Strabismus – Heterotropia

Strabismus – Heterotropia

Strabismus is also called crossed-eyes or squint. It is a problem in alignment of the eyes since they do not look at the same point at the same time. Heterotropia most commonly begins in early childhood. squint occurs when the eye muscles don’t work properly to control eye movement. Treatment options include glasses, patching of strong eye, eye muscle exercises, medication or surgery.

After it develops, a kid rarely outgrows strabismus. Strabismus can cause permanent vision issues without therapy. For instance, if the kid does not use one eye because it is misaligned, it may develop poor vision (lazy eye or amblyopia) in that eye.

Strabism can be difficult on the self-esteem of your child. It impacts the appearance of your child as well as his or her capacity to see well. Other children may tease your kid for being cross-eyed. Support your kid and seek therapy straight away.Symptoms may be constant or intermittent. They may get worse when your child is tired or sick.

Adults may develop strabismus from eye trauma or nerve damage. Loss of vision, an eye tumor or a brain tumor, Graves’ disease, stroke, and various muscle and nerve disorders can also cause strabismus in adults.

It’s also essential for your kid to have periodic follow-up tests.

  • Strabism can be classified by the direction of the turned or misaligned eye inward-turning (esotropia)
  • Outward turning (exotropia)
  • Upward turning (hypertropia)
  • Downward turning (hypotropia)

Treatment choices include:
eyeglasses or contact lenses,used in patients with uncorrected refractive errors. The eyes will need less focusing effort with corrective lenses and may stay straight.
Prism lenses: special glasses that can bend light into the eye and help decrease the quantity of turning the eye must do to look at objects.

Orthoptics (eye exercises): may work on some types of strabism, especially insufficiency of convergence (a form of exotropia).
Medications: Eye drops or ointments. An overactive eye muscle can also be weakened by injections of botulinum toxin type A (such as
Botox). Depending on the condition of the patient, these treatments may be used with or instead of surgery.

Patching: If the patient has it at the same moment as strabismus, treat amblyopia (lazy eye). Vision enhancement may also enhance eye misalignment control.

Eye muscle surgery: Surgery changes eye muscle length or position to align the eyes properly. This is done with dissolvable sutures under general anesthesia. Adults are sometimes provided adjustable sutures strabismus surgery, where after surgery the positions of the eye muscle are adjusted.

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