TY - CHAP M1 - Book, Section TI - Strabismus A1 - Gappy, Christopher A1 - Hoehn, Mary Ellen A1 - Del Monte, Monte A. A2 - Kline, Mark W. PY - 2018 T2 - Rudolph's Pediatrics, 23e AB - Strabismus is the term used to describe any ocular misalignment. The term originates from the Greek strabismus, meaning to “look askance” or the “evil eye.” Ocular misalignment that is constantly present and not controlled by fusional mechanisms is termed a tropia. A phoria is defined as a latent deviation that is controlled by fusional mechanisms and only presents when 1 eye is blocked or covered. An intermittent tropia is a deviation that may sometimes be latent and controlled by fusional mechanisms (ie, a phoria) but may at other times be spontaneously manifest, often with illness or fatigue. Most children with strabismus develop a deviation that manifests mostly in 1 eye (the nondominant eye). Some strabismic children are able to switch fixation, using 1 eye at times and the other eye at other times, so that the strabismus will appear to shift from 1 eye to the other. This is termed alternating strabismus. In some children, strabismus develops as a result of poor vision in 1 eye and is termed sensory strabismus. Strabismus may also be the presenting sign of a life-threatening disease (eg, brain tumors with cranial nerve palsy) or vision-threatening conditions such as retinoblastoma or cataract. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1182926134 ER -