Do children ever look crossed eyed but actually have straight eyes?
Pseudostrabismus is the appearance of, but not truly misaligned eyes and is usually secondary to the shape of the eyelids and/or nasal bridge [See figure 2]. Any child suspected of having ocular misalignment should have a thorough examination by a pediatric ophthalmologist. Some children have both pseudostrabismus and actual eye misalignment. Therefore pseudostrabismus (wide nasal bridge/prominent epicanthal eyelid skin folds) does not by itself eliminate the possibility of true eye crossing.
