Vision Issues: Is Your Eye Problem Related to Strabismus? - Ophthalmology

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Visual field issues


Hello doctor, I have noticed that when I wear glasses or goggles with no prescription, I can only see out of my right eye.
Could this be related to strabismus?

Lin, 10~19 year old female. Ask Date: 2021/08/14

Dr. Gao Pilin reply Ophthalmology


Hello Lin: People with strabismus usually can only use one eye to see objects.
Your situation may indicate strabismus.
I recommend that you get it checked! Information from the internet should only be used as a reference; it is essential to seek medical attention at a healthcare facility.
Best regards, Gao Pilin.

Reply Date: 2021/08/14

More Info


Hello! Thank you for your question regarding your vision issues and the potential connection to strabismus. Based on your description, it seems that you are experiencing difficulty with vision in your left eye while wearing glasses or protective eyewear, which raises some important considerations.

Strabismus, commonly known as "crossed eyes" or "squint," is a condition where the eyes do not properly align with each other when looking at an object. This misalignment can lead to various visual problems, including double vision, depth perception issues, and in some cases, amblyopia (lazy eye). If you are primarily using your right eye for vision while your left eye seems to be less functional, it could indeed be related to strabismus or another underlying condition.

When one eye is favored over the other, it may indicate that the brain is suppressing the input from the misaligned eye to avoid confusion, which is a common adaptation in individuals with strabismus. This suppression can lead to a lack of visual development in the affected eye, resulting in amblyopia. If you have not had a comprehensive eye examination recently, it would be wise to schedule one with an ophthalmologist or optometrist who specializes in strabismus and amblyopia. They can perform a thorough assessment, including tests for visual acuity, alignment, and depth perception.

In addition to strabismus, there are other potential causes for your symptoms. For instance, conditions such as refractive errors (nearsightedness, farsightedness, or astigmatism) can affect how well each eye sees. If your glasses prescription is not accurate or if there is a significant difference in the prescription between your two eyes, this could lead to discomfort and reliance on one eye over the other.

Moreover, if you have a history of eye conditions such as cataracts, retinal issues, or neurological problems, these could also contribute to your symptoms. It's essential to rule out any serious underlying conditions that may not be immediately apparent during a standard eye exam.

If you are experiencing discomfort or strain while wearing your glasses, it may also be worth discussing with your eye care provider the possibility of adjusting your prescription or exploring different types of lenses. Sometimes, specific lens designs or coatings can help alleviate visual discomfort.

In summary, your difficulty in using your left eye while wearing glasses could be related to strabismus or other visual issues. A comprehensive eye examination is crucial to determine the exact cause of your symptoms and to develop an appropriate treatment plan. If strabismus is diagnosed, treatment options may include vision therapy, corrective lenses, or in some cases, surgery, depending on the severity and nature of the condition. Please make sure to seek professional advice to address your concerns and improve your visual health.

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