Although cross-eyes will not affect one's body and life too much, many people become very inferior and lack self-confidence because of their cross-eyes. This is mainly because this situation will cause a considerable impact on their appearance after it occurs. Therefore, you still have to choose a more appropriate treatment method based on your symptoms. Surgical treatment can achieve a better treatment goal, but it can only alleviate the symptoms. Treatment The causes and types of strabismus in children are different, and the treatments are also different. (1) Different treatment methods are used according to the degree of strabismus: For asymptomatic latent strabismus, no treatment is required because children have strong fusion and convergence abilities. However, some children with latent strabismus experience symptoms of visual fatigue such as eye swelling, orbital pain, and headache after viewing objects at close range, and appropriate treatment can be used. For esotropia, the pupil needs to be dilated and the eyes need to be refraction tested. Those with hyperopia should be fitted with appropriate glasses. For exotropia, convergence training can be performed to strengthen the adductor muscles of both eyes to overcome the exotropia. If the effect is not good, prism glasses can be worn. For exotropia greater than 10° (20Δ) when looking at near objects, surgical treatment can be considered. Intermittent esotropia is mostly hyperopia. Once discovered, the patient should undergo mydriasis refraction examination and wear adequate hyperopia glasses for correction. Wearing glasses can usually completely correct the intermittent esotropia. Children with intermittent exotropia should undergo strabismus and synoptophore examinations to understand their binocular vision function, and receive surgical treatment as soon as possible before binocular single vision function is lost. If binocular single vision is lost, surgical correction before the age of 7 may still allow recovery to normal. If the degree of strabismus is very small, you can wear negative glasses and do convergence training, but it can only alleviate the symptoms and is not easy to cure. For manifest strabismus, except for accommodative esotropia, early surgical treatment is often required. (2) Use different treatment methods according to the different causes of strabismus: Although congenital esotropia in concomitant strabismus has nothing to do with eye accommodation, it has a great impact on the development of binocular single vision function. The best treatment is surgical correction at the early stage of visual function development at the age of 2. Esotropia that occurs after the age of 2 to 3 is mostly related to excessive accommodative convergence caused by hyperopia. This type of strabismus requires full mydriasis and eye examination. Those with hyperopia should be fitted with adequate glasses and wear them for 3 to 6 months to correct or partially correct the strabismus, and then surgical treatment can be performed for any remaining esotropia. If the esotropia does not change after wearing glasses, the only treatment is surgery. If the strabismus is completely corrected, you can continue to wear glasses. If the hyperopia is very high, you can also correct the strabismus through surgery and reduce the degree of glasses you need to wear. |
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