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A Case of Strabismus in a Patient With Psoriasis
Karen Cravero1,2, Emma Scott3, Matthew Calestino1,2
1Transitional Year Residency Program, University of Central Florida, Gainesville, Florida, USA, ucf.edu.
Case Reports in Medicine
|July 1, 2026
Summary
Psoriasis, a chronic skin condition, can present with rare eye conditions like strabismus. This case highlights an unusual ocular manifestation in a patient with psoriasis and psoriatic arthritis, emphasizing multidisciplinary care.
Area of Science:
- Ophthalmology
- Dermatology
- Rheumatology
Background:
- Psoriasis is a chronic immune-mediated skin disease.
- Ocular manifestations like uveitis, keratoconjunctivitis, and blepharitis are common in psoriasis.
- Strabismus is a rare ocular finding associated with psoriasis.
Purpose of the Study:
- To report a rare case of acquired intermittent alternating esotropia with diplopia in a patient with psoriasis.
- To highlight the association between psoriasis, psoriatic arthritis, and strabismus.
- To emphasize the importance of multidisciplinary care for patients with psoriasis and new ocular symptoms.
Main Methods:
- Case report presentation.
- Review of patient's medical history including psoriasis and development of ocular symptoms.
- Diagnosis of psoriatic arthritis.
Main Results:
- A patient with longstanding psoriasis developed acquired intermittent alternating esotropia with diplopia.
- The patient was subsequently diagnosed with psoriatic arthritis.
- This case illustrates an uncommon ocular manifestation of psoriasis.
Conclusions:
- Strabismus can be a rare ocular manifestation of psoriasis.
- Coordinated, multidisciplinary care is crucial for managing new ocular or systemic symptoms in patients with psoriasis.
- Early recognition and management of associated conditions like psoriatic arthritis are important.
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