Vascular insults to a nerve that controls the movement of one or more eye muscles can lead to strabismus. This is most often seen in older adults with a history of diabetes or high blood pressure. Treatment of Strabismus in Adults Treatment of strabismus in an adult depends on the cause of the strabismus. Small deviations that cause double vision can often be treated with prism glasses. Only a relatively small strabismus can be treated as prism glasses may distort vision and can be very thick.
Most strabismus caused by microvascular insults get better with time.
Therefore, the treatment for this form of strabismus is often time. Patching one eye, or the use of prism glasses, may eliminate the bothersome double vision until time has allowed the problem to correct itself. Patients with a history of strabismus, poor vision in one eye that has lead to the development of strabismus and a large angle strabismus may be helped with strabismus surgery. Summary Adult strabismus is very common and has a number of causes. Most adult patients can be helped with a variety of treatment modalities.