As a parent, you notice every little detail about your child. A fleeting smile, a new skill, and sometimes, a slight misalignment in their eyes. This common condition, known as a squint (or strabismus), can understandably cause worry. While it’s prevalent in young children, knowing when it’s a passing phase and when it requires professional attention is crucial for your child’s long-term vision health.
A squint occurs when the eyes do not align properly; one eye may turn in, out, up, or down while the other looks forward. This misalignment can be constant or intermittent. In newborns, occasional squinting is normal as their vision system is still developing. However, if this persists beyond three to four months of age, it’s time to take notice.
When Should You Start to Worry?
The key is consistency and age. Here are the clear signs that indicate it’s time to consult an eye specialist:
- The squint is constant after 4 months: Occasional crossing in a young infant is common, but a persistent misalignment needs evaluation.
- Your child tilts their head or turns their face to see things clearly.
- They frequently squint or close one eye, especially in bright sunlight.
- You notice complaints of double vision, blurred vision, or eye strain.
- The misalignment appears only when they are tired or unwell, but is becoming more frequent.
Ignoring a persistent squint can lead to a condition called amblyopia, or “lazy eye,” where the brain starts to ignore the input from the misaligned eye to avoid double vision. This can lead to permanent vision loss in that eye if not treated early.
What Causes a Squint and How is it Treated?
The causes can vary, including family history, problems with the eye muscles, uncorrected refractive errors (like farsightedness), or neurological conditions. The good news is that squints are highly treatable, especially when caught early.
Treatment is tailored to the individual child and may involve:
- Prescription Glasses: To correct any underlying vision problems.
- Patching Therapy: Covering the stronger eye to strengthen the weaker, “lazy” eye.
- Eye Exercises: Orthoptic exercises to help the eyes work together.
- Surgery: To adjust the eye muscles and correct the alignment, often used when other methods are not sufficient.
Early intervention is the cornerstone of successful treatment, helping to preserve vision, develop depth perception, and even boost a child’s confidence as they grow.
Expert Care for Your Child’s Vision in Pune
When it comes to your child’s sensitive eye health, Consult Dr. Vasundhara Kulkarni – Squint eye specialist in Moshi, Pune, is a renowned expert in the field of pediatric ophthalmology and strabismus. With a compassionate approach and a focus on evidence-based treatments, Dr. Vasundhara Kulkarni provides care for children with squints, from accurate diagnosis to non-surgical and surgical management. If you have concerns about your child’s eye alignment, scheduling a consultation is the most important step you can take.
FAQs About Squint in Children
1. Can a child’s squint correct itself?
In very young infants (under 4 months), occasional squinting can be normal. However, a persistent squint will not correct itself and requires professional evaluation.
2. What is the main cause of a squint?
A squint can be caused by a combination of factors, including muscle imbalance, uncorrected refractive errors (like high farsightedness), or family history.
3. At what age should a squint be treated?
Treatment can begin as early as a few months old if the squint is constant. The most critical period for effective treatment is before the age of 7 or 8.
4. Is squint surgery safe for children?
Yes, squint surgery is a common and generally safe procedure performed by specialist surgeons to correct the alignment of the eyes.
5. Can screens cause a squint?
While excessive screen time can cause eye strain, it does not directly cause a squint. However, it can exacerbate an existing, underlying eye coordination problem.


