Strabismus und Amblyopie

Not detecting visual problems or diagnosing them too late may lead to major consequences: amblyopia of one eye and thus lack of a “substitute eye” (after loss of the healthy eye), poor binocular function, limited choice of occupation. Obvious pathologic findings such as drooping eyelids with pupillary occlusion, possible strabismus or nystagmus should prompt further ophthalmologic evaluation. The sooner strabismus is detected, and the earlier it is treated (by spectacles or occlusion, for example), the better will be the chances to develop good visual acuity and useful binocular function. Pediatricians do have a key role in appropiate screening and collaboration with ophthalmologists.