The spelling of "more strabismal" can be confusing for some people. The word "strabismal" refers to a condition where the eyes are not properly aligned. The phonetic transcription of this word is /strəˈbɪzməl/. The addition of the word "more" in front of it suggests that something is even more misaligned than usual. While it is not a commonly used word, understanding its pronunciation and spelling can help in reading and understanding medical terminology.