Eye Movement Disorders

You or your child may be referred to one of our 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.

Eye Patches

Eye patches reduce the risk of amblyopia and loss of sight in children with strabismus.

Corrective Lenses

Eyeglasses and contact lenses help straighten the eyes by reducing their focusing effort.

Prisms

Special lenses alter the light entering the eye, which can help eliminate double vision in patients with strabismus.

Vision Therapy

Computer and optical devices are used to correct eye movements through visual-motor-skill and endurance exercises.

Eye Muscle Surgery

Used for certain patients to change the eye alignment so that the brain can use both eyes together. Surgery weakens or strengthens one or more of the six muscles attached to the outside of the eyeball, depending on the particular case. Surgery to realign the eyes may be performed in steps, requiring more than one operation.

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.

Visual Acuity

Measures the extent to which vision is affected. 

Orthoptic Measures or Eye Movement Analysis

An eye movement specialist called an orthoptist measures ocular alignment and the coordination between the eyes in all positions of gaze.

Genetic Testing

When hereditary eye movement disorders are suspected, genetic testing may be recommended.

Advanced Subspecialists
Neuro-ophthalmologists undergo advanced ophthalmology training by completing a fellowship focused on understanding how the brain and the nervous system affect the visual system.

Experienced Pediatric Specialists
One of our neuro-ophthalmologists has also completed a separate fellowship in pediatric ophthalmology and strabismus. This includes advanced training in eye conditions that affect children.

Team Approach
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
Our neuro-ophthalmologists lecture and train on the latest advances in eye care around the world and publish research in our specialized field.

Comprehensive Support
Our clinical social worker is available to help you cope with the emotional and psychological stress of vision loss, as well as other medical or environmental concerns.