What are the treatments for strabismus in children?

Strabismus refers to the inability of both eyes to focus on the target at the same time, which is a disease of the extraocular muscles. It can be divided into two categories: concomitant strabismus and paralytic strabismus. The main clinical features of the former are eye deviation to the temporal side, no eye movement disorder, and no diplopia; while paralytic strabismus has restricted eye movement, diplopia, and systemic symptoms such as dizziness, nausea, and unstable gait. Regarding the treatments for strabismus in children, I have summarized the following points for everyone to learn about together!

1 Surgical treatment is to adjust the strength of the external eye muscles and the position of their attachment points to return the eye position to normal. Congenital esotropia and strabismus usually require surgical treatment. Non-accommodative and large strabismus also usually needs to be corrected by surgery.

2 Non-surgical treatment: If it is accommodative esotropia, it can be corrected by wearing appropriate hyperopia glasses or bifocals. If there is moderate or high refractive error, glasses are often needed for correction. In addition, axial correction training can be used to help restore the binocular single vision function of both eyes and increase the ability of image fusion.

3 You can use a synoptophore, binocular single vision rehabilitation device, or a visual axis correction training machine for training, or wear prism lenses, etc. If there is also amblyopia, training the amblyopia with amblyopia treatment instruments is also an indispensable treatment.

The above is an introduction to the treatment methods for strabismus in children. I believe that you will have a certain understanding after reading it. The causes of strabismus are complicated. In addition to targeting the causes and surgical treatment, modern Western medicine has no ideal method for those with unknown causes. A considerable number of infants and young children suffer from pseudoesotropia, which appears to be crossed or cross-eyed. This is because the bridge of the nose of infants and young children is wide and flat, covering part of the inner canthus (commonly known as wide eye corners). The two black eyeballs seem to be concentrated in the center, and the white eyeballs on the outside of the cornea are exposed more than the inside, giving the illusion of esotropia.