{"id":1213,"date":"2021-04-27T11:00:49","date_gmt":"2021-04-27T10:00:49","guid":{"rendered":"https:\/\/www.paulofreitascosta.pt\/?p=1213"},"modified":"2022-01-06T11:16:03","modified_gmt":"2022-01-06T10:16:03","slug":"estrabismo-no-adulto","status":"publish","type":"post","link":"https:\/\/www.paulofreitascosta.pt\/en\/estrabismo-no-adulto\/","title":{"rendered":"Adult Strabismus"},"content":{"rendered":"<p>[vc_row css=&#8221;.vc_custom_1563793824693{margin-top: 0px !important;padding-top: 30px !important;}&#8221; el_class=&#8221;blogrow&#8221;][vc_column]<div class=\"aio-icon-component  vc_custom_1641464161547  post-details details-type-link style_1\"><div id=\"Info-box-wrap-1646\" class=\"aio-icon-box left-icon\" style=\"\"  ><div class=\"aio-icon-left\"><div class=\"ult-just-icon-wrapper  \"><div class=\"align-icon\" style=\"text-align:center;\">\n<div class=\"aio-icon none \"  style=\"color:#00a19a;font-size:14px;display:inline-block;\">\n\t<i class=\"fas fa-arrow-left\"><\/i>\n<\/div><\/div><\/div><\/div><div class=\"aio-ibd-block\"><div class=\"aio-icon-header\" ><a class=\"aio-icon-box-link\" href=\"https:\/\/www.paulofreitascosta.pt\/noticias\/\" title=\"Oftalmologia\" ><h3 class=\"aio-icon-title ult-responsive\"  data-ultimate-target='#Info-box-wrap-1646 .aio-icon-title'  data-responsive-json-new='{\"font-size\":\"desktop:14px;\",\"line-height\":\"\"}'  style=\"font-family:&#039;Roboto&#039;;font-weight:700;color:#00a19a;\">Back<\/h3><\/a><\/div> <!-- header --><\/div> <!-- aio-ibd-block --><\/div> <!-- aio-icon-box --><\/div> <!-- aio-icon-component -->[vc_empty_space height=&#8221;20px&#8221;][vc_column_text]<\/p>\n<h1>Adult Strabismus<\/h1>\n<div class=\"page\" title=\"Page 12\">\n<div class=\"section\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<p>We clinically refer to strabismus when both eyes\u2019 axis are not perfectly aligned, meaning, when they point in different directions. An eye may look straight ahead while the other one is looking inside, outside, up, or down. There are six extraocular muscles monitoring the movement of an eye; to be able to focus on a single image and get a three-dimensional view with depth perception, all muscles from both eyes must work together in a coordinated way. The brain is responsible for controlling these muscles through cranial nerves. Strabismus may affect vision in various ways, depending on the age at which it first manifests.<\/p>\n<p>&nbsp;<\/p>\n<h3>What causes adult strabismus?<\/h3>\n<p>Most adults with strabismus have it since their childhood, when aetiology is totally different and <a href=\"https:\/\/www.paulofreitascosta.pt\/en\/estrabismo\/\">mostly benign<\/a>. On the other hand, people who develop strabismus in adulthood generally suffer from a change in their brain, nerve or eye muscle. Here are some examples:<\/p>\n<ol>\n<li>Systemic health diseases such as: diabetes, thyroid (Graves\u2019 orbitopathy), myasthenia gravis, multiple sclerosis, among other neurological disorders<\/li>\n<li>Cerebrovascular accidents (CVA)<\/li>\n<li>Brain Tumours<\/li>\n<li>Damage caused to eye muscles during any kind of eye surgery<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<h3>How does adult strabismus affect vision?<\/h3>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"page\" title=\"Page 13\">\n<div class=\"section\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<p>When having a normal vision, both eyes are aligned and able to focus the same target. The brain combines both images of our eyes in one single three-dimensional image (3-D). We can then perceive how close or far away is something from us (the so-called depth perception).<br \/>\nWhen having a misaligned eye, two different images are sent to the brain. The brain from a small child learns to ignore the image coming from the misaligned eye. Instead of both images, it can only see the image from the dominant eye. As a result, the child loses depth perception but does not develop double vision.<\/p>\n<p>Adults developing strabismus after childhood tend to experience double vision (diplopia). This occurs because the brain has already completed its development and so the adult is no longer capable (as it happens in children) to ignore the image from the misaligned eye \u2013 seeing, therefore, two misaligned images.<\/p>\n<p>&nbsp;<\/p>\n<h3>What are the signs or symptoms of adult strabismus?<\/h3>\n<p>The most obvious sign comes when people living with somebody affected by strabismus or patients themselves realise that, aesthetically, the eyes are misaligned or diverted. Regarding their vision, patients might notice, in a constant or intermittent way:<\/p>\n<ol>\n<li>Tiredness in or around the eyes or feeling like having a \u201ctrapped eye\u201d.<\/li>\n<li>Changes in vision such as double vision (seeing two images instead of one), blurred vision, difficult to read or loss of depth perception.<\/li>\n<li>A constant need to tilt or turn the head to sharply focus on an image.<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<h3>Is there any treatment for adults?<\/h3>\n<p><strong>Yes, there is!<\/strong> But, before thinking about treating strabismus, it is essential to get a correct diagnosis and treat the exact cause of your strabismus, since it can mitigate or eliminate the symptoms. If this is not completely possible and strabismus persists steadily for at least 6 months after its onset, we should consider the best treatment on a case-by-case basis:<\/p>\n<ul>\n<li><strong>Surgery<\/strong> \u2013 it is the most common treatment. Surgery can enhance or bring back eye alignment and it might also help restoring a proper vision. By intervening in extra-ocular muscles (muscles are repositioned, then decreasing or increasing their action force), the ophthalmologist seeks to improve motor coordination between both eyes. Additional surgery might be needed. This surgery is usually performed as an outpatient procedure, under general anesthesia. Surgery might be performed in one or both eyes in the same procedure. After strabismus\u2019 surgery, the patient can go back to daily routine in a few days.<\/li>\n<li><strong>Ocular muscle exercises<\/strong> \u2013 orthoptic treatment can be very useful in some types of strabismus, especially in the so-called \u201cconvergence insufficiency\u201d. In this disease, eyes are not correctly nor steadily aligned while performing tasks such as reading or working on the computer.<\/li>\n<li><strong>Prismatic lenses (glasses)<\/strong> \u2013 a prism is a wedge-shaped lens which redirects (refracts) light rays. A prism can whether be attached to normal glasses or integrate the lens itself. Prisms allow symptoms\u2019 correction, thus nullifying double vision of small-scale strabismus.<\/li>\n<li><strong>Botulinum toxin (Botox\u00ae)<\/strong> \u2013 injection this medicine into extra ocular muscles can be an extra help in surgeries \u2013 it works by paralysing the muscles responsible for preventing a correct eye alignment. Its effect may whether last a few months or improve eye alignment on a permanent basis.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"page\" title=\"Page 14\">\n<div class=\"section\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<p>Follow-ups by a specialist in Strabismus and Pediatric Ophthalmology are the most appropriate actions to take according to the experience accumulated in diagnosing and treating this disease.<\/p>\n<p>&nbsp;<\/p>\n<p><strong><span style=\"color: #808080;\">Sources:<br \/>\n<\/span><\/strong><span style=\"color: #808080;\">American Academy of Ophthalmology &#8211; <a href=\"https:\/\/www.aao.org\/eye-health\/tips-prevention-list\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.aao.org\/eye-health\/tips-prevention-list<\/a>;<br \/>\n<\/span><span style=\"color: #808080;\">American Association for Pediatric Ophthalmology and Strabismus &#8211; <a href=\"https:\/\/aapos.org\/patients\/eye-terms\" target=\"_blank\" 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100%;\n    margin: 0;\n    top: 0;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .post-thumbnail-wrap {\n    padding: 0;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .post-entry-content:after {\n    display: none;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .project-even .post-thumbnail-wrap,\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556.centered-layout-list .post-thumbnail-wrap {\n    -webkit-order: 0;\n    -moz-order: 0;\n    -ms-flex-order: 0;\n    order: 0;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556.centered-layout-list .post-entry-title-content {\n    -webkit-order: 1;\n    -moz-order: 1;\n    -ms-flex-order: 1;\n    order: 1;\n    width: 100%;\n    padding: 20px 20px 0;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556.centered-layout-list .post-entry-content {\n    -webkit-order: 2;\n    -moz-order: 2;\n    -ms-flex-order: 2;\n    order: 2;\n    padding-top: 0;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .fancy-categories {\n    top: 10px;\n    left: 10px;\n    bottom: auto;\n    right: auto;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .fancy-date a {\n    top: 10px;\n    right: 10px;\n    left: auto;\n    bottom: auto;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .post-entry-content {\n    padding: 20px;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .entry-title {\n    margin: 3px 0 5px;\n    font-size: 20px;\n    font-size: 16px;\n    line-height: 26px;\n    line-height: 20px;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .entry-meta {\n    margin: 5px 0 5px;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .entry-excerpt {\n    margin: 15px 0 0;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .post-details {\n    margin: 5px 0 10px;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .post-details.details-type-link {\n    margin-bottom: 2px;\n  }\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556:not(.resize-by-browser-width) .dt-css-grid {\n  grid-row-gap: *2;\n  grid-column-gap: *2;\n  grid-template-columns: repeat(auto-fill,minmax(,1fr));\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556:not(.resize-by-browser-width) .dt-css-grid .double-width {\n  grid-column: span 2;\n}\n.cssgridlegacy.no-cssgrid .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556:not(.resize-by-browser-width) .dt-css-grid,\n.no-cssgridlegacy.no-cssgrid .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556:not(.resize-by-browser-width) .dt-css-grid {\n  display: flex;\n  flex-flow: row wrap;\n  margin: -;\n}\n.cssgridlegacy.no-cssgrid .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556:not(.resize-by-browser-width) .dt-css-grid .wf-cell,\n.no-cssgridlegacy.no-cssgrid .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556:not(.resize-by-browser-width) .dt-css-grid .wf-cell {\n  flex: 1 0 ;\n  min-width: ;\n  max-width: 100%;\n  padding: ;\n  box-sizing: border-box;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556.resize-by-browser-width .dt-css-grid {\n  grid-template-columns: repeat(,1fr);\n  grid-template-rows: auto;\n  grid-column-gap: *2;\n  grid-row-gap: *2;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556.resize-by-browser-width .dt-css-grid .double-width {\n  grid-column: span 2;\n}\n.cssgridlegacy.no-cssgrid .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556.resize-by-browser-width .dt-css-grid {\n  margin: -;\n}\n.cssgridlegacy.no-cssgrid .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556.resize-by-browser-width .dt-css-grid .wf-cell {\n  width: 100%\/;\n  padding: ;\n}\n.cssgridlegacy.no-cssgrid .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556.resize-by-browser-width .dt-css-grid .wf-cell.double-width {\n  width: calc(100%\/) * 2;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556.resize-by-browser-width:not(.centered-layout-list):not(.content-bg-on) .dt-css-grid {\n  grid-row-gap: *2 - 20px;\n}\n@media screen and (max-width: 1199px) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556.resize-by-browser-width .dt-css-grid {\n    grid-template-columns: repeat(,1fr);\n  }\n  .cssgridlegacy.no-cssgrid .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556.resize-by-browser-width .dt-css-grid .wf-cell,\n  .no-cssgridlegacy.no-cssgrid .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556.resize-by-browser-width .dt-css-grid .wf-cell {\n    width: 100%\/;\n  }\n  .cssgridlegacy.no-cssgrid .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556.resize-by-browser-width .dt-css-grid .wf-cell.double-width,\n  .no-cssgridlegacy.no-cssgrid .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556.resize-by-browser-width .dt-css-grid .wf-cell.double-width {\n    width: calc(100%\/)*2;\n  }\n}\n@media screen and (max-width: 991px) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556.resize-by-browser-width .dt-css-grid {\n    grid-template-columns: repeat(,1fr);\n  }\n  .cssgridlegacy.no-cssgrid .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556.resize-by-browser-width .dt-css-grid .wf-cell,\n  .no-cssgridlegacy.no-cssgrid .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556.resize-by-browser-width .dt-css-grid .wf-cell {\n    width: 100%\/;\n  }\n  .cssgridlegacy.no-cssgrid .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556.resize-by-browser-width .dt-css-grid .wf-cell.double-width,\n  .no-cssgridlegacy.no-cssgrid .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556.resize-by-browser-width .dt-css-grid .wf-cell.double-width {\n    width: calc(100%\/)*2;\n  }\n}\n@media screen and (max-width: 767px) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556.resize-by-browser-width .dt-css-grid {\n    grid-template-columns: repeat(,1fr);\n  }\n  .cssgridlegacy.no-cssgrid .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556.resize-by-browser-width .dt-css-grid .wf-cell,\n  .no-cssgridlegacy.no-cssgrid .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556.resize-by-browser-width .dt-css-grid .wf-cell {\n    width: 100%\/;\n  }\n  .cssgridlegacy.no-cssgrid .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556.resize-by-browser-width .dt-css-grid .wf-cell.double-width,\n  .no-cssgridlegacy.no-cssgrid .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556.resize-by-browser-width .dt-css-grid .wf-cell.double-width {\n    width: calc(100%\/)*2;\n  }\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-nav a {\n  width: 36px;\n  height: 36px;\n  border-radius: 500px;\n}\n.dt-arrow-border-on.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-nav a:not(:hover):before {\n  border-width: 0px;\n}\n.dt-arrow-hover-border-on.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-nav a:hover:after {\n  border-width: 0px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-nav a.owl-prev {\n  top: 50%;\n  transform: translateY(calc(-50% + 0px));\n  left: -43px;\n}\n@media all and (-ms-high-contrast: none) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-nav a.owl-prev {\n    transform: translateY(-50%);\n    margin-top: 0px;\n  }\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-nav a.owl-prev i {\n  padding: 0px 0px 0px 0px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-nav a.owl-next {\n  top: 50%;\n  transform: translateY(calc(-50% + 0px));\n  right: -43px;\n}\n@media all and (-ms-high-contrast: none) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-nav a.owl-next {\n    transform: translateY(-50%);\n    margin-top: 0px;\n  }\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-nav a.owl-next i {\n  padding: 0px 0px 0px 0px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-nav i {\n  font-size: 18px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-nav a:not(:hover) i,\n.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-nav a:not(:hover) i:before {\n  color: #ffffff;\n  background: none;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-nav a:hover i,\n.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-nav a:hover i:before {\n  color: rgba(255,255,255,0.75);\n  background: none;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-dots {\n  top: calc(100% + 20px);\n  left: 50%;\n  transform: translateX(calc(-50% + 0px));\n}\n@media all and (-ms-high-contrast: none) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-dots {\n    transform: translateX(-50%);\n    margin-left: 0px;\n  }\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-dot {\n  width: 10px;\n  height: 10px;\n  margin: 0 8px;\n}\n.bullets-scale-up.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-dot:not(.active):not(:hover) span {\n  background: #00a19a;\n  -webkit-box-shadow: none;\n  box-shadow: none;\n}\n.bullets-scale-up.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-dot:not(.active):hover span,\n.bullets-scale-up.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-dot.active span {\n  background: #000000;\n  -webkit-box-shadow: none;\n  box-shadow: none;\n}\n.bullets-stroke.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-dot:not(.active):not(:hover) span {\n  background: #00a19a;\n  -webkit-box-shadow: none;\n  box-shadow: none;\n}\n.bullets-stroke.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-dot:not(.active):hover span {\n  background: #000000;\n  -webkit-box-shadow: none;\n  box-shadow: none;\n}\n.bullets-stroke.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-dot.active span {\n  -webkit-box-shadow: 0 0 0 2px #000000;\n  box-shadow: 0 0 0 2px #000000;\n}\n.bullets-fill-in.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-dot:not(.active):not(:hover) span {\n  -webkit-box-shadow: inset 0 0 0 2px #00a19a;\n  box-shadow: inset 0 0 0 2px #00a19a;\n}\n.bullets-fill-in.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-dot:not(.active):hover span {\n  -webkit-box-shadow: inset 0 0 0 2px #000000;\n  box-shadow: inset 0 0 0 2px #000000;\n}\n.bullets-fill-in.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-dot.active span {\n  -webkit-box-shadow: inset 0 0 0 20px #000000;\n  box-shadow: inset 0 0 0 20px #000000;\n}\n.bullets-small-dot-stroke.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-dot:not(.active):not(:hover) span {\n  background: #00a19a;\n  -webkit-box-shadow: none;\n  box-shadow: none;\n}\n.bullets-small-dot-stroke.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-dot:not(.active):hover span,\n.bullets-small-dot-stroke.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-dot.active span {\n  background: #000000;\n  -webkit-box-shadow: none;\n  box-shadow: none;\n}\n.bullets-small-dot-stroke.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-dot.active {\n  -webkit-box-shadow: 0 0 0 2px #000000;\n  box-shadow: 0 0 0 2px #000000;\n}\n.bullets-ubax.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-dot span {\n  background: #00a19a;\n  -webkit-box-shadow: none;\n  box-shadow: none;\n}\n.bullets-ubax.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-dot.active span {\n  border-color: #000000;\n}\n.bullets-ubax.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-dot:not(.active):hover span {\n  background: #000000;\n  -webkit-box-shadow: none;\n  box-shadow: none;\n}\n.bullets-etefu.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-dot span {\n  background: #00a19a;\n  -webkit-box-shadow: none;\n  box-shadow: none;\n}\n.bullets-etefu.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-dot:not(.active):hover span {\n  background: #000000;\n  -webkit-box-shadow: none;\n  box-shadow: none;\n}\n.bullets-etefu.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-dot span:before {\n  background: #000000;\n  -webkit-box-shadow: none;\n  box-shadow: none;\n}\n.accent-gradient .bullets-etefu.blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 .owl-dot span:before {\n  background: #000000;\n  -webkit-box-shadow: none;\n  box-shadow: none;\n}\n@media screen and (max-width: 778px) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556.hide-arrows .owl-nav a {\n    display: none;\n  }\n}\n@media screen and (max-width: 778px) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556.reposition-arrows .owl-nav .owl-prev {\n    top: 50%;\n    transform: translateY(calc(-50% + 0px));\n    left: 10px;\n  }\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556.reposition-arrows .owl-nav .owl-next {\n    top: 50%;\n    transform: translateY(calc(-50% + 0px));\n    right: 10px;\n  }\n}\n@media screen and (max-width: 778px) and all and (-ms-high-contrast: none) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556.reposition-arrows .owl-nav .owl-prev {\n    transform: translateY(-50%);\n    margin-top: 0px;\n  }\n}\n@media screen and (max-width: 778px) and all and (-ms-high-contrast: none) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556.reposition-arrows .owl-nav .owl-next {\n    transform: translateY(-50%);\n    margin-top: 0px;\n  }\n}\n<\/style><div class=\"owl-carousel blog-carousel-shortcode dt-owl-carousel-call blog-carousel-shortcode-id-a9f9445c2b672a80d89b7f5736520556 classic-layout-list dt-icon-bg-off dt-arrow-border-on dt-arrow-hover-border-on meta-info-off bullets-small-dot-stroke reposition-arrows arrows-bg-on disable-arrows-hover-bg arrows-hover-bg-on  nextArticlesBlog\" data-scroll-mode=\"1\" data-col-num=\"3\" data-wide-col-num=\"4\" data-laptop-col=\"3\" data-h-tablet-columns-num=\"3\" data-v-tablet-columns-num=\"1\" data-phone-columns-num=\"1\" data-auto-height=\"true\" data-col-gap=\"30\" data-speed=\"600\" data-autoplay=\"false\" data-autoplay_speed=\"6000\" data-arrows=\"false\" data-bullet=\"true\" data-next-icon=\"icon-ar-017-r\" data-prev-icon=\"icon-ar-017-l\"><article class=\"post post-1581 type-post status-publish format-standard has-post-thumbnail hentry category-noticias category-6 description-off\" data-name=\"Childhood Myopia: How to Slow Its Progression Based on Scientific Evidence\" data-date=\"2025-07-24T12:17:01+01:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/www.paulofreitascosta.pt\/en\/miopia-na-infancia-como-travar-a-sua-progressao-com-base-na-evidencia-cientifica\/\" class=\"post-thumbnail-rollover layzr-bg\" ><img loading=\"lazy\" decoding=\"async\" class=\"preload-me owl-lazy-load\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20890%20593&#39;%2F%3E\" data-src=\"https:\/\/www.paulofreitascosta.pt\/wp-content\/uploads\/2025\/07\/edi-libedinsky-1bhp9zBPHVE-unsplash_low-890x593.jpg\" data-srcset=\"https:\/\/www.paulofreitascosta.pt\/wp-content\/uploads\/2025\/07\/edi-libedinsky-1bhp9zBPHVE-unsplash_low-890x593.jpg 890w, https:\/\/www.paulofreitascosta.pt\/wp-content\/uploads\/2025\/07\/edi-libedinsky-1bhp9zBPHVE-unsplash_low-1335x890.jpg 1335w\" alt=\"Childhood Myopia\" title=\"Childhood Myopia\" width=\"890\" height=\"593\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/www.paulofreitascosta.pt\/en\/miopia-na-infancia-como-travar-a-sua-progressao-com-base-na-evidencia-cientifica\/\" title=\"Childhood Myopia: How to Slow Its Progression Based on Scientific Evidence\" rel=\"bookmark\">Childhood Myopia: How to Slow Its Progression Based on Scientific Evidence<\/a>\n\t<\/h3>\n\n\t\n\t\n\t<a href=\"https:\/\/www.paulofreitascosta.pt\/en\/miopia-na-infancia-como-travar-a-sua-progressao-com-base-na-evidencia-cientifica\/\" class=\"post-details details-type-link\" rel=\"nofollow\">Read more<i class=\"fa fa-caret-right\" aria-hidden=\"true\"><\/i><\/a>\n<\/div><\/article><article class=\"post post-1576 type-post status-publish format-standard has-post-thumbnail hentry category-noticias category-6 description-off\" data-name=\"Amblyopia (&#8220;Lazy Eye&#8221;) Treatment and Alternatives to the Eye Patch\" data-date=\"2025-07-22T11:40:11+01:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/www.paulofreitascosta.pt\/en\/ambliopia-olho-preguicoso-tratamento-e-alternativas-ao-penso-ocular\/\" class=\"post-thumbnail-rollover layzr-bg\" ><img loading=\"lazy\" decoding=\"async\" class=\"preload-me owl-lazy-load\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20890%20593&#39;%2F%3E\" data-src=\"https:\/\/www.paulofreitascosta.pt\/wp-content\/uploads\/2025\/07\/AdobeStock_351351248_low-890x593.jpg\" data-srcset=\"https:\/\/www.paulofreitascosta.pt\/wp-content\/uploads\/2025\/07\/AdobeStock_351351248_low-890x593.jpg 890w, https:\/\/www.paulofreitascosta.pt\/wp-content\/uploads\/2025\/07\/AdobeStock_351351248_low-1335x890.jpg 1335w\" alt=\"Ambliopia: Tratamento e Alternativas ao Penso Ocular\" title=\"Eye patch &#8211; lazy eye &#8211; amblyopia\" width=\"890\" height=\"593\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/www.paulofreitascosta.pt\/en\/ambliopia-olho-preguicoso-tratamento-e-alternativas-ao-penso-ocular\/\" title=\"Amblyopia (&#8220;Lazy Eye&#8221;) Treatment and Alternatives to the Eye Patch\" rel=\"bookmark\">Amblyopia (&#8220;Lazy Eye&#8221;) Treatment and Alternatives to the Eye Patch<\/a>\n\t<\/h3>\n\n\t\n\t\n\t<a href=\"https:\/\/www.paulofreitascosta.pt\/en\/ambliopia-olho-preguicoso-tratamento-e-alternativas-ao-penso-ocular\/\" class=\"post-details details-type-link\" rel=\"nofollow\">Read more<i class=\"fa fa-caret-right\" aria-hidden=\"true\"><\/i><\/a>\n<\/div><\/article><article class=\"post post-1552 type-post status-publish format-standard has-post-thumbnail hentry category-noticias category-6 description-off\" data-name=\"A New Chapter Starting January 2025: Closing a Cycle at CUF Porto Hospital\" data-date=\"2024-12-30T11:54:42+01:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/www.paulofreitascosta.pt\/en\/uma-nova-etapa-a-partir-de-janeiro-2025-encerramento-de-ciclo-no-hospital-cuf-porto\/\" class=\"post-thumbnail-rollover layzr-bg\" ><img loading=\"lazy\" decoding=\"async\" class=\"preload-me owl-lazy-load\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20890%20593&#39;%2F%3E\" data-src=\"https:\/\/www.paulofreitascosta.pt\/wp-content\/uploads\/2024\/12\/unnamed-1_low-890x593.jpg\" data-srcset=\"https:\/\/www.paulofreitascosta.pt\/wp-content\/uploads\/2024\/12\/unnamed-1_low-890x593.jpg 890w, https:\/\/www.paulofreitascosta.pt\/wp-content\/uploads\/2024\/12\/unnamed-1_low-1335x890.jpg 1335w\" alt=\"Dr Paulo Freitas da Costa\" title=\"Dr Paulo Freitas da Costa\" width=\"890\" height=\"593\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/www.paulofreitascosta.pt\/en\/uma-nova-etapa-a-partir-de-janeiro-2025-encerramento-de-ciclo-no-hospital-cuf-porto\/\" title=\"A New Chapter Starting January 2025: Closing a Cycle at CUF Porto Hospital\" rel=\"bookmark\">A New Chapter Starting January 2025: Closing a Cycle at CUF Porto Hospital<\/a>\n\t<\/h3>\n\n\t\n\t\n\t<a href=\"https:\/\/www.paulofreitascosta.pt\/en\/uma-nova-etapa-a-partir-de-janeiro-2025-encerramento-de-ciclo-no-hospital-cuf-porto\/\" class=\"post-details details-type-link\" rel=\"nofollow\">Read more<i class=\"fa fa-caret-right\" aria-hidden=\"true\"><\/i><\/a>\n<\/div><\/article><article class=\"post post-1529 type-post status-publish format-standard has-post-thumbnail hentry category-noticias category-6 description-off\" data-name=\"New Private Clinic in Porto &#8211; UNICL\u00cdNICA. Reflections on Humanisation and Quality in Medical Care\" data-date=\"2024-10-01T13:14:06+01:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/www.paulofreitascosta.pt\/en\/novo-consultorio-no-porto-uniclinica-reflexoes-sobre-humanizacao-e-qualidade-no-atendimento-medico\/\" class=\"post-thumbnail-rollover layzr-bg\" ><img loading=\"lazy\" decoding=\"async\" class=\"preload-me owl-lazy-load\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20890%20593&#39;%2F%3E\" data-src=\"https:\/\/www.paulofreitascosta.pt\/wp-content\/uploads\/2024\/10\/ABF323D5-95B5-4E61-A707-14E13CB8FCB3-2408-000000D857DA509E_v2-890x593.jpg\" data-srcset=\"https:\/\/www.paulofreitascosta.pt\/wp-content\/uploads\/2024\/10\/ABF323D5-95B5-4E61-A707-14E13CB8FCB3-2408-000000D857DA509E_v2-890x593.jpg 890w, https:\/\/www.paulofreitascosta.pt\/wp-content\/uploads\/2024\/10\/ABF323D5-95B5-4E61-A707-14E13CB8FCB3-2408-000000D857DA509E_v2-1335x890.jpg 1335w\" alt=\"Novo Consult\u00f3rio - Dr. Paulo Freitas da Costa\" title=\"Novo Consult\u00f3rio &#8211; Dr. Paulo Freitas da Costa\" width=\"890\" height=\"593\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/www.paulofreitascosta.pt\/en\/novo-consultorio-no-porto-uniclinica-reflexoes-sobre-humanizacao-e-qualidade-no-atendimento-medico\/\" title=\"New Private Clinic in Porto &#8211; UNICL\u00cdNICA. Reflections on Humanisation and Quality in Medical Care\" rel=\"bookmark\">New Private Clinic in Porto &#8211; UNICL\u00cdNICA. Reflections on Humanisation and Quality in Medical Care<\/a>\n\t<\/h3>\n\n\t\n\t\n\t<a href=\"https:\/\/www.paulofreitascosta.pt\/en\/novo-consultorio-no-porto-uniclinica-reflexoes-sobre-humanizacao-e-qualidade-no-atendimento-medico\/\" class=\"post-details details-type-link\" rel=\"nofollow\">Read more<i class=\"fa fa-caret-right\" aria-hidden=\"true\"><\/i><\/a>\n<\/div><\/article><\/div>[\/vc_column][vc_column][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>We clinically refer to strabismus when both eyes\u2019 axis are not perfectly aligned, meaning, when they point in different directions. An eye may look straight ahead while the other one is looking inside, outside, up, or down. There are six extraocular muscles monitoring the movement of an eye; to be able to focus on a single image and get a three-dimensional view with depth perception, all muscles from both eyes must work together in a coordinated way.<\/p>\n","protected":false},"author":1,"featured_media":1198,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[6],"tags":[],"class_list":["post-1213","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-noticias","category-6","description-off"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Adult Strabismus<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.paulofreitascosta.pt\/en\/estrabismo-no-adulto\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:locale:alternate\" content=\"pt_PT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Adult Strabismus\" \/>\n<meta property=\"og:description\" content=\"We clinically refer to strabismus when both eyes\u2019 axis are not perfectly aligned, meaning, when they point in different directions. An eye may look straight ahead while the other one is looking inside, outside, up, or down. 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