Do Glasses Cause Protruding Eyes in Strabismus Patients? - Ophthalmology

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Does wearing glasses cause eyes to bulge?


I have strabismus and need to wear glasses.
I don't want my eyes to bulge, but I have to wear glasses for my strabismus.
Is it inevitable that my eyes will appear more angular? I am nearsighted with one eye at over -2.00 and the other at over -3.00.

Bu xiang bian tu, 20~29 year old female. Ask Date: 2014/03/14

Dr. Wang Zhangji reply Ophthalmology


Myopia glasses do not cause the eyeball to protrude, so there is no need to worry too much.

Reply Date: 2014/03/14

More Info


Strabismus, commonly known as crossed eyes, 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 issues, including double vision and depth perception problems. Patients with strabismus often require corrective lenses to help manage their vision, especially if they also have refractive errors like myopia (nearsightedness) or hyperopia (farsightedness).
Regarding your concern about whether wearing glasses can cause protruding eyes, it is important to clarify that glasses themselves do not cause changes in the structure of the eyes, including protrusion. Protruding eyes, or exophthalmos, can occur due to various medical conditions, such as thyroid eye disease (Graves' disease), but they are not a direct result of wearing glasses.
In strabismus patients, the need for glasses is often related to the underlying refractive error. For example, if one eye is more nearsighted than the other, wearing glasses can help balance the vision between the two eyes. This correction can sometimes improve the alignment of the eyes, but it does not inherently cause the eyes to protrude.
It is also worth noting that the appearance of the eyes can be influenced by several factors, including the degree of strabismus, the presence of any underlying medical conditions, and even the type of frames chosen for the glasses. Some individuals may feel that their eyes appear more prominent when wearing certain styles of glasses, but this is more related to aesthetics than to any physical change in the eye itself.

If you are concerned about the appearance of your eyes while wearing glasses, consider discussing this with your optometrist or ophthalmologist. They can provide guidance on frame styles that may be more flattering and help you feel more comfortable with your appearance. Additionally, they can assess your strabismus and determine if there are any other treatment options available, such as vision therapy or surgical options, that may help improve eye alignment and overall visual function.

In summary, wearing glasses does not cause protruding eyes in strabismus patients. The need for glasses is often a necessary part of managing refractive errors and improving visual alignment. If you have concerns about your eye appearance or the management of your strabismus, it is best to consult with a qualified eye care professional who can provide personalized advice and treatment options.

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