Oftentimes, a diagnosis may be made on the basis of the clinical examination alone. Sometimes, imaging studies to look at the pathways in the brain are helpful.
Misalignment of the eyes can be caused by many conditions, not all of which are due to nerve or nervous system abnormalities. An experienced pediatric ophthalmologist needs to carefully examine the patient to identify ocular nerve disorders. Specialized knowledge of patterns of eye movement disruption can help make a diagnosis and may help other specialists, such as neurologists, oncologists or geneticists form a more complete picture of a child’s medical condition.
The physician will observe the child and watch their eye movements, perhaps while they watch a video or television screen. Careful measurements will be taken.
A complete diagnosis may require several examinations. In some, but not all cases, radiological studies, blood work or further evaluation by another specialist may be recommended.