Strabismus is a common eye disease among children. According to statistics, there are about 4 million children with strabismus among 400 million children in China. Among them, many children miss the best time for treatment because of parents’ misunderstanding, or because they are not detected early, or because they are treated as other diseases, etc., which ultimately affects the development of eyesight and causes amblyopia. Generally speaking, we can easily detect obvious strabismus, such as “eye-to-eye” and “eye-glancing”, etc., but for hidden strabismus, not to mention that it is difficult to be detected by ordinary people, sometimes doctors may also misdiagnose it. Here are a few cases: Case 1: Crooked neck turned out to be eye problems 7-year-old girl Wenwen, always looking at things with a crooked neck, parents thought her neck problems, took her to the orthopedic department to see, was diagnosed as congenital sternocleidomastoid contracture, i.e., myoclonic strabismus, the need for corrective surgery, but the neck is still crooked after the operation. In subsequent visits to the doctor, a doctor suggested that her parents take their child to a pediatric ophthalmologist. “How can a crooked neck be related to the eyes?” His parents went to the ophthalmology department for treatment. Ophthalmologists examined, diagnosed Wenwen suffered from congenital vertical strabismus, that is, the two eyes look at the same object is not the same height, one eye looks at 1 meter high, the other eye is 1.2 meters high, the child only crooked head to “adjust” the gap, so that the two eyes into the image of fusion as one, if the head is upright, an object becomes two objects. If the head is turned upright, one object becomes two objects. After eye surgery, the child’s neck was finally straightened. There was also a 2-year-old boy whose neck was so crooked that his face was almost next to his shoulder. The long-term crooked neck caused one side of his face to be large and the other small, and even his spine began to be crooked to one side. He went to the hospital for consultation with orthopedic surgeons and ophthalmologists to find out the cause, which turned out to be vertical strabismus. After ophthalmologic surgery, the neck was quickly straightened. So, when the child appears crooked neck phenomenon, how to determine whether it is a strabismus or strabismus? Doctors teach you a trick: 1, cover one of the child’s eyes, if the child is still crooked neck, then it may be a strabismus. 2.If the child’s crooked neck can be corrected when he/she sleeps, then it is strabismus. 3. You can touch the child’s neck with your hand. If the neck muscles feel stiff, it may be a strabismus; if they are soft, it may be a strabismus. It is important to note that some children may have both conditions at the same time, i.e., both cervical strabismus and strabismus, which should be treated separately according to the condition. Strabismus also has true and false summer vacation, every day there are a lot of children in the parents led by the doctor to see “strabismus”, after examination, many of these children are not really strabismus, belong to the pseudo-strabismus. Pseudostrabismus and how is it? Director Li introduced, children because the bridge of the nose is not yet mature, relatively flat, resulting in the bridge of the nose on both sides of the canthus will cover part of the white of the eye, the appearance looks like two black eyes together, in fact, is false eye. Pseudo-strabismus does not require surgery, and as the child grows older and the bridge of the nose increases in height, the “eye-to-eye” condition will improve. How to recognize pseudo-strabismus? Doctors teach you a trick: 1, corneal reflection method: with a flashlight to the child’s eyes in the middle of the distance of about 3 centimeters to irradiate, if the two eyes of the reflective point in the middle of the two eyes, it is not strabismus. Otherwise, it is strabismus. 2. Cover one of the child’s eyes and then remove the covering. If the child’s eyes do not move, it indicates that it is not strabismus. Intermittent strabismus which makes the child suffer from injustice Parents often bring their children to see the eye clinic and say that the child’s eyes are good and bad, every Monday, Wednesday, Friday is the right eye, Tuesday, Thursday, Saturday is normal, and Sundays are sometimes normal, sometimes abnormal. At first the parents thought the child was doing this on purpose and even scolded the child. But after seeing a doctor, they realized that their child was suffering from intermittent strabismus. This type of strabismus is also known as periodic strabismus and is a complex strabismus. In this case, you should go to the hospital for further examination. First of all, we should do visual function examination to check the visual acuity, eye position (whether there is any strabismus), how much strabismus is there, and have a qualitative and quantitative. We also need to check the monovision function of both eyes. The best age for strabismus treatment: 2-6 years old In the ophthalmology clinic, parents of children with strabismus often ask the doctor: strabismus only affects the aesthetics, and does not affect the food and drink, and the child is too young, can we wait until the child grows up to do the surgery? Strabismus is not only about eye position, but more importantly, it affects the development of the child’s visual function. If there is no early intervention, amblyopia is likely to result, and even if surgery is done at that time, it can only change the position of the eyes, which makes it look more beautiful, but does not help the eyesight in any way. The best time to treat children’s strabismus is before school age, with 2 – 6 years old as the golden age. Parents are urged to have their children’s vision checked from the age of 2, as long as they can cooperate. In addition, parents are especially reminded of the following points: 1. Early examination, with hyperopia should be promptly corrected with glasses. 2.Prevention of obsolete strabismus, such as refractive error, amblyopia, etc., should be treated in time. 3.Congenital cataract, ptosis, etc., are easy to cause deprivation amblyopia, and the cause should be removed in time. 4, small children are also prone to strabismus when they are frightened or traumatized, or when they have measles, fever, cramps, or decreased resistance, etc., which should be avoided. 5. If both men and women suffer from strabismus, it is better not to get married. It has been clinically proven that the disease has obvious genetic tendency.