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Strabismus in Children and Adults: Understanding, Detecting and Correcting

3 July 2026 by
Michils Opticiens

Strabismus is one of the most common reasons for consultation in optometry and ophthalmology. Whether it is an eye that deviates inwards, outwards, upwards or downwards, this visual condition should not be overlooked.

At Michils Opticians, we are regularly asked about the management of strabismus. This article reviews the causes, impacts on vision, and the solutions available in 2026.

1. What is strabismus?

Strabismus is an anomaly of the alignment of the two visual axes. Normally, our two eyes are perfectly synchronised to transmit a single image to the brain. In the case of strabismus, the eyes no longer work together: one focuses on the object, while the other deviates.

The different forms:

  • Convergent strabismus (esotropia): The eye deviates inwards (towards the nose).

  • Divergent strabismus (exotropia): The eye deviates outward.

  • Vertical strabismus: The eye deviates upwards or downwards.

2. Strabismus in children: Early screening is crucial

In young children, the visual system is in full development. If strabismus is not addressed, the brain may ignore information from the deviating eye, leading to a lazy eye (also called "amblyopia").

Why seek consultation quickly?

  • Visual plasticity: Before the age of 6-7 years, the chances of complete visual recovery are maximised.

  • Warning symptoms: A squinting eye, a child closing one eye in the sun, tilting their head unusually or complaining of double vision.

3. Strabismus in adults

Contrary to popular belief, strabismus can appear or manifest in adulthood, often following intense visual stress, extreme fatigue or an underlying condition. It generally causes:

  • Double vision.

  • Chronic visual fatigue.

  • Difficulties in depth perception (altered stereoscopic vision).

4. What solutions in 2026?

The management of strabismus is now very effective and multidisciplinary. It almost always involves follow-up by an ophthalmologist specialised in strabismus.

The role of the optician:

  • Optical correction: In many cases, wearing suitable glasses (sometimes with prism lenses) helps to realign the visual axes and eliminate double vision.

  • Prisms : We integrate high-precision prisms into the lenses to relieve eye muscles and improve visual comfort on a daily basis.

  • Orientation : At Michils Opticians, our role is also to guide you towards the best specialists and orthoptists for tailored rehabilitation.

5. Why trust Michils Opticians?

Located in Woluwe-Saint-Pierre, our shop is not limited to selling glasses: we are partners in your visual health.

  1. Technical expertise : We master the creation of complex fittings including prismatic lenses.

  2. Cutting-edge technology : Our measuring tools allow us millimetric precision, essential for cases of strabismus where every degree of correction counts.

  3. Human approach : We take the time to listen to your visual history to offer you a tailored solution, combining therapeutic comfort and aesthetics.

Do you have questions about your vision or that of your child?

Strabismus should not be a fatality. Appropriate care allows for comfortable vision and prevents complications.

Make an appointment with the team at Michils Opticians for a personalised assessment.

📍 Michils Opticians 114 Church Street, 1150 Woluwe-Saint-Pierre 📞 02 772 70 75 

This article is informative and does not replace a medical consultation. In case of doubt about vision, the first step is always to consult an ophthalmologist.

Michils Opticiens 3 July 2026
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