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Dr. Chan
Dr. Chan, Ophthalmologist
Category: Eye
Satisfied Customers: 356
Experience:  Board Certified in ophthalmology
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My 23 month old son has always appeared to have normal vision.

Resolved Question:

My 23 month old son has always appeared to have normal vision. His eye-hand cooridination is good for his age. However, recently I have noticed that his eyes do not always seem to be working together. Sometimes one eye will drift. This occurs in both eyes from time to time.
I noticed this for the first time a week ago. I was away from my son for six days and when I returned I became concerned because this seems to be occuring with more frequency and to be more pronounced. I plan to contact his pediatrition, but would appreciate whatever information you can give me. Thanks, Casey
Submitted: 7 years ago.
Category: Eye
Expert:  Dr. Chan replied 7 years ago.
<p>HelloCustomer</p><p> </p><p>Does his eye drift in (towards the nose) or out? Does he have any other medical conditions?</p>
Customer: replied 7 years ago.

They drift in towards his nose. I notice it moreso in his left eye than his right but both drift and do not seem to be working together.

Expert:  Dr. Chan replied 7 years ago.
<p>Hello,</p><p> </p><p>When your eyes cross in towards the nose, it is called esotropia. There are 2 main types of esotropia -- congenital and refractive. Congenital esotropia usually presents at or near birth. The eyes are looking at the nose. These children need surgery to straighten their eyes within the first six months of life. The second category, called refractive esotropia, usually occurs around the 18th month of life. This is caused by the child have extreme far-sightedness. This far-sightedness causes the eyes to cross in. This is usually treated with glasses to straighten the eyes. If the eyes continue to cross with the glasses, then the child will need surgery. Your son needs to see an ophthalmologist to determine the need for surgery vs. glasses.</p><p> </p><p>Hope this helps and thank you.</p>
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