Question
My child is 28 months old, and the black pupil of their right eye is turning inward. Is this a case of esotropia? What should we do? Their vision seems fine, but they have trouble seeing nearby objects.
Answer
Based on the current symptoms, it cannot be confirmed that the child has esotropia. You can take your child to an ophthalmologist for a check-up, including refractive error, strabismus, angle of deviation, and fundus examination. If there is indeed a problem, you can use eye drops to dilate the child’s pupils and perform correction. If the angle of deviation is high, surgery may be required. Esotropia in children is usually caused by congenital weakness of the eye muscles and can be corrected with glasses in early stages (within five years).