What is Pseudoestropia?

Pseudoesotropia is a condition in which the alignment of the eyes is straight( also known as orthotropic); still, they appear to be crossed. Pseudoesotropia is the most common type of pseudostrabismus and can be seen due to certain facial morphological features like direction, shape, and size of the orbit, size, and shape of globes, and volume & density of retrobulbar tissue all of which can make a vision of misaligned eyes. Mostly this occurs in kids who have a wide nasal bone with prominent epicanthal folds ( semilunar fold of skin at the medium canthus). Sufferers with small interpupillary distance may also appear to be esotropic.

Is there any treatment for Pseudoesotropia?

Pseudostrabismus needs no treatment & the appearance tends to be better with time as the face grows. It's important to recognize that a baby with pseudostrabismus might develop real strabismus later in life.


It's pointed out when a child appears cross-eyed, but light reflects off the eyes symmetrically. Also, the child doesn't turn the eyes to balance vision when one eye is alternatively covered and uncovered( the cover-uncover test).
Still, strabismus can happen in a child who appears cross-eyed for other reasons. Also, strabismus can develop latterly in a child who had pseudostrabismus as a baby. A specially equipped camera takes their picture and a computer or a person analyzes the eye data acquired.

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