Dr. Marie
The medical term for an eye that turns outwards is "strabismus". Strabismus is a vision problem in which both eyes do not look at the same point at the same time.

WebMD Medical Reference from Healthwise

 There are a few possible causes for strabismus.
Some dogs are born with weak muscles and will have strabismus from birth.
A problem with a nerve to the eye can cause strabismus, but it would be really unusual to have both eyes affected.
 

TerrificPets.com  lpn169 Moderator

This is a common occurence in Pugs, not ideal, but common.
You can do an excercise that will help strengthen the eye muscles and in time straighten out the eyes. many will straighten on their own as adults, but some do not.
If you take your index finger, hold it out in front of the face so they are looking at it, slowly move it in and touch their nose. Thiese forces the muscles to work to look inward as they follow your finger and in time strengthening the muscles needed to hold the eyes forward.
You can do this as often as you want as it is simple and can be done while you are just relaxing on the couch and scratching them. Takes time, but does help.
If they never straighten though, it generally causes no issues with sight, and they live just as normal a life as they would with them straight forward.

 

WebMD Medical

Amblyopia and Your Child's Eyes

Amblyopia -- or lazy eye -- is a condition that occurs in children when some underlying cause prevents vision from developing properly in one eye. If amblyopia is left untreated, a child's vision will never  fully develop correctly in that eye. Vision impairment becomes permanent because as the child’s brain matures, it will "ignore" the image coming from the poorly seeing eye. Because amblyopia can result in permanent vision loss in one eye, it is important to have a child with amblyopia regularly tested by an eye doctor.

What Causes Amblyopia?

Amblyopia usually starts when one eye has much better focus than the other eye. For example, one eye might be very nearsighted or have a lot of astigmatism, while the other does not. When the child's brain is confronted with both a blurry image and a clear image, it will begin to ignore the blurry image. If this goes on for months or years, the vision in the eye that sees the blurry image will deteriorate.

Another cause of amblyopia is strabismus. Strabismus is an ocular misalignment, meaning that one eye turns inward or outward. This prevents the eyes from focusing together on an image and can cause double vision. In order to combat this, the child's brain generally chooses to ignore the image from the deviated eye, causing the vision in that eye to deteriorate. Because one of the eyes is misaligned, some people refer to this as a "lazy eye."

Other children cannot see well in one eye because something blocks light from getting through. This could be due, among other causes, to a cataract or a small amount of blood or other material in the back of the eye.

How Is Amblyopia Diagnosed?

All children should be screened before they are school age. Your child's doctor or the vision program at school will check three aspects of your child's eye health:

  1. That your child's eyes let light all the way through
  2. That both eyes see equally well
  3. That the eyes are moving normally

If there's a problem in any of those three areas, the doctor or school nurse may recommend a visit to an eye specialist. If you feel that something could be wrong with your child's vision, call your doctor even if he or she has been screened at school.

Family history of amblyopia is a risk factor for the disorder. Parents cannot tell just by looking at their child if they have amblyopia. Early diagnosis and treatment are the keys to the best visual outcome.

How Is Amblyopia Treated?

The most common treatment for amblyopia is to force the brain to start using the "bad" eye. This is done by first correcting any underlying problems in that eye and then by putting a patch over the "good" eye. At first, the child will have a hard time seeing with just the weaker eye. However, it is very important that your child wear the patch diligently because this will eventually improve vision. It can take weeks or months for an eye patch to improve vision. It's important to follow your doctor's instructions carefully and that your child is monitored closely during treatment. 

 

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