nurse's notes

Strabismus is inability to balance the extraocular muscles. The persons appears to look at 2 direction at the same time.
paralytic strabismus- muscles of one eyeunderactive
hypertropia-eye deviation is upward
hypotropia- eye deviation is down ward
vertical- vertical separation of visual axes
esotropia -1 eye deviates toward other eye- "cross eye"
exotropia- 1 eye deviates away from the other eye, divergent- " wall eye

Complication:
poor vision
inferiority complex
surgery may be necessary
diplopia

Signs and symptoms
lose one eye to see
tilting head
inaccuracy to see objects double vision