Abstract
Decompensated childhood strabismus in adults can be challenging to evaluate and treat. Due to these patients' sensory adaptations, changes to their visual environment may not be well tolerated. As clinicians we need to determine “why did this happen?” and “how do we fix it?” A comprehensive evaluation with special attention to the patient's sensorimotor examination is invaluable in reaching these answers. Once all the information is gathered, we can then determine the appropriate treatment approach for this subset of adult strabismics.