You or your child may be referred to one of our pediatric ophthalmologists and/or neuro-ophthalmologists for vision problems related to strabismus, nystagmus, or amblyopia (which may develop as a result of strabismus). These conditions can be present at birth, acquired at an early age, or develop in later childhood and adulthood. We use sophisticated testing to determine the cause of your symptoms. We work with specialists throughout Duke Health to help you and your child understand your condition and choose the most appropriate treatment.
Duke neuro-ophthalmologists and pediatric ophthalmologists identify the cause of eye movement disorders that include double vision, shaky vision, crossed eyes (strabismus), lazy eye (amblyopia), and involuntary eye movements (nystagmus). We work with people of all ages who have eye movement disorders. Our goal is to identify the cause of your eye movement disorder and help you receive the most effective treatment.
Consultation for Eye Movement Disorders
Duke Health offers locations throughout the Triangle. Find one near you.
We conduct an extensive and thorough evaluation that may take three to four hours to complete. The evaluation is tailored to your specific symptoms. Your evaluation will include a complete medical history and an examination of your eyes, including close inspection of your retina and optic nerve and several imaging scans. The following tests may be conducted.
Measures the extent to which vision is affected.
Orthoptic Measures or Eye Movement Analysis
Your doctor and/or an eye movement specialist (called an orthoptist) measures ocular alignment and the coordination between the eyes in all positions of gaze.
When hereditary eye movement disorders are suspected, genetic testing may be recommended.
Where you receive your care matters. Duke University Hospital is proud of our team and the exceptional care they provide. They are why our ophthalmology program is ranked sixth in the nation and is the highest ranked program in North Carolina, according to U.S. News & World Report for 2021–2022.
Why Choose Duke
Pediatric ophthalmologists and neuro-ophthalmologists undergo advanced ophthalmology training by completing fellowship training focused on understanding how the brain affects eye movements.
Experienced Pediatric Specialists
Two of our neuro-ophthalmologists have also completed a separate fellowship in pediatric ophthalmology and strabismus. This includes advanced training in eye conditions that affect children.
We work closely with neurologists, neurosurgeons, and other specialists throughout Duke Health to ensure you receive the best possible care for your condition.
Latest Imaging Devices
We use sophisticated imaging to perform tests that help us diagnose the cause of your symptoms. Our imaging devices allow us to see the outer edges of the eye, a significant advance that better guides the treatment decisions we recommended.
National Leaders in Neuro-Ophthalmology and Pediatric Ophthalmology
Our neuro-ophthalmologists lecture and train on the latest advances in eye care around the world and publish research in their specialized field.
Our clinical social worker is available to help you cope with the emotional and psychological stress of your eye misalignment/double vision, as well as other medical or environmental concerns.