Development of Normal Ocular Alignment

Ocular alignment was examined in a large population of normal infants to determine the prevalence of various motility findings at ages ranging from birth to 10 months. Exodeviations were frequently seen up to the age of 6 months. Esodeviations were occasionally seen in infants who did not go on to develop congenital esotropia, but not after 2 months of age. It is unclear whether precursors of pathologic strabismus, such as congenital esotropia, can be distinguished from these transient ocular deviations seen in normal infants. However, any strabismus persisting after the ages listed above should be considered abnormal and receive ophthalmologic evaluation.