Strabismus

  • Strabismus treatment in children
  • Strabismus is a deviation of one eye or alternately one eye on the joint point of fixation with violation of binocular vision. Causes of strabismus are: violation of innervation of muscles of the eye, anomalies of refraction of the eye (see), congenital or acquired reduced vision in one eye, and others In the result of these reasons is broken binocular vision (see Vision) and the deviation of one eye. There are two main clinical forms of strabismus: friendly and paralytic.

    strabismus
    Different types friendly strabismus:
    1 - converging; 2 - divergent.

    Concomitant strabismus often develops in childhood. To deviate may gradually one eye or alternately left and right. There are strabismus internal, or converging, outer, or divergent (Fig.), squint upwards and downwards. The mobility of the eye usually does not suffer. The vision of the squinting eye, as a rule, reduced ghosting visible objects, as a rule, does not happen. Paralytic strabismus develops as a consequence of paresis or paralysis of the external muscles of the eyes. The mobility of the squinting eye is limited, visual acuity long time is not reduced. Paralytic strabismus there are complaints of vision visible objects and sometimes dizziness.
    Diagnosis of strabismus usually is not difficult. The degree of deviation of the eyes - strabismus angle - you can define with the help of mirror Ophthalmoscope (positional light reflex on the cornea) on a scale of Meddoksa. The latter consists of two strips fastened cross. In the center of their fortified point light source, error caused the figures showing the angle of the eye. Strabismus angle can be determined with the help of the perimeter.
    Treatment of strabismus holds a doctor-ophthalmologist. The results of treatment of concomitant strabismus largely depend on its timeliness. Assign points for continuous wear, exercises on special devices for the restoration of binocular vision (see Synoptophore, Stereoscope). In some cases, surgery is shown on the external eye muscles. There are 3 types of operations: Tenerife (move a muscle forward), recession (moving the muscles of the back) and notches on the muscles. Paralytic strabismus requires treatment by a neurologist. In the absence of effects after long-term treatment also resort to surgery.