Eye Alignment and Strabismus


The Pediatric Ophthalmology Service and the Elks Children's Eye Clinic at the Casey Eye Institute consist of five pediatric ophthalmologists, three orthoptists, one pediatric optometrist and a pediatric social worker. This service, along with Casey Eye Institute doctors in all other eye care specialties, offers complete eye care for children with any eye problem. Our pediatric doctors care for common children's eye disorders such as refractive errors (the need for glasses), strabismus (crossed or deviated eyes), and amblyopia ("lazy eye"), as well as less common disorders that affect children's vision.

More information about pediatric ophthalmology and the Elks Children's Eye Clinic

Strabismus - eye alignment

Eye Alignment at the Casey Eye Institute offers complete eye care for adults and children with ocular motility disorders (eye muscle problems). The strabismus consultants frequently manage complex eye alignment problems after injuries or previous surgery. Learn more about the Eye Alignment by checking out our Frequently Asked Questions.

Frequently asked questions

Where is your office?
We are on the fifth floor of the Casey Eye Institute, Marquam Hill (top of tram). When you exit the elevator, turn left and proceed to the last check-in desk. You will find a comfortable waiting area around a large fish tank.

What about parking?
Parking is conveniently located next to the Casey Eye Institute. When you enter the garage, the attendant will give you a card to place on your dashboard.

What does the examination include?
The eye examination includes measurement of your vision, assessment of alignment and binocular visual function and evaluation of other factors that may affect eye alignment or function. If we need to dilate your pupils with eye drops, the effect may last six hours or more after the visit. During that time, you may be sensitive to bright light and have some blurry vision. This may affect driving and make reading difficult, so please plan accordingly.

How long will our visit last?
If you are having a complete eye examination, plan on spending 60 to 90 minutes in the office. Most first visits require thorough examinations. Additional tests or extended consultation may make your visit longer.

What is "strabismus?"

This is just the medical term for eyes that are out of alignment. One eye or the other is turned from its normal position so the eyes cannot look at an object at the same time.

What is an orthoptist?
An orthoptist is a health professional trained to evaluate disorders of vision, eye movement and eye alignment in children and adults. Orthoptists perform specialized tests to help ophthalmologists diagnose conditions such as lazy eye (amblyopia), crossed eyes (strabismus) and double vision. They may also work with ophthalmologists and patients in treating these disorders.

Will the doctor prescribe medication?

Following your examination, the doctor will discuss any necessary treatment. For your convenience, there is a pharmacy on the lobby level of the Casey Eye Institute.

What if glasses are prescribed?

If the examination shows that you need glasses, your doctor will discuss this with you and may give you a prescription. An optician of your choice can fill your prescription. There is an optical shop on the lobby level of the Casey Eye Institute. The optical shop carries an excellent selection of glasses frames, even for infants and children.

Is surgery necessary?

Treating strabismus sometimes involves surgery. The specialist will discuss the results of the examination and answer any questions you may have at the end of your visit. As a general rule, we don't perform surgery the same week as the first visit.

What should I do before the appointment?

Although you may register at the time of the appointment, most patients find it convenient to pre-register by calling 503 494-8505 at least two days before the visit. If you prefer to register in person, please come at least 20 minutes early.

What about insurance?

Be sure to bring all your insurance cards. If your plan requires authorization before you can have an eye examination, please call your insurance provider or primary care physician for an authorization number. If you haven't done this before arriving, we may need to reschedule your appointment.

If you have further questions, please call 503-494-7830 before your visit. We look forward to seeing you at the Casey Eye Institute.