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CHILDHOOD STRABISMUS

CHILDHOOD STRABISMUS

Childhood Strabismus
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CHILDHOOD STRABISMUS

Posted on November 13, 2011 by Admin

Welcome to childhoodstrabismus

Strabismus / Squint
Strabismus refers to the condition of the eyes being misaligned so that
only one eye at a time fixes on the visual target. If left untreated,
it will produce monocular visual disability or blindness.
Strabismus, the official term, can assume many forms:
1) Exotropia (`wall eyes') refers to outward deviation
2) Esotropia (`crossed eyes') refers to inward deviation
3) Hypertropia refers to upward deviation of one eye
4) Hypotropia refers to downward deviation of one eye
and even combinations such as out with down etc.
In all cases of strabismus, one eye does the sighting while the other
eye looks somewhere else. In a few people the sighting eye and turning
eye will alternate roles each periodically doing the sighting. A common
misconception is that strabismus is caused by weak muscles. While on
rare occasions a paralyzed or misconnected muscle is the culprit, the
muscles attached to the eyeball are very strong and the range of
movements quite remarkable. The real problem is that the two eyes just
won't work jointly as the brain's passion to avoid double vision.
Another common type of strabismus is caused by high amounts of
farsightedness. This is the classic case of one eye turning inward
toward the nose. To see clearly, the farsighted eyes must use an
exceptional amount of focusing power. But, since focusing and turning
the eyes inward work together, double vision ensues. To get out of this
quandary, the brain learned that by turning one eye inward a bit more,
the image falls on the normal blind spot. Thus, only one image is seen.
Other types of crossed eyes have other causes, yet are not know.
Some of the patients may have inherited strabismus. It occurs early in
childhood without any apparent cause and is called Primary Strabismus.
Another type of strabismus that follow trauma directly to one or both
eyes is called Secondary Strabismus.
Secondary strabismus may be due to a cranial nerve palsy from:
o head injury
o intracranial mass ( brain tumor or abscess)
o vascular accident (stroke)
o diabetes mellitus
o vascular disease
o systemic hypertension
o heart disease
Strabismus cannot be treated solely by medication. The actual treatment
procedures can be quite involved, but the following steps are taken:
1) Glasses are prescribed. If necessary, a prism effect is incorporated
into the lenses to shift the images closer together
2) Vision therapy (orthoptics) is used to break up the suppression
habit. Once there is an awareness of double vision when the eyes are
not straight, the patient is trained to fuse the two images into one.
As this progresses, the eyes will slowly assume a straight posture for
longer periods of time.
3) Stereopsis is developed and the new vision pattern reinforced to
keep the eyes from recrossing.
Read more:
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