A Case of Strabismus in a Patient With Psoriasis

Psoriasis is a chronic immune-mediated skin disease that may be associated with ocular manifestations, most commonly uveitis, keratoconjunctivitis, and blepharitis. Strabismus has been rarely reported in association with psoriasis. We present a woman with longstanding psoriasis, who developed acquired intermittent alternating esotropia with diplopia; she was later diagnosed with psoriatic arthritis. This case describes an uncommon ocular finding occurring with psoriasis and underscores the importance of coordinated, multidisciplinary care when new ocular or systemic symptoms arise.