pseudostrabismus

Full Definition

Pseudostrabismus is the false appearance of eye misalignment in children when the eyes are actually straight and properly aligned. This common condition is typically caused by prominent epicanthal folds, a wide nasal bridge, or closely spaced eyes that create an optical illusion of esotropia. The condition is particularly common in infants and young children of Asian or Native American descent. Proper diagnosis requires careful examination including corneal light reflex testing and cover testing to differentiate from true strabismus.

Usage

Usage note: Always perform objective alignment tests to rule out true strabismus.

In Context

• "The apparent esotropia was determined to be pseudostrabismus due to prominent epicanthal folds." — Differential diagnosis documentation
• "Reassurance was provided to parents that the pseudostrabismus would improve with facial growth." — Patient counseling notes