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 another eye movement disorder. 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.
Eye Movement Disorders
Strabismus, Nystagmus, and Amblyopia
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Duke neuro-ophthalmologists and pediatric ophthalmologists identify the cause of eye movement disorders including double vision, shaky vision, crossed eyes (strabismus), 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.
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Consultation for Eye Movement Disorders
Our Locations
Duke Health offers locations throughout the Triangle. Find one near you.
Extensive Evaluation
We conduct an extensive and thorough evaluation that may take three to four hours to complete. The evaluation is tailored to your or your child's specific symptoms. It will include a complete medical history and an examination of your eyes, including close inspection of your retina and optic nerve. The following tests may be conducted.
Visual Acuity
This test measures the extent to which vision is affected by the eye movement disorder.
Orthoptic Measures or Eye Movement Analysis
Your doctor and/or an eye movement specialist (called an orthoptist) measures eye alignment and the coordination between the eyes in all positions.
Genetic Testing
When hereditary eye movement disorders are suspected, genetic testing may be recommended.
Neurological Testing
Best Eye Hospital in North Carolina
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 seventh in the nation and is the highest-ranked program in North Carolina, according to U.S. News & World Report for 2024–2025.
Why Choose Duke
Advanced Subspecialists
Pediatric ophthalmologists and neuro-ophthalmologists undergo advanced ophthalmology or neurology 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 ocular misalignment and other eye conditions that affect children.
Team Approach
We work closely with neurologists, neurosurgeons, and other specialists throughout Duke Health to ensure you or your child receives the best possible care.
National Leaders in Neuro-Ophthalmology and Pediatric Ophthalmology
Our neuro-ophthalmologists and pediatric ophthalmologists lecture and train on the latest advances in eye care around the world and publish research in their specialized field.
Comprehensive Support
Our clinical social worker is available to help you r your child cope with the emotional and psychological stress of eye misalignment/double vision, as well as other medical or environmental concerns.
Patient Resources
This page was medically reviewed on 05/31/2022 by
Chantal Boisvert, MD, OD