1.Can strabismus be treated conservatively? Except for the adjustable internal strabismus and some acquired paralytic strabismus which can be treated conservatively, all other types of strabismus need to be corrected by surgery. And it should be treated as early as possible, preferably before the age of school to receive surgery. The treatment can not only achieve the cosmetic purpose, but also restore the visual function of both eyes. 2.Why do teenagers need dilated eye examinations? The adolescent eye is highly regulated and prone to regulatory spasm. Dilated optometry eliminates the interference of accommodation, making optometry more objective and more accurate. In addition, dilated eye examinations can identify true myopia and pseudomyopia. Therefore, adolescent optometry must be dilated. 3. Is dilated optometry harmful to children? Dilated pupils loosen the ciliary muscle and relax regulation, essentially giving the eyes a full rest. After dilatation, you may feel photophobic and temporarily blurred when looking at near objects. The rapid dilating agents that are often used today allow the pupil to recover in 3-4 hours and do not affect the normal learning of children. Therefore, dilated eye examinations are not harmful to children. 4. What are the commonly used dilating agents? There are fast pupil dilators such as Topamax and Medrol, which have a recovery time of about 4 hours. Atropine, which has an action time of 2-3 weeks, is suitable for children under 5 years old and patients with internal strabismus. (Note: During atropine pupil dilatation, the child’s photophobia is about 2-3 weeks. To avoid affecting students’ studies, it is advisable to have the examination during holidays). 5.What are the procedures for dilated pupil testing? (1) Rapid pupil dilatation method: It usually takes 1 hour to order one drop of rapid pupil dilatant each time, once every 5 minutes, for a total of 4 times, and then wait 20 minutes for the light to be examined. (2) Atropine pupil dilatation method: 1% Atropine ophthalmic ointment, 3 times a day for 3 days, then come to the hospital for an eye exam, wait 3 weeks for the pupil to return to normal and then come back for a follow-up exam, and try the lenses without discomfort before you can get glasses. 6.Does a child need to have an eye examination if he/she “sees things crookedly”? It is very important. Many patients are misdiagnosed with “bony strabismus” and undergo orthopedic surgery. After surgery, not only does the strabismus not improve at all, but also leaves obvious scarring on the neck, causing lifelong pain to the child. Patients with congenital paralytic strabismus often present with a “crooked head” and should be operated as soon as the disease is diagnosed through ophthalmic examination. With strabismus surgery, not only is the head tilt corrected, but the child’s binocular vision is also preserved. In addition, congenital nystagmus, unequal vision in both eyes, unequal hearing in both ears or the presence of impingement in one eye may cause the child to see crookedly. 7. Should newborns and children have regular fundus examinations? Yes. Newborns, especially those born prematurely or with low birth weight and a history of postnatal oxygenation, should have their fundus routinely examined to rule out retinopathy of prematurity. Retcam II is an international advanced pediatric retinal imaging system, of which there are only 400 units in the world. Retcam II can also make a clear diagnosis of congenital glaucoma.