What causes abnormal eye movements and how should it be treated?

Symptom Database

Abnormal eye movements, also known as eye movement disorders, can be a cause of concern for individuals experiencing them. These disorders can manifest in various ways, such as nystagmus, strabismus, diplopia, and oculomotor abnormalities. Understanding the causes of these abnormal eye movements and the available treatment options is crucial for managing and potentially resolving these issues.

What is Nystagmus?

Nystagmus is a condition characterized by involuntary, repetitive, and uncontrolled eye movements. These movements can be side-to-side, up and down, or rotary. Nystagmus can be present from birth (congenital) or acquired later in life. It can be caused by various factors, including:

  • Genetic abnormalities
  • Problems with the development of the eye or visual pathways
  • Inner ear problems
  • Neurological conditions
  • Medication side effects

Treatment for nystagmus depends on the underlying cause and severity of the condition. While there is no cure for congenital nystagmus, certain interventions can help manage the symptoms. These may include:

  • Wearing corrective lenses to improve visual acuity
  • Using prisms to reduce the intensity of eye movements
  • Undergoing eye muscle surgery to reposition the eyes
  • Participating in vision therapy to improve visual skills

Understanding Strabismus

Strabismus, commonly known as crossed or misaligned eyes, occurs when the eyes do not align properly. This misalignment can be constant or intermittent and may affect one or both eyes. Strabismus can be caused by:

  • Weak or imbalanced eye muscles
  • Problems with the nerves that control eye movement
  • Refractive errors, such as nearsightedness or farsightedness
  • Eye injuries or trauma

Treatment for strabismus aims to realign the eyes and improve binocular vision. Options for managing strabismus include:

  • Wearing prescription eyeglasses or contact lenses
  • Using eye patches to strengthen the weaker eye
  • Administering eye drops or medications to relax the eye muscles
  • Undergoing eye muscle surgery to correct the alignment

Dealing with Diplopia

Diplopia, commonly referred to as double vision, is a condition where a person sees two images of a single object. This can occur in one or both eyes and can be constant or intermittent. Diplopia can be caused by various factors, including:

  • Eye muscle weakness or paralysis
  • Nerve damage or compression
  • Refractive errors
  • Eye injuries or trauma
  • Neurological conditions

The treatment of diplopia depends on the underlying cause. Some possible treatment options include:

  • Wearing corrective lenses to improve visual clarity
  • Using prism glasses to align the images
  • Administering medications to address underlying conditions
  • Undergoing eye muscle surgery to correct misalignment

Managing Oculomotor Abnormalities

Oculomotor abnormalities refer to any dysfunction in the control and coordination of eye movements. These abnormalities can manifest as difficulty in tracking moving objects, problems with focusing, or challenges in shifting gaze between objects. Oculomotor abnormalities can be caused by:

  • Neurological conditions
  • Head injuries or trauma
  • Medication side effects
  • Eye muscle weakness or imbalance

Treatment for oculomotor abnormalities focuses on improving eye movement control and coordination. Some treatment options may include:

  • Participating in vision therapy to enhance eye movement skills
  • Using specialized computer programs or exercises to improve tracking abilities
  • Wearing corrective lenses to address refractive errors
  • Undergoing eye muscle surgery in severe cases

In conclusion, abnormal eye movements can be caused by various factors and can manifest as nystagmus, strabismus, diplopia, or oculomotor abnormalities. While some of these conditions may not have a cure, there are treatment options available to manage the symptoms and improve visual function. It is essential to consult with an eye care professional for a comprehensive evaluation and personalized treatment plan. With the right interventions, individuals experiencing abnormal eye movements can lead fulfilling lives with improved visual comfort and functionality.

Haroon Rashid, MD
Rate author
Urgent Care Center of Arlington, VA