiencing. Treatment can improve your daily life and make a significant difference in your quality of vision.

Are you experiencing changes in your vision or double vision? Schedule an appointment at EyeHealth Northwest in Hillsboro, OR, today!


We Are Here For You
The safety of our patients, team members and our community is the highest priority at EyeHealth Northwest. Learn more about measures we are taking to keep you safe and what to expect during your visit.
learn more
Schedule an Appointment
Patient Portal
Pay Bill
contact us
Employment Opportunities
Review Us

Our Locations

Aloha
18345 SW Alexander St,
Suite A
Aloha, OR 97003
(503) 642-2505 see more
Glisan
6701 NE Glisan Street
Portland, OR 97213
(503) 255-2291 see more
Gresham
24601 SE Stark St.
Troutdale, OR 97060
(503) 255-2291 see more
Hillsboro
6111 NE Cornell Rd
Hillsboro, OR 97124
(503) 846-9400 see more
Lake Oswego
9 Monroe Parkway, Suite 160
Lake Oswego, OR 97035
(503) 636-2551 see more
Milwaukie
11086 SE Oak St
Milwaukie, OR 97222
(503) 656-4221 see more
Mt. Tabor
5935 SE Division St.
Portland, OR 97206
503 777-5546 see more
Newberg
2318 Portland Rd, Suite 300
Newberg, OR 97132
(503) 538-1341 see more
Northwest Portland
1955 NW Northrup St
Portland, OR 97209
(503) 227-2020 see more
Oregon City
1306 Division St
Oregon City, OR 97045
(503) 656-4221 see more
Peterkort
9555 SW Barnes Rd.
#100 (1rst floor)
Portland, OR 97225
(503) 227-2020 see more
Providence Portland
5050 NE Hoyt St., Suite 445
Portland, OR 97213
(503) 231-0166 see more
Providence St. Vincent
9135 SW Barnes Rd., Suite 961
Portland, OR 97225
(503) 292-0848 see more
Southeast Portland
10819 SE Stark St,
Portland, OR 97216
(503) 255-2291 see more
Sunnyside
12050 SE Stevens Rd, Suite 100
Happy Valley, OR 97086
(503) 783-3300 see more
Tigard
15298 SW Royalty Parkway
Tigard OR 97224
(503) 227-2020 see more
Wilsonville
29250 SW Town Center Loop W
Wilsonville, OR 97070
(503) 582-0000 see more
Westside Surgery Center
13240 SW Pacific Hwy
Portland, OR 97223
(503) 639-6571 see more
EyeHealth Eastside Surgery and Laser Center
12050 SE Stevens Rd.
Happy Valley, OR 97086
(971) 206-6100 see more

Our Locations

Aloha
18345 SW Alexander St,
Suite A
Aloha, OR 97003
(503) 642-2505 see more
Glisan
6701 NE Glisan Street
Portland, OR 97213
(503) 255-2291 see more
Gresham
24601 SE Stark St.
Troutdale, OR 97060
(503) 255-2291 see more
Hillsboro
6111 NE Cornell Rd
Hillsboro, OR 97124
(503) 846-9400 see more
Lake Oswego
9 Monroe Parkway, Suite 160
Lake Oswego, OR 97035
(503) 636-2551 see more
Milwaukie
11086 SE Oak St
Milwaukie, OR 97222
(503) 656-4221 see more
Mt. Tabor
5935 SE Division St.
Portland, OR 97206
503 777-5546 see more
Newberg
2318 Portland Rd, Suite 300
Newberg, OR 97132
(503) 538-1341 see more
Northwest Portland
1955 NW Northrup St
Portland, OR 97209
(503) 227-2020 see more
Oregon City
1306 Division St
Oregon City, OR 97045
(503) 656-4221 see more
Peterkort
9555 SW Barnes Rd.
#100 (1rst floor)
Portland, OR 97225
(503) 227-2020 see more
Providence Portland
5050 NE Hoyt St., Suite 445
Portland, OR 97213
(503) 231-0166 see more
Providence St. Vincent
9135 SW Barnes Rd., Suite 961
Portland, OR 97225
(503) 292-0848 see more
Southeast Portland
10819 SE Stark St,
Portland, OR 97216
(503) 255-2291 see more
Sunnyside
12050 SE Stevens Rd, Suite 100
Happy Valley, OR 97086
(503) 783-3300 see more
Tigard
15298 SW Royalty Parkway
Tigard OR 97224
(503) 227-2020 see more
Wilsonville
29250 SW Town Center Loop W
Wilsonville, OR 97070
(503) 582-0000 see more
Surgery Centers

Westside Surgery Center

13240 SW Pacific Hwy
Portland, OR 97223
(503) 639-6571 see more

EyeHealth Eastside Surgery and Laser Center

12050 SE Stevens Rd.
Happy Valley, OR 97086
(971) 206-6100 see more