In simple words: Vertical strabismus is a condition where one eye looks upward, while the other eye's gaze may be normal. This misalignment can be constant.

A type of strabismus where there is a permanent upward deviation of the visual axis of one eye.

Example 1: A 5-year-old child presents with one eye consistently looking upward. Following a comprehensive eye examination, the ophthalmologist diagnoses the child with vertical strabismus and recommends eye patching therapy., A 30-year-old adult experiences double vision after a head injury. An ophthalmologist diagnoses vertical strabismus as a result of the trauma and suggests surgical intervention to correct the eye alignment., An elderly patient with a history of thyroid eye disease develops vertical strabismus. The ophthalmologist prescribes prism glasses to alleviate the double vision and improve eye alignment.

Documentation should include the type and magnitude of the vertical deviation, any associated symptoms (e.g., double vision, eye strain), the affected eye, any underlying medical conditions or injuries contributing to the strabismus, and the treatment plan.

** Vertical strabismus is also known as hypertropia. It is essential to distinguish vertical strabismus from other conditions that can cause vertical misalignment of the eyes, such as cranial nerve palsies. Additional diagnostic testing, such as imaging studies, might be necessary to rule out underlying neurological conditions.