Can a child's strabismus heal itself?

If a child has strabismus, it is very serious and there is no way to heal itself, because this situation will become more and more severe, which will further reduce the children's vision. Therefore, it is necessary to improve it in time and find the cause of the disease before treating it. In fact, the occurrence of this disease is basically a symptom caused by medical reasons such as tumors and trauma.

1. Concomitant strabismus

Correct existing refractive errors and promote good vision development. Treat amblyopia, perform orthoptic training, and surgery can be used to treat strabismus that cannot be corrected after wearing glasses for half a year. The surgery is mainly to adjust the imbalance between muscles, weaken the stronger muscles and strengthen the weaker muscles.

(ii) Paralytic strabismus

1. Treat the causes: trauma, inflammation, tumors and hypertension.

2. Drug treatment: Vitamin B1, vitamin B12 and ATP, glucocorticoids and antibiotics are effective for neuritis and myositis. Botulinum toxin A injection into the medial rectus muscle can treat acute abducens nerve palsy or medial rectus muscle spasm. For strabismus with a degree less than 10 prisms, a moderate prism can be used.

3. Surgical treatment can be considered after the cause has been eliminated and the paralyzed muscle has stopped progressing for 6 months.

(1) Educate patients and their families on the knowledge related to restoring normal visual function.

(ii) Guide children with concomitant strabismus to carry out the following treatments and strive to restore normal binocular vision.

1. Actively correct refractive error

(1) Children aged 2 years and above can wear glasses for correction. Instruct the patient and his/her family to fix the glasses on the head with elastic bands, pay attention to safety and prevent accidents.

(2) If the strabismus disappears completely after three months of treatment, continue to wear glasses and treat amblyopia or perform orthoptic training, and check the refraction every six months.

(3) If strabismus still exists after three months, the patient will be treated for amblyopia to balance binocular vision and then receive surgical correction.

2. Treatment of amblyopia: guide patients to undergo amblyopia treatment and pay attention to follow-up observation of the effects.

3. Guide patients to conduct orthoptic training, correct abnormal retinal correspondence, and develop children's simultaneous vision and fusion ability.

3. Nursing before and after surgery

1. Provide care according to routine external eye surgery care.

2. Psychological care: Provide patient and detailed explanations and strive for active cooperation from patients and their families.

3. Bandage both eyes after surgery to allow the operated eye to rest and prevent the sutures from being torn off due to eye movement. Instruct the patient not to remove the healthy eye dressing on their own.

4. Patients who have obvious diplopia and a certain degree of fusion after surgery should be guided to do corrective training.

5. Observe the condition of the operated eye. If conjunctival inflammation or increased secretions are found, the dressing should be removed, a pinhole mirror should be worn, and antibiotic eye drops should be used. The patient should be advised to control eye movements by himself to prevent tearing of the sutures.

6. Children should continue to receive amblyopia training after surgery to consolidate and improve their visual function.

(IV) Patients undergoing general anesthesia should be cared for according to the routine postoperative care.