“…concomitant, or non-syndromic), while other research identifies low birth weight, prematurity, maternal smoking, paternal lead exposure, and abnormalities in pregnancy and delivery as strabismus risk factors (Bremer et al, 1998; Chew et al, 1994; Hakim, Stewart, Canner & Tielsch, 1991; Matsuo, Yamane & Ohtsuki, 2001; Ponsonby, Brown, Kearns, MacKinnon, Scotter, Cochrane & Mackey, 2007; Robaei, Kifley et al, 2006; Robaei, Rose et al, 2006; Taira, Matsuo, Yamane, Hasebe & Ohtsuki, 2003). To the extent that these factors are environmentally caused, a gene-environment interaction is required to account for both necessary genetic liability and environmental influence.…”