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he first step, before any treatment of strabismus, is to ensure that both eyes have a good vision.
The first step, before any treatment of strabismus, is to ensure that both eyes have a good vision. If one eye sees better than the other, our first action is to improve vision in the eye that lags. This is usually accomplished by covering the "good" eye for some hours of the day in order to give both eyes the opportunity to be equally used.
In most cases only one eye squints. But when its vision improves, then the other eye, the "good" one, can begin to degenerate. If both eyes have the same "good" vision, the child has no reason to prefer one or the other, concluding in sometimes one eye squinting and sometimes the other.
In general, children with low grade asymptomatic exceptions just need observation. In some cases again, strabismus can be corrected by using glasses.
Surgical correction is only recommended in high angles of strabismus or where there is diplopia or abnormal positions of the head.