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Strabismus may run in families, but many people with strabismus do not have relatives with this condition.
Strabismus might be caused by abnormally high spectacle power or result from vision obscuration in one eye (e.g. childhood cataracts, droopy eyelids).
Occasionally, it may be due to an abnormality of the nerves supporting the eye muscles or an abnormality in the eye muscles and tissue within the eye socket.
Children who were born premature or individuals with certain conditions might also be at higher risks of developing strabismus.