iarjimphIARJIMPHIARJIMPH2709-331X10.47310/iarjimph.2025.v06i01.002The Crossed-Eye Conundrum': Assessing Knowledge and Awareness of Squint (Strabismus)Background: Strabismus, commonly known as squint, is a visual condition marked by eye misalignment, impacting binocular vision and often leading to amblyopia (lazy eye) if untreated. Despite its prevalence, public awareness remains limited, particularly in underserved regions. This study assessed awareness, knowledge and preventive practices regarding strabismus among residents of Himachal Pradesh, India. Materials and Methods: A descriptive cross-sectional study was conducted among 400 adults in Himachal Pradesh using a structured online questionnaire. Data on demographics, awareness and preventive practices were collected. Knowledge scores were classified as Very Good (>80%), Good (60%-79%), Fair (41%-59%) and Poor (<40%). Analysis was conducted using SPSS v26.0 with p<0.05 significance. Results: While 81% identified strabismus as “squint” or “crossed eyes,” only 60.3% recognized vitamin A’s role in eye health and 63.3% were aware of amblyopia as a risk. Knowledge scores indicated 40.3% had “Very Good” knowledge, 37.3% “Good,” 15.8% “Fair,” and 6.8% “Poor,” with lower awareness levels prevalent among rural and less-educated participants. Conclusion: Although awareness of strabismus was promising, critical gaps in symptom recognition, risk awareness and preventive practices persist. Targeted educational campaigns, school-based screenings and improved healthcare access are essential to enhance early diagnosis and management.