The child often unconsciously looks to the right?
Hello, doctor.
My child is in the first grade and about eight months ago, he experienced episodes where his eyes would occasionally turn to the right (the eyeball would rotate to the right, with about eighty-five percent of the sclera visible and only a small portion of the pupil visible).
This would happen for about a second before he would turn his gaze back.
It occurred during meals, reading, doing homework, and while talking.
This situation lasted for about two months and then suddenly stopped for an unknown reason.
However, it has started again in the past week.
Initially, I thought it was a habit, but verbal reprimands have been ineffective.
I have tried moving my own eyes in that manner and found it uncomfortable and difficult to concentrate.
I would like to ask the doctor why this is happening and whether I should take him to see a doctor.
Xiao Bei Mama, 30~39 year old female. Ask Date: 2010/01/06
Dr. Ke Meilan reply Ophthalmology
Hello: When unable to focus, it may present as exotropia, and you should see a doctor.
Additionally, be aware of refractive issues.
Wishing you peace and good health.
Reply Date: 2010/01/06
More Info
The phenomenon of a child's eye drifting to one side, as you described, can be concerning for parents. This involuntary eye movement, particularly if it occurs frequently and disrupts the child's daily activities, warrants a closer look. There are several potential explanations for this behavior, and understanding them can help determine whether medical intervention is necessary.
Firstly, the drifting of the eye could be a form of strabismus, commonly known as "crossed eyes" or "wandering eye." Strabismus occurs when the eyes do not properly align with each other when looking at an object. This misalignment can lead to one eye drifting while the other remains focused. In children, strabismus can be intermittent, meaning it may not occur all the time, which aligns with your observation of the eye drifting occasionally during various activities such as eating, reading, or talking.
Another possibility is that the eye drifting could be related to a condition known as convergence insufficiency. This condition occurs when the eyes have difficulty working together while focusing on nearby objects. As a result, one eye may drift outward or inward, leading to symptoms such as double vision, eye strain, or difficulty concentrating. This could explain why your child experiences the drifting during tasks that require close focus, such as reading or writing.
Additionally, the drifting could be a result of fatigue or stress. Children often experience eye strain, especially with prolonged screen time or reading. If your child is feeling tired or overwhelmed, it may lead to temporary eye drifting as a response to discomfort.
Given that this issue has recurred after a previous episode, it is essential to monitor the situation closely. If the eye drifting persists or worsens, or if you notice any other concerning symptoms such as headaches, difficulty seeing, or changes in behavior, it is advisable to consult an eye care professional. An eye doctor can perform a comprehensive eye examination to assess your child's vision and eye alignment. They may also evaluate for any underlying conditions that could be contributing to the eye drifting.
In conclusion, while occasional eye drifting in children can be benign, it is crucial to remain vigilant and seek professional advice if the behavior continues. Early intervention can be beneficial in addressing any potential vision issues and ensuring your child's visual development is on track. Regular eye check-ups are essential, especially if there is a family history of eye conditions or if your child exhibits any signs of visual discomfort.
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