What is going on when a child always rolls his eyes upward? Does he need corrective treatment? First of all, we need to see the cause. Sometimes a child's eyeball is short, so there will be physiological farsightedness, and sometimes the symptom of rolling his eyes upward will appear at this time. Congenital factors and underdeveloped vision may also cause this phenomenon. 1. Reasons Children have short eyeballs and suffer from physiological hyperopia. After the age of 2, children's need to see close objects gradually increases, and children's eyes have strong accommodation ability and their extraocular muscles have good contraction force. If they have the habit of looking at things too close since childhood, their eyes will often maintain a high degree of accommodation, and this will inevitably be accompanied by excessive inward turning of the eyeballs, which is most likely to cause esotropia. In addition, congenital factors, birth injuries, and incomplete development of visual function can also cause it. II. Treatment Wearing glasses and surgical correction. If a child with esotropia also has moderate to high hyperopia, and wearing fully corrected hyperopia glasses can completely correct the esotropia, then such esotropia must be treated by wearing glasses; if the refractive examination shows no degree and wearing glasses cannot improve the strabismus, then it must be corrected through surgery. Cover training method. Use the healthy eye patching method to eliminate the ocular movement inhibition of the paralyzed eye or strabismus eye. Depending on the situation, the alternating patching method can also be used to achieve the same purpose. The tactile radiation training method uses fusion images to conduct fusional radiation training for radiation dysfunction after esotropia surgery, intermittent exotropia, exotropia, etc. 3. Notes 1Avoid eye fatigue and take adequate rest. 2 Avoid spicy food for one month after the operation. 3. Apply ice packs within 48 hours after surgery to relieve pain and bleeding. Antibiotics are taken orally or intramuscularly on the day after surgery, and the dressing is changed on the second day after outpatient surgery. After the dressing change, antibiotic eye drops and eye ointment are applied locally. The sutures were removed 7 days after surgery, and topical medication was continued until 3-4 weeks after surgery. 4 Try to reduce eye movements and avoid rubbing your eyes within 2 weeks after surgery. 5. Wash your face, hair and take a bath after the operation to avoid water getting into your eyes and prevent postoperative infection. 6 After the operation, you may experience discomfort such as eye soreness, difficulty in eye movement, and foreign body sensation in the eye. Some people may feel varying degrees of eye pain or difficulty falling asleep. The above phenomena are normal reactions after surgery. The severity and duration vary from person to person. Generally, they can be relieved in 2-5 days, so there is no need to worry too much. |
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