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REVIEW article

Front. Med.

Sec. Ophthalmology

Volume 12 - 2025 | doi: 10.3389/fmed.2025.1582284

This article is part of the Research TopicReviews in: Ophthalmology 2024View all 8 articles

Non-surgical treatment of strabismus in children: a review of recent advances

Provisionally accepted
Shulan  HuangShulan HuangXuemei  ZhongXuemei ZhongChanjuan  QuanChanjuan QuanMingwen  ZhangMingwen Zhang*
  • Xiaolan People's Hospital of Zhongshan, Zhongshan, China

The final, formatted version of the article will be published soon.

Pediatric strabismus is a progressive condition that, in the early stages, presents as either esotropia or intermittent or constant exotropia when both eyes focus on the same target. If not promptly addressed, the child's ocular accommodative convergence and fusion abilities will gradually weaken, ultimately affecting visual function and causing various inconveniences in daily life and learning. For children with mild strabismus, those who are young, have poor cooperation, or are awaiting surgery for a long time, non-surgical treatment is a good option. It offers high safety, ease of use, and has certain effects in alleviating strabismus symptoms and improving visual function. However, there are multiple non-surgical treatment options, and currently, clinical practice lacks clear consensus on which approach is best. The choice and implementation of treatment methods still need to be determined based on the specific situation, such as the child's age and type of strabismus. In recent years, with the deepening of ophthalmological research, non-surgical treatment methods have been enriched, including a combination of visual training, occlusion therapy, and corrective glasses, which have shown certain clinical effects. This article will review the non-surgical treatment options for pediatric strabismus, explore current research progress, and discuss future development directions.

Keywords: Strabismus, Children, non-surgical treatment, Corrective Glasses, Botulinum Toxin

Received: 24 Feb 2025; Accepted: 16 Jun 2025.

Copyright: © 2025 Huang, Zhong, Quan and Zhang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Mingwen Zhang, Xiaolan People's Hospital of Zhongshan, Zhongshan, China

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