Strabismus is a condition in which the visual axes of the two eyes are not in the same direction and the eyes do not look in the same direction. Both eyes can gaze inward, outward, upward, or downward. It can be chronic or occasional. It usually affects 4% of children, but also some adults. Symptoms: photophobia, squinting, head tilting, face turning to see, and cosmetic effects.
Amblyopia is a group of developmental disorders in which corrected visual acuity is still lower than normal for children (0.8 or less) after adequate pupil dilation optometry, and routine eye examinations do not reveal organic lesions.
The goal of strabismus treatment is to protect good visual acuity, restore binocular vision, coordinate muscle balance, and establish good motor and stereoscopic function.
Strabismus treatment methods: non-surgical or surgical methods of correction. Non-surgical treatment includes: treatment of possible amblyopia, optical correction of strabismus (treatment with lenses), medication and visual energy correction training. Surgical treatment methods include muscle reduction, muscle strengthening, and vertical displacement of horizontal muscles.
Amblyopia should be treated as soon as it is diagnosed. From birth to school age is a critical stage of visual development, this is a sensitive period for amblyopia treatment and a salvage period for amblyopia treatment, missing this stage will cause irreversible deep suppression of vision. Treatment methods: wearing glasses p masking p medication p amblyopia training.
Strabismus patients with surgery note that
1. Before surgery, blood, urine routine, electrocardiogram, chest X-ray and other systemic examinations are required.
2, surgery may be done in both eyes, post-operative anti-inflammatory, follow the doctor’s instructions to use medication and eye drops on time.
3.Surgery is done on the outside of the eye muscles, and generally does not damage the eye.
4.Children who cannot cooperate need to operate under general anesthesia, so they cannot have cold, cough, respiratory and cardiovascular diseases.
5.The surgery will be followed up 20 days and 3 months after the surgery, and regularly thereafter. If there is amblyopia need long-term frequent follow-up treatment.
Health guidance for strabismus patients.
1. Maintain physical and mental health, lead a regular life, exercise and enhance physical fitness.
2. Patients who use atropine for astigmatism may have photophobia and blurred vision for 3 weeks, do not worry too much, it will return to normal after the effect of the medicine.
3. Patients who wear lenses for treatment should wear lenses as prescribed by the physician. You should continue to wear glasses, do not take them off, so as not to affect the effectiveness of treatment.
4. Patients with amblyopia, actively treat amblyopia and insist on standard training.
Health guidance for amblyopic patients: 1.
The effect of amblyopia treatment is closely related to the age of treatment, generally better before 6 years old and worse after 12 years old. Therefore, amblyopia should be detected and treated as early as possible.
2. Amblyopia treatment should adhere to the standard training and regular follow-up.
Eye shielding is the main and most effective method of treatment. The method of eye shielding must be strict and thorough to avoid the child from peeking and affecting the efficacy of treatment. Generally, around 3 years old, the healthy eye should be covered for 3 days and the cover should be removed for 1 day; around 5 years old, the cover should be removed for 1 day after covering the healthy eye for 1 week each time; after 6 years old, the cover should be removed for 1 day after covering the healthy eye for 2 weeks each time. The specific duration and degree of coverage should be adjusted according to the difference in visual acuity between the two eyes and the age of the child. During the masking period, attention should be paid to the visual acuity of the healthy eye to prevent vision loss.
4. If amblyopia is accompanied by refractive error, amblyopia training should be carried out under the correction of lenses.