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Huseman Eye Care

Valley West Office

(515) 224-9681

Merle Hay Office

515.278.1653

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Wandering Eye

  • Created in Pediatric Vision

Young boy with wandering eye

A wandering eye is a type of eye condition known as strabismus or tropia, and it may be caused by damage to the retina or muscles that control the eye, stroke or brain injury, or an uncorrected refractive error like farsightedness. With a wandering eye, one eye deviates or wanders in a different direction when looking at an object.

What Causes a Wandering Eye?

The eyes contain muscles to which they are attached to, and these muscles receive signals from the brain that direct eye movement. Normally, the eyes work together so that they focus in the same direction at the same time. However, with a wandering eye, there is poor eye muscle control and one eye turns away from the object that the person is attempting to hone in on—either up, down, in or out. The eye that turns may do so all the time, or it may only do so at certain times, such as when the person is fatigued, sick or has overworked the eyes as a result of prolonged reading or staring at a computer. There are other cases where the eyes may alternate turning.

Because the eyes are misaligned, the brain receives a different image from each eye. While the brain will learn to ignore the image it gets from the wandering eye, if left untreated, lazy eye or amblyopia can present. This is characterized by a permanent reduction of vision in the traveling eye, and can lead to poor depth perception.

A wandering eye can be classified by the direction the eye turns:

  • Inward (esotropia)
  • Outward (exotropia)
  • Downward (hypotropia)
  • Upward (hypertropia)

It may also be classified in other ways:

  • Alternating (the eye that turns alternates from left to right)
  • Unilateral (always involves the same eye)
  • Constant or intermittent (the regularity with which it occurs)

Testing and Treatment

To determine the classification, and in order to develop a treatment plan for a wandering eye, an optometrist will look at a number of factors to understand the cause of the condition, as well as how the eyes move and focus. This may include:

  • Looking at the patient’s family history
  • Reviewing the patient’s medical history
  • Observing the external and internal structures of the turned eye
  • Refraction – a string of lenses are put in front of the patient’s eyes and a handheld instrument with a light source is waved pass. This is done to gauge how the eyes focus and can conclude the lens power needed to correct refractive errors like nearsightedness, astigmatism and farsightedness.
  • Visual acuity – reading letters on distance or near reading charts to measure and estimate the amount of visual impairment
  • Focusing and alignment testing to determine how well your eyes move, focus and work together.

Information gathered from these assessments will help your optometrist devise a treatment plan, which could consist of vision therapy, eyeglasses, prism or eye muscle surgery. If treated early, a wandering eye can be corrected and vision can be restored.

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Hours of Operation

Our Regular Schedule

Merle Hay Office: 515-278-1653

Monday:

9:00 am - 6:00 pm

Tuesday:

9:00 am - 6:00 pm

Wednesday:

9:00 am - 6:00 pm

Thursday:

9:00 am - 6:00 pm

Friday:

9:00 am - 6:00 pm

Saturday:

9:00 am - 5:00 pm

Sunday:

CLOSED

Valley West Office: 515-224-9681

Monday:

9:00 am - 6:00 pm

Tuesday:

9:00 am - 6:00 pm

Wednesday:

9:00 am - 6:00 pm

Thursday:

9:00 am - 6:00 pm

Friday:

9:00 am - 6:00 pm

Saturday:

9:00 am - 5:00 pm

Sunday:

CLOSED

Valley West Office : 515.224.9681

Our offices are conveniently located in the Merle Hay Mall in Des Moines and the Valley West Mall in West Des Moines, Iowa.

Testimonials

Reviews From Our Satisfied Patients

    I decided to get my eyes checked on a whim while I was at the mall and they were able to fit me in. The tech who worked with me worked quickly yet carefully. Dr. Brown was very kind, professional, and knowledgeable.

    Rachel S.

    Super friendly, helpful and efficient staff and Dr. Brown is always great to work with. I am very happy with the care and services at this office.

    Beth R.

    Had an exam yesterday, everyone was very nice. I also had my rowdy 3-year old and they were so patient as he was very curious to what was going on, they had crayons and paper for him. Dr. Katie was who I saw and she explained everything so well I had no problem understanding what she was telling me. I was impressed with how quickly I was able to see her since this was my first visit and check in went quickly. I would definitely recommend this company to anyone looking for a comfortable atmospher

    Ashley B.

    I was able to schedule a same day appointment which was very convenient. The technician was very helpful and explained all the tests that were performed. Dr. Brown was fast, efficient, and very through with my eye exam. I will continue to trust Huseman for my eye health.

    Marqui B.

    It is always a pleasant experience working with Dr. Soults and Dr. Brown at the Valley West clinic.

    Shane O.

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  • Wandering Eye

    A wandering eye is a type of eye condition known as strabismus or tropia, and it may be caused by damage to the retina or muscles that control the eye, stroke or brain injury, or an uncorrected refractive error like farsightedness. With a wandering eye, one eye deviates or wanders in a different direction ...

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