Pseudostrabismus

I was paying bills when I came upon the receipt for Ella's eye appointment. I noticed the doctor circled "Pseudostrabismus" on the receipt. I Googled it and found this:

What it is:
Pseudostrabismus (soo-doh-strah-BIS-mus) refers to eyes that appear to point in different directions, but actually do not.

Symptoms:
An infant's eyes may drift in or out at times, but this small variable alignment is perfectly normal during the first few months. When a baby begins focusing on the environment, at about two to three months of age, the eyes should be straight most or all the time.

Esotropia is the name for eyes that turn inward. In pseudoesotropia, the eyes appear to be crossed but are actually straight. This common condition in infants and young children is generally due to the infant's facial structures. The wide bridge of the nose and small folds of eyelid skin on the nasal side of the eye contribute to this appearance by covering the "white" of the eye. This especially becomes apparent when the infant looks to the right or the left. As the infant's facial structures mature, this appearance of crossing will improve and often disappear.

Tests/Diagnosis:
You can do an at-home test to tell the difference between strabismus and pseudostrabismus. Simply shine a flashlight on your child's eyes and observe the light reflection on the front surface of the pupil.

If both eyes are properly aligned, the light reflection will appear in the center of each pupil. Or, the reflection might appear slightly toward the nose in each eye.

If the child has true strabismus and the eyes are not aligned properly, the reflection will appear in a different location in each eye.

This makes perfect sense and it also makes me feel much better. Now I can go to bed. Good night.