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What is Latent Squint?

Published in Ophthalmology 3 mins read

Latent squint, also known as phoria, is the tendency for the eyes to deviate from their normal alignment, a deviation that is usually kept hidden by the brain's ability to fuse the images from both eyes into a single image.

Understanding Latent Squint (Phoria)

Phoria represents a misalignment of the eyes that is not always apparent because the individual's visual system works to correct it. The eyes tend to drift inward, outward, upward, or downward, but this is typically controlled by the brain using extra effort.

Here's a breakdown:

  • Tendency to Deviate: In latent squint, the eyes have a natural inclination to misalign.
  • Hidden by Fusion: The brain uses its sensory and motor systems to combine the images from each eye, maintaining single vision and masking the misalignment.
  • Extra Effort Required: Maintaining this fusion requires continuous effort from the eye muscles and the visual system.

Manifestation of Latent Squint

While the deviation is usually hidden, certain conditions can cause the phoria to become apparent or cause symptoms. These include:

  • Fatigue: When tired, the brain may struggle to maintain fusion, leading to temporary double vision or eye strain.
  • Illness: Similar to fatigue, illness can weaken the visual system's ability to compensate for the misalignment.
  • Stress: Psychological stress can also affect the control of eye muscles.
  • Alcohol Consumption: Alcohol can impair the brain's ability to maintain proper eye alignment.

Example:

Imagine someone trying to hold a heavy weight with both arms. Normally, they can do it without much difficulty. This represents normal binocular vision. Now, imagine that person's one arm is weaker than the other. They can still hold the weight, but it requires extra effort from the stronger arm to compensate. This is similar to latent squint. The "weight" is the image from each eye, and the "arms" are the eye muscles. The brain works harder to keep the images aligned, but under stress (fatigue, illness), the weaker eye may drift.

Table Summarizing Latent Squint

Feature Description
Definition The tendency of the eyes to misalign, kept hidden by fusion.
Alternative Name Phoria
Cause Imbalance in the eye muscles or visual system.
Detection Often requires specific eye tests to reveal the underlying misalignment.
Symptoms May cause eye strain, headaches, blurred vision, or double vision under stress.
Management Eye exercises, corrective lenses, or vision therapy.

Conclusion

In essence, latent squint is a hidden misalignment of the eyes that is usually compensated for by the brain. While it may not always cause noticeable problems, it can lead to symptoms, especially under conditions of stress or fatigue.

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