Strabismus is considered to be a childhood pathology, but in adults it is a much more significant problem, since it can be a symptom of a dangerous disease. In addition, strabismus in adults is more difficult to treat, and mainly by surgical methods.

What ordinary people call strabismus is called strabismus in medical language. The essence of this pathological condition is the violation of friendly eye movement. Strabismus is not only a cosmetic defect, the owners of this ailment lose binocular vision, that is, they cannot correctly determine the relative position of objects in space.

It is generally accepted that strabismus is a childhood disease, and this statement is partly true. In more than 70% of patients, this problem is detected in childhood. However may suffer squint and adults, and in this category of patients it is much more difficult to treat.

Classification of strabismus

By the timing of the onset and stability of manifestations:

  • Congenital and acquired
  • Periodic and constant.

By the involvement of the eyes in the process:

  • Monolateral, or unilateral - mows down only one eye.
  • Alternating, or intermittent - alternately mows one or the other eye.

By the way, both eyes cannot mow at the same time. One of them always looks where he should. There is an imaginary strabismus, in which it seems that both eyes are squinting. At the same time, the friendliness of the movement of the eyeballs is not disturbed, and the cosmetic defect is due to innate features of the structure of the skull or eye sockets.

By severity:

  • Latent - the absence of binocular vision, detected with the help of special equipment.
  • Compensated - diagnosed using special ophthalmic tests.
  • Subcompensated - by an effort of will it is possible to return an eye that has gone to the side.
  • Decompensated - uncontrollable.

In the direction of displacement of the axis of the squinting eye:

  • Converging (converging) - the eye "looks" towards the bridge of the nose.
  • Diverging (diverging) - the eye is displaced towards the temple.

It is also possible to shift the squinting eye up or down.

Causes of strabismus

According to the etiology, strabismus can be classified into 2 groups.

1. Friendly - mows down then one eye then the second. This pathology arises due to the fact that the "quality" of the image that one of the eyes delivers to the brain is very different from the other. In this case, the brain, as it were, disconnects the picture from one eye, vision ceases to be stereoscopic, and the “disabled” eye begins to squint.

The main cause of friendly strabismus is accommodation disorders - myopia (myopia), farsightedness (hyperopia) and astigmatism. Moreover, with myopia, divergent strabismus most often occurs, and with hyperopia, convergent squint. This type of concomitant strabismus is called accommodative.

Also, this type of strabismus can cause any other pathologies leading to a significant difference in visual acuity between the eyes: cataracts, leukoma (corneal leucorrhoea), dystrophy or retinal detachment, macular degeneration, vitreous hemorrhage, etc. This type of friendly strabismus is called non-accommodating.

With friendly strabismus, the range of motion of the eyeballs is not disturbed, there is no double vision (diplopia).

2. Paralytic - occurs as a result of damage or paralysis of one of the oculomotor muscles.

Causes of strabismus in this case, the following may be:

  • injuries or diseases of the eye muscles and orbit;
  • brain pathology - strokes, craniocerebral trauma, meningitis, encephalitis, tumors;
  • pathology of the oculomotor nerves - neuritis, tumors, complications of infections of the ENT organs (otitis media, sinusitis).

With paralytic strabismus, the range of motion of the affected eye is reduced, and diplopia is present.

Diagnostics

Pronounced strabismus is always noticeable to the patient himself when looking in the mirror, as well as to his environment. Do not think that it will pass by itself. A rhetorical question: " Squints one eye, what to do? "- has only one answer - immediately contact an ophthalmologist. The earlier treatment is started, the higher the chances of success.

The patient himself does not feel latent strabismus, but it can be detected with the help of special ophthalmological tests. Therefore, people at risk (with a pronounced difference in visual acuity between the eyes) should regularly undergo an in-depth examination by an ophthalmologist.

Paralytic strabismus in adults, as already mentioned, can be a symptom or complication of other diseases. Therefore, if you suddenly have double vision and severe squint, you should urgently consult a neurologist, as this may be a sign of nerve inflammation, brain tumor, stroke, or spread of infection from the middle ear into the cranial cavity.

Treatment of strabismus in adults

1. With friendly strabismus, the task of treatment is to restore normal visual acuity.

Accommodation disorders are corrected with glasses, contact lenses or laser correction. Contact lenses are preferred in this case. With severe myopia or hyperopia, the lenses of glasses reduce or increase the size of the image on the retina. Accordingly, if the optical power of the lenses is different, then the image on the retinas of the eyes is of different sizes, which misleads the brain and it is forced to use the image of only one eye, while the other begins to squint.

Non-accommodating disorders (cataracts, leucorrhoea, retinal detachment, etc.) can be treated surgically. In case of cataract, prosthetics of the lens is performed, corneal leucorrhoea is corrected by transplanting it from a donor, hemorrhages in the vitreous body can be attempted to be eliminated surgically. The situation is more complicated with pathologies of the eye vessels or retina. But even here ophthalmology has a number of technical innovations, such as laser correction. People who are predisposed to eye pathologies (hypertension, diabetes mellitus) require regular courses of drug treatment aimed at preventing visual impairment.

2. With paralytic strabismus in adults possibilities treatment extremely limited. If the cause, mainly neurological, cannot be eliminated, an operation is performed to eliminate the cosmetic defect. In this case, binocular vision is not restored.

Eye gymnastics and apparatus methods of eye training recommended by some "traditional healers" or private ophthalmological clinics can correct strabismus in children and adolescents under 14 years of age. In adults, they are ineffective.

For many people, the question of how to correct strabismus is relevant. This ailment causes vision problems, and can also cause some discomfort associated with external manifestations. Fortunately, if treatment is started in a timely manner, there is a high likelihood of achieving positive results.

What is strabismus?

Strabismus is a dissonant misalignment of the eyes. In this case, their normal location relative to the central axis is observed. This problem can occur in one or both eyes. If you do not start treatment on time, there is a risk of permanently losing visual acuity and the ability to focus.

According to statistics, in every fortieth child, strabismus is expressed to one degree or another. The first manifestations can be seen during the period when the basic reflexes and functions of the body begin to form. Fortunately, strabismus has specific external manifestations that are easy to notice, which makes it possible to start treatment in a timely manner.

Strabismus forms

The answer to the question of how to correct strabismus largely depends on the form in which the disease manifests itself. There are three options:

  1. Friendly - the eyes are squinted alternately.
  2. Split - the eyes squint at the same time, no matter how strong the offset is.
  3. Alternately synchronous - the eyes are squinted at the same time, but to the extent that they are displaced.

Causes of strabismus

Before figuring out how to correct strabismus, you should find out about the causes of this disease. In most cases, it is associated with a genetic predisposition or intrauterine developmental problems. It is impossible to identify this problem until it begins to receive specific external manifestations (by the age of 7-10).

In rare cases, strabismus is acquired. This problem can be caused by the following reasons:

  • different visual acuity leads to the fact that one eye has a large load when focusing;
  • various acquired diseases that lead to strabismus;
  • diseases of the central nervous system, which, in one way or another, affected the visual department;
  • diseases of the ENT organs.

Possible consequences

In order to understand the importance of the question of how to correct strabismus, it is worthwhile to understand the possible consequences. Many people prefer not to act, considering this defect to be cosmetic. However, this is a serious illness that can lead to irreparable consequences.

The main danger of strabismus is that the work of the eye muscles becomes incoherent. In this case, the brain receives 2 different pictures. As a result, double vision may occur. But in most cases, the brain begins to suppress the signal coming from the diseased eye. As a result, there is a strong up to its complete loss.

Exercises for children

Parents are increasingly wondering how to fix a simple set of exercises for babies, which includes the following points:

  • Similar images with minor differences should be applied on two sheets of paper (it is desirable that the plots are fabulous in order to interest the child). Sit the child upright and place the pictures at the level of the child's eyes. Without moving his head, but only rolling his eyes, he must examine them, discovering the differences.
  • In a board, a piece of plastic or a sheet of thick cardboard, you need to make several holes at the same level. Keeping the inventory at some distance, give the child a string, which he must pass in turn into each of the holes.
  • A sheet of paper must be drawn into equal squares. Use a felt-tip pen to draw schematic drawings (rhombuses, triangles, etc.), filling in the entire free field with them. The child's task will be to find duplicate elements.

Exercises for adults

In search of an answer to the question of how to correct strabismus in adults, it is almost always a question of surgical intervention. However, do not underestimate the effects of gymnastics. So, for adults, as well as older children, the following exercises are suitable:

  • Stand up straight and extend your hand forward, keeping your index finger apart. Begin to slowly move your hand up, down and to the sides. The head should remain motionless, and the eyes should closely follow the index finger.
  • Sit up straight, looking in front of you. Begin to describe with your eyes the sign of infinity. The amplitude should be maximum so that strong tension is felt at the extreme points. The exercise runs smoothly. Duration - 5 minutes.
  • To treat strabismus, it is helpful to play with moving objects (such as table tennis) on which you need to pay close attention. If you do not see the potential of the player in yourself, you can be present as a spectator.
  • While working with documents, at computers, or while watching TV, periodically distract yourself to bring the focus of sight to nearby objects.

A little about nutrition

If you want to find the answer to the question of how to fix squint at home, you should understand that exercise alone is not enough. Like any other disease, ophthalmic problems require proper nutrition. So, for a more effective treatment of strabismus, it is worth including the following foods in the diet:

  • natural dark chocolate (every day after breakfast you need to eat 2-3 slices);
  • tea can sometimes be replaced with a rosehip decoction, which contains a lot of vitamins;
  • a decoction of calamus root (10 grams of raw materials per glass of water), which is consumed half an hour before meals, helps to strengthen the eye muscle;
  • several times a day you need to eat boiled cabbage leaves (they not only improve vision, but also contribute to the overall cleansing of the body).

Conservative treatment

It is worth distinguishing between primary strabismus, which is congenital and acts in conjunction with other diseases of the central nervous system, as well as secondary, which is directly related to the visual apparatus. Treatment will be fundamentally different. A secondary problem requires the intervention of an ophthalmologist, and therefore it is important to choose a good ophthalmology clinic. When you decide where to correct strabismus, you will be offered the following treatment program:

  • wearing medical glasses that relieve eye strain and allow you to look straight;
  • hardware training of the eye muscles (laser, ultrasound, magnetic or other techniques can be used);
  • in the event that during the year it was not possible to achieve positive dynamics, surgical intervention may be required.

Surgical intervention

When looking for a way to correct squint, surgery is considered a last resort. Surgical intervention can be of two types:

  • Laxative - the muscles in the eye move further away from the cornea, allowing the eye to assume a normal (or near-normal) position.
  • Strengthening - a small fragment of the eye muscle is removed, which leads to a decrease in its length. Thus, the balance of the eyeball is restored.

Strabismus prevention

Is squint corrected? Of course, there are methods for treating congenital and acquired forms of this disease. As for the second case, prevention will help prevent it. You should avoid focusing on one subject for a long time, reading and watching TV in an uncomfortable position. But the most important thing is to regularly perform eye gymnastics, which includes the following exercises:

  • rotate the pupils clockwise for a few seconds, then change the direction;
  • look to the right, and then abruptly move your gaze to the left (change the position of the pupils 10 times);
  • look up, then sharply down, and then up again (as in the previous case, 10 repetitions are enough);
  • bring the pupils to the bridge of the nose as close as possible to feel strong tension (5 times);
  • close your eyes tightly, and after a few seconds, relax (repeat 5 times);
  • blink vigorously for 30-60 seconds;
  • select 2 objects that will be at different distances from you, and then alternately focus on them.

Conclusion

Unfortunately, many people do not take strabismus seriously, considering it a purely cosmetic problem. However, if the disease is left untreated, there is a risk of significantly impairing or losing vision. It is quite possible to cope with strabismus. For this, conservative and surgical techniques are provided. But even if you decide to deal with the problem at home, do not forget about regular visits to a specialist.

This is one of the few eye diseases that can be recognized even without the help of a specialist. Strabismus- This is a condition characterized by the deviation of one or both eyes from the central axis, that is, a person's eyes do not look in one direction, as expected, but in different directions. And as a result, the gaze cannot focus on the subject in question.

Most often, strabismus develops in children aged 2-3 years during the formation of the friendly work of both eyes. According to medical statistics, every 50th child suffers from one or another degree of strabismus.

Strabismus can result from: trauma and infectious diseases of the brain; inflammatory, vascular, or neoplastic changes in the eye muscles; incorrectly or untimely compensated for myopia, hyperopia, or astigmatism; congenital diseases or birth trauma; increased mental and physical stress; non-observance of visual stress in children.

There are two forms of strabismus - friendly and paralytic.

In the case of friendly strabismus, it squints either the left or the right eye, while the magnitude of the deviation from the straight position is approximately the same. This type of strabismus is most often associated with the features of the structure of the eye, is inherited and manifests itself mainly in children... Paralytic strabismus occurs either due to damage to the glauomotor muscles, or as a result of diseases of the optic-nerve pathways... At the same time, one (healthy) eye is squinted.

When a person examines an object, his sore eye does not move well or does not move at all, and the healthy one has to deviate to a greater angle. Strabismus can be: converging(often combined with farsightedness), when one of the eyes deviates towards the nose; divergent(often combined with myopia), when one of the eyes deviates to the temple; vertical when the eye looks up or down.

Most likely, others will be the first to notice the squint. For example, a child will be teased by peers in kindergarten or school ("one eye is on the Caucasus, and the other is on Arzamas"). An adult will be hinted that something is wrong with his eyes, constantly or periodically their position becomes asymmetrical. In this case, the patient himself begins to worry about double vision, dizziness and headaches. Instead of a three-dimensional image, he sees a flat one, notices a decrease in visual acuity in the squinting eye.

Strabismus, developed in childhood, can affect the formation of the child's psyche. Children have impaired perception of the world around them, physical and mental development may slow down.

A common complication of strabismus is amblyopia("lazy eye") - a sharp drop in vision in the squinting eye as a result of insufficient visual load on the muscles of the eye. The diagnosis of strabismus is established only by an ophthalmologist after a thorough examination and clarification of the possible causes of the development of strabismus. The doctor will check visual acuity using special tables, determine the angle of strabismus, evaluate the friendly work of both eyes using special mirrors.

It is advisable to start treatment of strabismus as early as possible, it cannot disappear by itself with age. Treatment of strabismus is long-term (on average it takes 2-3 years), it requires careful adherence to all doctor's prescriptions and constant monitoring. They begin the fight against strabismus with the correction of existing myopia, hyperopia, astigmatism. Spectacles are worn from a very young age and are worn continuously and over a long period of time until the symptoms of strabismus have subsided. Another important part of treatment is the implementation of special exercises designed to create visual stress on the weakened muscles of the squinting eye.

With the development of a complication of amblyopia, it may be necessary to wear glasses with one of the glasses glued - thus, conditions are created for the worse seeing eye for its constant load and, accordingly, for training weakened eye muscles.

Such treatment is carried out for a long time and requires constant monitoring of vision in order to stop treatment in a timely manner. If glasses and special exercises do not help or in cases of paralytic strabismus, the patient is referred for surgery. In children, it is most often performed at the age of 3-6 years. Up to 14 years of age, operations are performed under general anesthesia, after 14 under local anesthesia. Recovery from surgery takes ten days on average. After the operation, it is necessary to continue performing special exercises to train the eye muscles and constant supervision of an ophthalmologist.

From early childhood, it is necessary to correctly give children visual loads: you cannot hang toys too close to the child's eyes, you need to monitor his posture, follow the rules for alternating the learning process: physical and mental stages of personality formation.

Before using the drugs listed on the site, consult your doctor.

Strabismus is a complex visual defect in children in which both eyes are unable to look at the same point at the same time. If the child began to squint, then we can talk about such a pathology as strabismus.

  • One eye squints in a child - the reason for this phenomenon and how can the defect be corrected?
  • Types of strabismus in children
  • Why does the child squint his eyes?
  • The child began to squint his eyes - methods of treating the disease
  • A child has one eye squinting
  • Squinting the eye of the child. What to do? Pediatric strabismus treatment
  • What are the possible causes of lazy eye?
  • Treatment of strabismus in children
  • What if the baby's eyes are squinted?
  • What it is?
  • Causes
  • When to sound the alarm?
  • Self-diagnosis
  • Treatment
  • Strabismus in children: types, signs, methods of treatment
  • Description of the disease
  • Children's squint - video
  • Classification of strabismus: divergent, vertical, converging, paralytic, friendly, etc.
  • Types of strabismus - gallery
  • Causes of the development of the disease in newborns, infants and older children
  • Symptoms of the disease in toddlers and adolescents
  • Diagnostic methods: how to define congenital and acquired strabismus
  • Inpatient and home treatment methods
  • Conservative therapy
  • Occlusion
  • Special glasses
  • Medications
  • Hardware treatment
  • Exercises for the eyes
  • Eye gymnastics - video
  • Surgical treatment: features, indications for surgery, rehabilitation after the intervention
  • Treatment prognosis and possible complications
  • Doctor Komarovsky about strabismus - video
  • Disease lifestyle
  • Prophylaxis

And most often it manifests itself in early childhood.

If you notice that the child's eyes have begun to squint, then you should not console yourself that the problem with age will disappear by itself. Without special therapeutic therapy, strabismus (strabismus) can lead to severe consequences for the baby's eyesight. For example, in cases where one of the squinting eyes is not involved, the child's visual ability may deteriorate significantly, which will provoke the development of amblyopia (the so-called lazy eye syndrome). In addition, the development of strabismus can negatively affect the child's self-esteem, because it is closely related not only to the function of vision, but also to the appearance of the baby. When a child squints one eye, other children may start calling names and teasing him. In such situations, the crumbs, in addition to timely treatment, will also need psychological support from their parents.

Types of strabismus in children

At the time of the onset of the disease, acquired and congenital strabismus are distinguished. According to the stability of the pathology, periodic and permanent strabismus are distinguished. Also, strabismus is classified according to the type of deviation:

  • Isotropy. The most common form of strabismus in a child, in which both or one eye squints inward, towards the nose. Often observed before the age of one year. The isotropic child has a tendency to develop farsightedness.
  • Hypotropia and hypertropia. This is a form of strabismus, in which there is a vertical deviation of the eye downward, towards the eyebrow, and upward (respectively). This is a fairly rare type of strabismus that occurs when problems with the eye muscles.
  • Exotropia is a form of strabismus, in which one of the child's eyes squints outward, towards the temple. Most often appears in the period from 1 to 6 years and is associated with the development of myopia in a child after a few years.

Also, doctors distinguish the so-called. paralytic strabismus. It is the result of damage to the corresponding muscle or nerve, as a result of which there is limited or no movement of the eyeball in the direction of the affected muscle.

Why does the child squint his eyes?

There can be many reasons for the appearance of strabismus in children. It is not always possible even for a qualified doctor to establish exactly why a child squints his eyes. Sometimes the disease is the result of various visual problems, such as cataracts, severe hyperopia or glaucoma. Children with farsightedness may deliberately squint their eyes to see more clearly.

Other factors that increase your risk of strabismus include:

  • Heredity (perhaps one of the relatives had squint).
  • Intrauterine intoxication of the child.
  • Neurological diseases can also cause a child to squint one eye.
  • An optical defect in the eyes, such as hyperopia or myopia.
  • Severe infections in children (diphtheria, scarlet fever, etc.).

If there are prerequisites, then this pathology in a baby may appear at temperatures above 38 ° C, as well as mental or physical trauma.

The child began to squint his eyes - methods of treating the disease

The attending pediatrician will best advise what parents should do when their child squints one eye. In any case, therapy should be comprehensive and carried out as early as possible. The younger your baby is, the more likely he is to cure the disease.

Most often, the following methods are used for treatment:

  • Covering a healthy eye (for a certain time). This method helps to align and strengthen the sore eye. The pediatrician may order the child to wear a bandage temporarily or intermittently for several weeks / months.
  • Glasses. Wearing contact lenses or glasses corrects moderate strabismus in many cases.
  • Surgery. If a child's eyes have begun to squint, sometimes this is the only expedient method to improve vision and align the eye muscles. In most cases, only one operation is enough, but if there is an urgent need, it is repeated several years later. After the operation, the child may need additional wearing of glasses for some time.

In addition to the above methods, there are various eye exercises and medication. In the ophthalmological centers, special medical rooms are provided in which your baby can perform a number of therapeutic exercises using specific eye devices and simulators. By attending such classes, children several times increase their chances of getting rid of strabismus, especially if they perform exercises under the supervision of a competent specialist.

It is important for parents to remember that if a child squints one eye, high-quality therapeutic therapy will be needed, which can last for many months, which means that a lot of patience will be required on their part. In addition, it is necessary to take into account the fact that with this pathology there are no identical cases. Accordingly, in the treatment of strabismus, a highly individual approach of specialists plays a significant role in the development of methods of therapy for each patient. Let us also remind that surgical operations are carried out only after the usual methods of treatment have been undertaken and only at the age of four years.

Since surgery is a last resort, visual acuity can be improved without resorting to such intervention directly. Research has found that orthoptic exercise and exercise improves the brain's ability to regulate child's eye movements. Also, to eliminate strabismus in children, methods using modern computer technology have often been used recently. The essence of such procedures lies in the fact that the baby is offered a colorful interesting computer game with which you can correct the functions of vision.

In any case, if the child's eyes began to squint, the parents have the right to independently choose any of the ways to solve the problem described in this article. However, it should be remembered that the prognosis of the further development of pathology depends on the factors of the onset of the disease, on compliance with all the recommendations of the attending physician, as well as on the timely initiation of therapy.

A source:

A child has one eye squinting

Nothing is visible, all your suspicions will definitely pass before the age of five. I have a small one with the same problem, but as for me, it can be seen even more than yours, but when we went to the doctor, he said that everything is fine. Moreover, except for a sticker on the eye, they will not do anything to you under the age of five, even if you have this squint. So let's hope together now that everything will be fine with our children.

girls, hello everyone, my son also has a problem in one eye, but it started a week ago, the right eye started to mow, we are 7 months old, this was not the case before, what could it be? I was in the local hospital, but the ophthalmologist and neuropathologist did not even look at it, they sent me to the children's regional one. Maybe someone came across such a case?

My elder one was mowing one eye, then the other. The ophthalmologist had a year, she saw that the right one was mowing, after 5 minutes they went to the ENT, the left one was already mowing (ENT noted) They still have a weak ligamentous apparatus, they say it will normalize by the age of 2, everything went away a little later, I didn't even noticed when, don't worry.

we passed the ophthalmologist in front of the garden. as it should be, they said everything is good! after a while, the daughter's eye began to leave periodic to her ear, due to constant illnesses in the garden, our appointments to a good clinic were disrupted, consoling ourselves with the fact that my daughter just had the same feature as her dad (who is very rare, but this too happens) the more the ophthalmologist passed and everything is fine. went on vacation, already on vacation took me to a regular ophthalmologist for an examination. to a good clinic there is an appointment for which I was counting on ah for 6 months ahead, and so an ordinary ophthalmologist using devices determined that we already had mild myopia and prescribed glasses at -2. well, squint. to say that I was in shock is nothing to say 2 weeks have passed since the reception, I am still in sho. after the vacation, we will go to the clinic in our city for a full examination, I just tremblingly hope that everything will not turn out to be so scary, and if it turns out to be even worse ... I will definitely be lost.

Moreover, the appointments that we imeei turned out to be no longer correct and thank God I did not glue my eyes, I consulted at the ophthalmological forum.

Katyun, I can imagine your panic ... Everything is being treated now. The main thing is not to start ... It's hard in the last weeks, and even with a newborn, but the main thing here is not to miss the time ... They will fix everything.

Will they close their eyes later?

My little mother looked at the plane, apparently it flew low, but it rumbled like a thunder ... Like the exhaust ... And it got numb ... They treated it ... The brace remained light, but we need to peer ... Not immediately visible.

And I was farsighted and wore glasses from the age of 6. They prescribed me the most beautiful frames for work ... They bought me the most beautiful frames and no one at school said anything bad to me. At 14 I was healthy))) I took off my glasses ... But I don't see well in the evening ... I bought glasses (one lens, and the other is ordinary glass, because one sees perfectly)

But with the tablet, my vision sits down ... I began to limit my son in viewing.

But farsightedness is treated. And squint too.

do not worry so, you noticed it early, the eldest son only started to have squint at 3 years old, everyone was observed by an ophthalmologist, only at the age of 6 she sent us to the vision protection office for a full examination, they found there that the vision had already deteriorated considerably, we sent to the regional clinic and in May of this year they had an operation on both eyes, mmm, everything is fine, the eyes became even))) your girl's health and you are good at bearing the baby)))

With converging strabismus, we were told that the abduction muscles still work poorly at this age. Treatment: remove all toys in the center, hang them on the side of the crib so that you can look away at the sides, tried. Approach the crib only from the side or from the front. The same is true when carrying a child in your arms - facing you, let him turn the head, look at objects sideways, averting his eyes. Change the load on the muscles working to divert one eye or the other. That is, let it turn the head in one direction, then in the other.

I’m already afraid of mine, but in principle I understand that this may be less, it was more often like this, and now it is very, very rare in a child in infancy, the eye muscle is weak, so it happens

Not everyone is squinting, for many the pupils are not fixed, but as if they are floating ... but if the neurologist said that he is squinting, then it is so ... the sooner you start to correct it, the more successful the result will be.

Mine sucks fingers and nothing. I do not believe in this nonsense).

By the way, now it has passed by itself! Previously, from 3-4 to the end of the seventh month, fingers were constantly in the mouth. And now, just to put something in your mouth or feel your teeth ..

so I don’t believe all this. went well by itself)

and she will definitely not make it to the doctors. another education is needed for this. only if he graduates from the tower in pediatrics, then it can become.

The first time I hear this about fingers - this is how you need to suck so that a thin finger becomes ... Indeed, some kind of negative nurse is yours. It's a pity that communication with her does not go anywhere

I didn't suck my fingers in childhood ... but in vain ... they would be thin)))))

This is the period for all children and they suck their fingers and fists, then they stop and it was like that with us.

daughter has +5 and +6. I also took off my glasses, I got used to it gradually, the main thing is not to swear, to explain how it is right and beautiful to wear glasses. we almost got used to it for a month so that we could wear it for at least an hour or two without taking off. By the way, Seilova said that everything is fixable, the main thing is to contact in time, but glasses will be worn throughout childhood. maybe not completely the vision will get better, but it will get better for sure. I hope so, I look forward to it. worried terribly, now more or less calmed down. on small children and wounds heal quickly) I would also go to the ore mine, but now it is very difficult to look at the devices, because will scream and cry

I was already here with one of the girls commented that after the diagnosis of our ophthalmologist we went to Rudny. Here in Kostanay we were given a clear diagnosis, we decided to go and have a look for reinsurance. In Rudny there is a very good and competent specialist, in addition to examination, she treats eyes, all the necessary equipment is in the office, there are many children. And regarding our diagnosis, she said that what we now have at our age is not critical. In Kostanay, we were prescribed glasses, but Novikova said that glasses are definitely not needed, the child keeps his eyes well.

Wow, awful of course.

I also want to mix my own, but mine does not sit and is unlikely to be given ((

I can't say anything about this.

Itself when the ophthalmologist passed this year it turned out that I have +2. For some reason, all my life I thought that + happens only with the elderly.

For me, it’s better to go to another doctor and see what he has to say, but not tell him about the diagnoses that you were given before him.

Dina. It's great. Don't stop pecking on the corner. The niece had such a badge at the age of 2. They also pecked at the eye, and a positive result quickly came. They gave up and after 2 months everything came back again. As the doctors explained, the muscles had just begun to tune in to the correct work and then they were again allowed to relax. In short, don't quit. I am very happy for you. Your son is handsome. Eh poor girls))

Well, you see, and you were panicking, it means that your squint has just begun and has not yet had time to develop completely. keep on exercising and no surgery will be needed. but I don’t know how long you can wear the plaster - you don’t have any irritation from it? mine loves to sculpt a plaster on myself, but after half an hour it rips off because it probably itches under it

Great news! Very happy about you! This is exactly how it is treated, by alternately gluing, I know children who have completely recovered in 1 - 2 years. So I didn't have to go anywhere, here, too, are good doctors, you just need to look for them, as elsewhere, in general)) Does the insurance pay for your treatment?

We tried now to go to the kindergarten for 3 days went 2 weeks were sick, then 1.5 weeks went for 1.5 months got sick, I will not drive anymore, we will also go to the development, and no one has canceled classes at home, it depends on the child if the character is weak beaten up here, go to the garden or not go to school, it will be difficult and without any sores, and if the character is fighting then he will fight back with glasses, I think everything will work out for you, but you need to develop and walk with friends so that he still gets used to what it is not much different, but the doctor will help fix everything

I'm not quite on the topic ... you yourself would not focus on this! At 2.8, the child himself cannot know that something is wrong with his eyes. A friend's daughter with a sooo strong squint visited a regular garden, now she goes to a regular school, she is soon 14 years old, the squint is now quite a bit noticeable, but it was sooo strong and they never experienced problems, because they did not think that something was wrong with the child. parallel to the usual garden, they did their best

It seems to me that it is not necessary for Vanya to draw attention to his little eye. So you will only develop complexes in a child! Moreover, there are many children with such problems and they all attend ordinary kindergartens and schools. And according to your posts, Vanya is a very smart and quick-witted kid! As for the kindergarten, it's up to you, whether to drive or not ... We do not live under Soviet rule, where my mother was obliged to work! Do what your family is comfortable with!

A source:

Squinting the eye of the child. What to do? Pediatric strabismus treatment

You have a baby - healthy and beautiful. Are you happy! But then weeks pass, and you begin to notice that the eyes of the child squint a little, or wander. Sometimes one eye mows, sometimes both. This phenomenon is also called "lazy eye". What is it connected with and what to do?

We can immediately say that childhood strabismus in infancy is not yet a diagnosis and does not mean that your child has vision problems. Strabismus is common in newborns. The fact is that immediately after birth the little man's muscles, including the eye muscles, are still weak, the baby still does not know how to control them, therefore the eyes "wander" - now one, then the other, then both at once. This phenomenon can last up to six months - as they grow older, the muscles become stronger, the eyes begin to focus together, the squint goes away by itself.

But if the eyes continue to mow at an older age, advice and help from an ophthalmologist are already needed.

What are the possible causes of lazy eye?

Statistics tell us that three out of 100 people have a lazy eye problem. And, of course, the earlier the pathology is found, the more efficiently and easier it will be to cope with it.

A squinting eye may be associated with a neurological problem. This reason is quite common among the youngest children. With the right behavior of adults, who will have to try to create a calm, healthy environment at home, this problem will soon go away.

Another cause may be intracranial pressure. This is also not difficult to cope with - any pediatrician will prescribe adequate treatment, as a result of which the eyes will snap into place.

Strabismus can also be inherited. In this case, it is necessary to show the child to an ophthalmologist as early as possible in order to properly check his eyesight.

To check if your toddler actually has strabismus. the following methods can be applied.

Put the child's head straight and see if the light is reflected symmetrically in his pupils. If it is asymmetrical, there is a squint. This should be noticeable in the photographs as well. If everything is normal in the photo, then the excitement is in vain.

Another test method: fix the child's head straight and attract his attention with some toy located to the right or left of his eyes. At the same time, the child should bring both eyes normally in both directions, and neither eye should be squinted at the same time. Then there is no squint.

Treatment of strabismus in children

If there is a real strabismus, it is by no means dangerous cosmetically: our brain "folds" the image according to information from both eyes at once. but if at the same time one of them is not moving, then it "interferes", so the brain automatically turns it off.

To prevent the development of strabismus, it is recommended to change the location of the baby in bed - put his head in one direction or the other. In addition, the child must play on the floor in order to be able to raise his eyes, which will thus train in motion.

For the treatment of strabismus, occlusion is used - a method in which a child is put on a bandage over a healthy eye in order to make the "lazy" eye work, or sealed with a special occluder eye plaster for children. Wearing a bandage or a patch on a healthy eye every day at a certain time, the child learns to rely more on the lazy eye. At the same time, it is very important to supervise the child so that he does not remove the bandage. If he took off the bandage even just a few minutes earlier than the appointed time, force him to put it back on. If you do not notice when the child has taken off the bandage, put it back on and start the countdown again. Children with displeasure wear bandages and plasters, so your task is to explain to him and show clearly why this is necessary. To do this, you can close your healthy eye with your hand and ask if he sees well, and then explain that wearing a bandage will make the unhealthy eye as healthy and seeing as the other. Watch carefully so that the child does not peep.

The sooner you start treating, the less likely the strabismus will remain.

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What if the baby's eyes are squinted?

When the baby was just born, young parents do not always know all the features of a tiny organism. So, seeing the eyes of their baby "scattering" to the sides, moms and dads refer this phenomenon to visual impairment. Of course, this can horrify even experienced mothers, but is it worth drawing any conclusions if the baby is not even two months old?

What it is?

This picture describes strabismus in newborns, which occurs quite often immediately after their birth. Such a manifestation in medicine is called functional strabismus, which must pass before the baby is six months old.

  • strabismus (or strabismus) of a newborn is due to the fact that the muscles of the eyeball are not yet developed, since there was no need to focus in the womb to distinguish objects. Therefore, the first weeks and even months of life often observe an inconsistent movement of the pupils of the baby;
  • the movement of the eyeballs is controlled by the cerebral system of the longitudinal bundle, which in infants may be insufficiently developed. But as he grows up, the child learns to control the direction of gaze, and the problem of strabismus disappears before the age of six months;
  • Another factor that can affect the imaginary strabismus is the special structure of the newborn's skull. Its two parts - the left and right - are located at a slight angle to each other, so up to 6 months it may seem to parents that their child's gaze is directed a little obliquely.

Often, strabismus in newborns occurs due to indirect factors that influenced the development of the baby's organ of vision. This pathology will not go away on its own, therefore, requires immediate treatment. Causes of persistent strabismus:

  • complicated pregnancy, when fetal hypoxia or poor circulation of blood flow was observed. In most cases, it leads to the pathological development of some parts of the brain that are responsible for the mobility of the eye muscles;
  • difficult childbirth can provoke micro-effusions in the brain and lead to the same problems as described in the previous paragraph;
  • infectious or acute respiratory diseases transferred by an infant can have a multifaceted effect on an organism that has not yet formed, including affecting visual acuity and focusing of the gaze;
  • if in the first months of pregnancy the mother had an acute respiratory disease or any infection, the risk of developing strabismus is high;
  • the newborn is born farsighted, this feature arises due to the longitudinal structure of the eyeball (in adults - round). Therefore, if a baby is shown small objects at close range, it is possible to provoke the development of the described problem;
  • strabismus can be a concomitant disease in children with congenital brain tumor, cerebral palsy, microcephaly, Down's syndrome;
  • sometimes is the result of mental or physical trauma;
  • can be inherited.

When to sound the alarm?

If a baby has an asynchronous movement of the pupils up to six months of age, then doctors consider this the norm. Up to 4 months of life, the organ of vision can develop at a very slow pace, when the baby will react only to large figures and light sources. When a three-month-old baby does not fully respond to a bright rattle or his eyes look in different directions, this is not considered a deviation.

But after 6 months, either the problem should go away, or the child needs to be urgently shown to an ophthalmologist, since in this case we can talk about persistent strabismus. The sooner the parents realize that their baby does not have functional strabismus, the more chances there are to fully restore the function of the eye muscles and not lose visual acuity.

Self-diagnosis

The method for determining strabismus at home is based on the ability of the pupils of the eye to reflect bright light. Therefore, an independent diagnosis of a baby can be carried out in the following ways:

  1. Shine a not very bright flashlight in the direction of the child's face (distance): if the light reflects in the pupils synchronously, then everything is in order with the eye muscles. But if the reflection of light is not the same in the two pupils, you need to go with the child to an ophthalmologist.
  2. Take a picture of the baby with a flash when he looks into the lens. The problem can be recognized in the same way as in the first method.

The earlier the treatment of true strabismus was started, the less chances the child has to lose visual acuity and remain squint-eyed for life. Therefore, ophthalmologists usually prescribe complex therapy immediately after identifying the problem, and at the age of 2 years, babies are already successfully operated on. Treatment of strabismus includes the following techniques:

  • orthopedic therapy helps to correct the brain to keep the eye muscles working. Classes can be conducted both at the computer according to special programs, and on orthopedic simulators. The only disadvantage of this treatment is that only older children can master it - after 4 years;
  • reflexology is a method of acupressure, with the help of which a specialist acts on the nerve centers. They, in turn, regulate the coordination of the muscles of the eyeball. In complex therapy, it allows not only not to lose sight, but in some cases to improve it and keep the eye muscles in good shape;
  • the operation is performed after two years of age, truncating the long muscle of the eye, as a result of which the pupils stop scattering due to the previously relaxed state;
  • for kindergarten children, it is recommended to visit adapted child development centers, where there are special rooms with orthopedic simulators, ophthalmologists who regularly examine children and conduct corrective classes with them;
  • sometimes children are prescribed electrophoresis to relax muscles and improve nerve conduction;
  • The occlusion of a healthy eye helps well to activate the work of the pathologically developed tissues of the second. For this, both ordinary bandages and special children's eye patches are used;
  • can prescribe osteopathic therapy, which is more related to alternative medicine, but gives amazing results. Such treatment consists in influencing the structures and fluids of the human body with the help of the hands of an osteopath. As a result, the tissues relax, the permeability of nerve impulses improves, and the muscles tone up, which is extremely important for strabismus in infants.

If strabismus is not treated, then the children's brain responds to pathological processes in the muscles of the eye with compensatory mechanisms in the brain, which over time leads to serious problems with vision, up to and including its severe decrease. Therefore, even if a functional strabismus is suspected, it is better to visit a specialist for preventive purposes, so as not to aggravate the child's problem in the future.

A source:

Strabismus in children: types, signs, methods of treatment

Description of the disease

Strabismus (strabismus) is the inability to focus on an object of interest with both eyes at the same time. Normally, the eye muscles should move together, which allows you to focus your gaze in one place. In strabismus, the work of the muscles is impaired, one or both eyes deviate from the central axis, that is, they look in different directions, and the brain cannot combine the two visible pictures into one whole.

With strabismus, the work of the eye muscles is impaired, one or both eyes deviate from the central axis

Minor deviations are observed in almost all babies. Newborns and infants up to 2-3 months are still unable to fix their gaze due to weakness of the eye muscles and insufficient control over them, therefore a slight squint at this age is a variant of the norm. By 3–6 months, the baby begins to coordinate eye movements.

If the eyes of a six-month-old child continue to "float", look in different directions, you need to show the baby to a specialist.

At the age of two or three years, when the formation of friendly eye work occurs, there is a danger of developing real strabismus. The first signs of the disease that parents should pay attention to are a wandering gaze, an unnatural tilt of the baby's head. Occasionally, an anomaly can be seen in flash photographs of a child.

At an older age, trauma, infectious diseases, and inflammatory eye diseases can provoke the onset of pathology. Sometimes strabismus develops again. After an operation to eliminate the defect underwent in childhood, the muscles that were involved in the pathological process weaken again and the disease returns.

Strabismus negatively affects the psyche and character of the child. In the absence of binocular vision (perception of the surrounding world with two eyes), the baby cannot determine the location of the surrounding objects, and this often provokes a delay in physical and mental development.

Children's squint - video

Classification of strabismus: divergent, vertical, converging, paralytic, friendly, etc.

By the time of occurrence, congenital and acquired strabismus are divided. Congenital pathology is rare. An acquired disease is a disease that occurs in a child at the age of 1-3 years.

According to the stability of the manifestation, they are distinguished by constant (75–80%) and periodic strabismus. With a periodic form, signs of the disease appear under certain conditions, for example, during a baby's illness, with emotional experiences. Sometimes a periodical strabismus becomes permanent.

Depending on the involvement of the eyes, the pathology can be monolateral (one-sided) and alternating (the baby squints with two eyes).

By the type of deviation, strabismus is:

  • converging (esotropia) - the eyes squint to the nose;
  • diverging (exotropia) - the gaze deviates to the temples;
  • vertical (deviation downward or upward);
  • mixed.

Due to the occurrence, they distinguish between friendly and paralytic strabismus. In the first case, the eyes deviate equally from the straight position, the movements of the eyeballs are not limited, the binocularity of vision is impaired, and double vision does not appear. The paralytic form occurs as a result of injuries, infections or vascular diseases, while the mobility of the diseased eye is impaired or completely absent, and double vision occurs.

In addition to the above types of anomalies, which are true, there is also an imaginary (false) strabismus. Pathology occurs in infancy, the reason lies in the inability and inability of the baby to focus on a specific object. The main difference between the imaginary form of the disease and the true one is the preservation of binocular vision. The child perceives the world around him in full, without distortion.

Types of strabismus - gallery

Diverging squint - the gaze deviates to the temples Vertical squint - the eye squints up or down Converging squint - the eyes squint toward the nose

Causes of the development of the disease in newborns, infants and older children

It is possible to establish the cause of strabismus in a baby after a special ophthalmological examination.

The cause of a congenital disease can be:

  • difficult childbirth;
  • past illnesses during pregnancy;
  • the use of certain medicines and drugs by the expectant mother;
  • genetic abnormalities (Down syndrome);
  • heredity;
  • prematurity;
  • congenital eye abnormalities;
  • cerebral palsy;
  • hydrocephalus.

Acquired strabismus develops sharply or gradually. This is facilitated by the following factors:

  • hyperopia, myopia. To see objects that are far or near, the child has to overextend his eyes, as a result of which, over time, strabismus occurs;
  • transferred infectious diseases (measles, scarlet fever, flu);
  • trauma;
  • stress, severe psychological shock;
  • high eye strain;
  • diseases of the nervous system that lead to a disruption in the connection between the brain and eyes.

Symptoms of the disease in toddlers and adolescents

  1. The main sign of pathology is a visible squint, when the violation is determined visually.
  2. The child involuntarily tilts the head at a certain angle, looking at something, squinting one eye.
  3. The crumbs have a disturbed perception of the depth of space, he stumbles upon objects, falls.

Preschoolers and adolescents may complain of blurred images, headaches, a feeling of tension in the eyes, intolerance to light, and double vision. These signs occur periodically, intensify during illness or when overworked.

Diagnostic methods: how to define congenital and acquired strabismus

  1. For the purpose of prevention, it is recommended to visit an ophthalmologist when the baby is three months old. The doctor will examine the patient's eyelids through an ophthalmoscope, assess the size and position of the eyeballs, palpebral fissure, and determine the state of the cornea and pupils.
    1. The strabismus angle is determined by the Hirschberg method. During the study, the doctor assesses the position of the light reflex on the cornea. The kid is asked to look at the ophthalmoscope's light bulb, the reflection of which (light reflex) occurs on the cornea. Normally, the reflection should be in the center of the pupil. With strabismus, it deviates to one side.

    The study is necessary to assess the ability of the eye to refract light rays

  2. An additional research method is skiascopy, which allows you to assess the ability of the eye to refract light rays (refraction) and determine the functional state of the eyes.

    In a six-month-old baby, signs of functional strabismus should disappear. Otherwise, it is necessary to visit a specialist as soon as possible to make an accurate diagnosis, determine the refraction and angle of deviation, and the mobility of the eyeballs. Anomaly of vision can be independent or a consequence of other pathologies.

When the child turns one year old, it is already possible to diagnose latent strabismus. To detect pathology, a test is carried out with a cover. They cover one eye for the kid and show an object. With strabismus, one eye will begin to deviate to the side. After the baby reaches the age of three, his visual acuity can be checked using a special table. To determine the state of binocular vision, a color test is used, on the disk of which there are 4 luminous circles (2 green, 1 white and 1 red). The kid is put on glasses with glasses of different colors. The baby looks through the red glass with his right eye, through the green glass with his left. Results:

  • a child with healthy eyes on the disk of the device will see either three green and one red circles, or two green and red circles;
  • if the work of one eye is impaired, two red or three green circles will be visible;
  • if both eyes cross, either two red circles or three green circles will be visible alternately.

Using a color test, the state of binocular vision is determined

Also, a baby with strabismus is examined using a synoptophore. A child with glasses sits down in front of the apparatus. A division is set on the scale of the device, which corresponds to the distance between the pupils of the baby. In the cassettes of the device there are special drawings illuminated by the lamps of the device. When the lamps are turned on and off, certain loads appear on the visual apparatus. With the help of such a study, the doctor can establish the objective and subjective angle of strabismus, the possibility of binocular fusion.

To determine the causes of the disease, you may need to consult other specialists, in particular a neurologist.

Inpatient and home treatment methods

Depending on the causes of the development of the disease and the severity of its course, the doctor will prescribe the appropriate treatment. It is carried out both in a hospital setting (if strabismus is accompanied by other eye pathologies) and at home.

Conservative therapy

It is necessary to start treatment of pathology as early as possible, because the eyes deviating to the side over time begins to see worse and worse. With a mild form of strabismus, you can try to fix the problem with the help of conservative therapy.

Occlusion

To correct the trajectory of the gaze of the injured eye, in some cases it is sufficient to increase the load on it. For this purpose, the healthy eye is temporarily closed with a special shutter (occluder) so that the baby begins to use the mowing device more actively. With bilateral strabismus, both eyes are glued alternately.

The essence of the occlusion method is to make the affected eye work

For the same purpose, special eye drops can be prescribed. When instilled, such drugs impair vision in a healthy eye, and the affected person begins to work hard. But in most cases, this treatment is not enough, so you need to combine it with other methods.

Special glasses

If the cause of the disease is hyperopia, myopia or astigmatism, special glasses should be worn. With the correct selection, it will be possible to completely solve the problem.

Wearing glasses is necessary for hyperopia, myopia and astigmatism

Medications

In the complex therapy of strabismus, specialists often use medicines based on blueberries with vitamins and minerals. In addition, nootropics are needed that nourish and activate brain cells. A neurologist should prescribe such medications.

Hardware treatment

There are several methods of hardware treatment, which are selected on an individual basis. The therapy is carried out in courses of 5-10 procedures.

To consolidate the positive effect, it is worth repeating the course of treatment in a few months.

This therapy is suitable even for the smallest patients.

  1. Ambliocor. It is used to correct lazy eye syndrome, promotes the development of binocular vision. Recommended for children from 4 years old. During the session, the baby watches the video on the screen, while at the same time special sensors record information about the work of the eyes and the brain encephalogram. The video is reproduced only with "correct" vision, and when its acuity decreases, it disappears. At the same time, the brain subconsciously seeks to shorten the periods of blurry vision. This method optimizes the activity of neurons in the visual cortex of the brain, resulting in improved vision.

Amblicor helps to optimize the activity of neurons in the visual cortex of the brain

Synoptophore. The device helps to restore binocular vision, trains child's eye mobility. During the session, a separate image is provided for each of the baby's eyes. The child must visually combine these objects. For example, one eye sees a car that needs to be moved to a garage, visible to the other eye. Such muscle training helps to reduce the angle of strabismus, develops resistance to visual stress, and restores binocular vision.

Synoptophore helps restore binocular vision

Ambliopanorama. The child is in front of the screen of the device with a closed occluder with a healthy eye. The patient's task is to fix with the eye, which sees worse, one figure located on the screen, with subsequent stimulation - any other figure. Then the retina is illuminated by pressing the sync contact button.

Ambliopanorama improves visual acuity

Exercises for the eyes

Early strabismus can be treated with specific exercises that help strengthen the eye muscles:

  1. The index finger of the raised hand is slowly brought closer to the nose. In this case, you need to carefully observe the movement of the finger with your eyes.
  2. Write out eights with your eyes, draw circles, move your gaze from side to side, up and down.
  3. Look out the window for a while, then focus on nearby objects.
  4. A good workout for the muscles of the eyes is outdoor ball games. During the game, the kid has to observe with his eyes an approaching and receding object.
  5. You can draw a sheet of paper into cells, draw an animal or object in each cell. Images should be repeated periodically. The crumbs' task is to find and cross out the same pictures. You can use special drawings that show the same thing, but one of the images is missing some details. The child must find them. Lessons with flashcards like "Find 10 Differences" are also useful.
  6. The little ones will benefit from activities with a rattle. Having tied one eye with a bandage, a toy is led in front of the child's face, while the baby, without turning his head, must keep his gaze on the object. After a minute, close the other eye. To maintain the interest of the crumbs, the toy needs to be changed from time to time. At the end of the exercise, the bandage should be removed by bringing the toy closer to the child's face. Both eyes should converge on the bridge of the nose.
  7. Make ten holes in the plastic plate. The child is given a lace and offered to thread it through the holes.
  8. To improve visual acuity in the affected eye, it is recommended to do the light bulb exercise. For the lesson, you will need a lamp with a matte light bulb. A plasticine ball is attached five centimeters from the lamp. They turn on the lamp, close a healthy eye for the baby and invite him to look at the ball for 30 seconds. The child should see a dark circle with a light center. After the lamp is turned off, the kid examines the lotto pictures until the image disappears.

With regular training, a positive effect is observed already at 2-3 months of training, but they must be continued until complete recovery.

Eye gymnastics - video

Surgical treatment: features, indications for surgery, rehabilitation after the intervention

If conservative treatment does not work, the doctor may suggest surgery. The operation is indicated for children who have reached the age of three.

If the baby's eyesight is too weak, surgery is not performed until the age of 12, since the poorly seeing eye may start mowing again.

The essence of the surgical intervention is to affect the eye muscles, cutting and altering which the doctor achieves a symmetrical arrangement of the eyes. The procedure takes 1 day. For small children, the manipulation is carried out using mild anesthesia; for older children, local anesthesia is recommended.

Surgical intervention is weakening and reinforcing. In the first case, the purpose of the operation is to weaken the action of a strong muscle, towards which the eye deviates. For this, it is transplanted further from the cornea. In augmentation surgery, a weak muscle is shortened by removing part of it. After surgical treatment, it is necessary to restore deep vision, binocular functions of the eyes.

Contraindications to the operation are infectious diseases of the respiratory system, dental diseases, severe somatic pathologies, viral eye lesions.

In the postoperative period, it is necessary to adhere to some recommendations:

  • instill drops with anti-inflammatory properties in the eyes. The procedure is carried out three times a day for two weeks;
  • do not visit the pool, do not swim in open water for a month after the intervention;
  • avoid eye contamination;
  • refrain from heavy physical exertion for two to three weeks;
  • you can visit a child care institution in 14 days.

Treatment prognosis and possible complications

To achieve a positive effect, the treatment of pathology must be started as early as possible, otherwise an irreversible decrease in vision is possible. The most favorable prognosis is observed with a friendly form of strabismus; late paralytic strabismus is most difficult to correct.

In the absence of treatment, in addition to a cosmetic defect, the development of more serious complications is possible, in particular amblyopia - a sharp decrease in vision in the squinting eye, without signs of organic lesions of the fundus. This process can be irreversible. In addition, there is a possibility of complete dysfunction of the diseased eye.

Doctor Komarovsky about strabismus - video

Disease lifestyle

  1. Excessive eye strain is contraindicated in a child with strabismus. You should not allow children under five years old to watch TV for more than half an hour a day; children under eight can increase the viewing time up to 40 minutes. Do not rush to introduce your baby to the computer too early.
  2. Eye strain usually increases with the beginning of school attendance. It is important to monitor the correct posture of the child, not to allow him to bend low over notebooks or books. It is best to place the book on the stand while reading. When doing your homework, you need to take breaks every half hour.
  3. It is useful for the kid to play table tennis and badminton, while the eye muscles are being trained. Do not engage in power sports, wrestling, as a head injury received during training can aggravate the situation.

Prophylaxis

Simple rules will help protect your baby's eyes from strabismus:

  • do not hang toys over the crib that attract too much attention of the child, as his gaze will be focused on one point;
  • rattles in a stroller are suspended at arm's length;
  • in the supine position, both eyes of the child must experience the same load, otherwise the brain will lose the ability to receive signals from both eyes;
  • acquaintance with the TV should take place no earlier than 3 years, with a computer - no earlier than 8. The time for watching TV should be limited;
  • it is necessary to monitor the correct posture of the baby, especially at the desk.
  • protect your baby from stress and emotional turmoil;
  • have regular check-ups with an ophthalmologist.

During the treatment of strabismus in a child, parents must show great endurance and patience, since this process can last for several months or even years. The main thing is not to stop halfway and adhere to all the recommendations of the ophthalmologist.

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Remember: self-medication is dangerous!