1.Strabismus treatment cannot wait
Scene: A young man shyly entered the consultation room with his long bangs covering his left eye, “Doctor, because I have internal strabismus and amblyopia in my left eye, I am not allowed to register after the medical examination for driving license, what should I do?” After detailed medical history and physical examination, the young man was diagnosed with “congenital internal strabismus and amblyopia in the left eye”. The doctor explained in detail that it was difficult to improve the amblyopia in the left eye after surgery, and the stereo vision function still could not be restored to normal, so his dream of driving could not be realized. After the surgery, the young man’s strabismus was successfully corrected and he was happy to cut off his long bangs, but he still had regrets because of his low vision and abnormal stereopsis in his left eye.
(1) Strabismus is not uncommon, with a prevalence of 1-3% in the population. Most strabismus is easily detected by oneself and family members at an early stage due to the significant unsightly appearance, but some people delay the diagnosis and treatment because they feel that it is not relevant or are embarrassed to consult a doctor, which may lead to poor treatment results. Strabismus that occurs in early childhood may lead to amblyopia and affect the development of stereopsis, so it is more important to consult and treat it as early as possible, and early and reasonable treatment can achieve better results.
Tips for strabismus performance.
Infants and children should be screened and examined by an ophthalmologist as soon as possible when they have the following conditions
2. Children with strabismus, not only affect the appearance
”Doctor, my little girl has “crossed eyes”, it’s too unattractive, I want to do surgery before she goes to school, can I? The grandmother brought little Lulu, who is 6 years old, to the hospital for the first time for a checkup. “Why are you so old before you bring it here to see it?” “The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. The moisture content of the water is not only the result of the sun, but also of the sun.
The effects of childhood strabismus on the child are comprehensive, including the development of normal binocular vision, especially stereopsis; the formation of amblyopia and eye movement coordination disorders; and the negative impact on the child’s mental health. Many parents only consider the most obvious changes in the child’s appearance and want to solve the problem “once and for all” by performing surgery when the child is a little older, but in fact, a timely visit to a professional ophthalmologist can provide more appropriate treatment and advice for the ideal treatment of the child.
3, children’s strabismus affect the development of stereo vision
The mother held 16-month-old Kiki and looked at the doctor with a worried face: “Can she tolerate surgery on such a young child? Can we operate when she is 3-4 years old?” The doctor gently explained, “Kiki was found to have internal strabismus when she was 4 months old, and we now diagnose her with congenital internal strabismus, which has a great impact on the normal development of binocular vision.
The younger the strabismus occurs, the more it affects the child’s stereo vision development, while strabismus that occurs above 5-6 years of age generally has a milder effect on stereo vision. Moreover, inwardly deviated internal strabismus has a greater impact on the normal development of stereopsis than outwardly deviated external strabismus. Stereopsis is the highest level of binocular vision, and to understand the importance of binocular vision and stereopsis, we need to understand why people have two eyes.
(1) Why do we have two eyes? In fact, through a small experiment you can find the beauty of the Creator gave us two eyes: prepare a glass, a few soybeans, stand at a distance of about 1250px from the glass, two eyes to see when the soybeans will be thrown into the glass one by one, does not feel very easy, simple? But if you try with one eye closed, is it difficult to locate and not easy to throw the beans in? This is the reason why we have a good sense of three-dimensionality because we have two eyes.
The sight of our two eyes can fully overlap, thus forming a binocular vision function. Due to good binocular vision function, we can more accurately obtain information about the shape, orientation and distance of external objects, of which the stereo vision function is the most important and the most advanced binocular vision function. In daily life, such as driving, ball games, up and down stairs, etc. are inseparable from good stereo vision, some fine work, such as using a microscope for eye surgery, painting, architectural design, etc. especially need good stereo vision function.
First, the impact of binocular vision function in life
(2) The conditions for the formation of normal binocular vision: The formation of normal visual function requires several basic conditions, such as basically the same vision in both eyes, normal position of both eyes (i.e. no strabismus), both eyes can see at the same time and eye movement coordination. In addition, the maturation of binocular vision is age-restricted, and unfavorable factors before the age of 5-6 may prevent the establishment of normal binocular vision.
II. Basic conditions for normal binocular vision development
Therefore, strabismus in children can affect the development of normal binocular vision function, especially the normal development of stereopsis, and needs to be treated as early as possible.
4., eye strabismus, spillover to psychology
When Weiwei was 3 years old, her grandparents found that she was the most timid and introverted in her class, afraid to play with other children and unwilling to contact her kindergarten aunt. The mother and father worriedly told the doctor: “Before the age of 2, Weiwei was very pleasant, not afraid of life at all, but then she was always said to have ‘cross-eyed’, she slowly knew that her eyes were different from other children, and then gradually became introverted and timid, and after kindergarten it became more obvious. It became more obvious after kindergarten.”
The eyes are the windows to the soul and an important organ for external communication, and strabismus causes significant aesthetic discomfort, while the social labeling of strabismus patients has a significant negative impact on their mental health. Studies have found that patients with strabismus commonly suffer from a lack of confidence, suspicion, and shyness of interaction. Children with strabismus need to be treated as early as possible and mothers and fathers should pay attention to giving appropriate psychological counseling.
5.The relationship between strabismus and amblyopia
Strabismus and amblyopia are closely related and affect each other: generally, strabismus with early onset (within 4-5 weeks of age) will lead to amblyopia, and strabismus in one eye is likely to cause amblyopia, while strabismus with alternate deviation in both eyes is less likely to cause amblyopia; compared to exotropia with outward deviation, internal strabismus with inward deviation is more likely to cause amblyopia.
In young children and children with strabismus, the first step is to correct the accompanying amblyopia. Some severe amblyopia, such as amblyopia due to congenital cataracts, may also lead to strabismus, and some strabismus can improve when amblyopia in this condition is treated well. After the amblyopia treatment is successful or achieved, if there is still strabismus, surgery for strabismus is needed to further consolidate the amblyopia treatment effect.
The relationship between strabismus and amblyopia
6.Can wearing glasses cure strabismus?
Xiao Yu, 4 years old, has been strabismus for half a year. He went to the hospital one week ago and was diagnosed with “internal strabismus and binocular hyperopia”, and was given glasses by the doctor, who instructed Xiao Yu’s parents to remember to give him glasses on time. But the mischievous Xiao Yu did not want to wear glasses at all, and his mother, who was tormented, could not help but complain, “My Xiao Yu is obviously to be treated for strabismus, but why did the doctor give him glasses, is it a mistake?”
In fact, wearing appropriate corrective glasses is an important step in the treatment of strabismus, which can improve the child’s visual acuity and treat the presence of amblyopia on the one hand, and correct strabismus on the other.
(1) Some types of strabismus, such as the moderate internal strabismus, are mainly controlled by wearing refractive correction glasses. Patients can successfully correct their strabismus by wearing glasses, and although they may still show internal strabismus when they remove their glasses, most children can successfully control their strabismus without wearing glasses by the time they reach adulthood as their farsightedness continues to decrease. There is also a category of strabismus called partially regulated internal strabismus, where glasses can correct some of the strabismus and the remaining strabismus can then be treated surgically. In addition, a portion of intermittent exotropia can also be better controlled by wearing corrective glasses.
(2) In addition to the commonly used spectacles, there is also a class of clinical trigeminal lenses, which can be used for some patients with diplopia.
(2) In addition to the commonly used glasses, there is a type of trigeminal glasses that can be used to correct strabismus and improve the symptoms of strabismus in patients with diplopia. But generally this kind of trigeminal glasses corrected strabismus degree is limited, more in some strabismus degree is not too big patients or short period of use, the degree of obvious strabismus generally do not wear this kind of glasses for a long time.
7, strabismus are surgical treatment?
In addition to some strabismus can be treated by wearing corrective glasses, most strabismus need to be treated by corrective surgery to obtain better results. The clinical treatment will first evaluate the effect of wearing glasses on the correction of strabismus, and then consider the surgical treatment. In addition, there are some strabismus caused by nerve paralysis or muscle inflammation and other pathologies, which need to be treated with medication first, and then surgery will be considered after following up the treatment effect.
IV. Strabismus treatment tips