Strabismus: The functional restoration of vision in early childhood is essential

Strabismus, which is usually hereditary, occurs in the first years of a person’s life and its level of progression varies depending on the degrees of deviation (ranging angle of deviation).

In rare cases, Strabismus occurs in the adult life of humans with various causes (thyroid diseases, ischemic strokes, diabetes mellitus, multiple sclerosis, brain tumors, brain injuries, etc.).

What are the main causes of Strabismus?

More specifically, the main causes of Strabismus are heredity, some brain diseases and systemic diseases (diabetes mellitus, thyroid). Usually childhood Strabismus is due to certain refractive problems. In rare cases, however, they may be due to other pathological causes of the eye or even to neuro-ocular diseases.

Strabismus: What happens and the eyes are not aligned?

In normal vision, the axes of the eyes are kept aligned and the harmonious cooperation of the muscles of one eye with the muscles of the other is achieved, through the command they receive from the cerebral nerves.

In Strabismus, however, these axes are not parallel, so that this cooperation cannot be achieved.

Strabismus affects the patient’s visual ability

In the majority of cases, the function of vision is affected and is not limited to the aesthetic effect it causes. The main feature is the loss of stereoscopic vision (dimension of depth). Diplopia (double vision) often occurs where the brain repels the image of the deviating eye.

Children who develop amblyopia reject the image of the misaligned eye (not creating neurosynapses between the brain and the eye). Parents can observe non-harmonized movement of children’s eyes, tilting the head to one side, cross-eyedness with one eye, etc.

In children the functional restoration of vision is necessary to be done as early as possible (preferably before the age of ten).

Diagnosis of Strabismus

The simplest way of detection in children, especially those under the age of 3, is the cover test. The ophthalmologist, covering with a special cover or by hand, alternately the eyes of the child for 2-3 seconds, carefully observes the mobility of the eye that is not covered.

In a child without Strabismus, this procedure does not cause mobility in any of the eyes. The cover test is a fairly sensitive test, so the conclusions to which it leads are revealing and that includes cases where the problem is not obvious even when the two eyes are open.

The test with the direction of light is similar. In this test, a point where the child’s eye must follow with maximum precision is chosen by the physician, as well as the use of special lenses during the examination can also take place. In older children, specific tables with letters or photographs are always used in conjunction with the patient’s history and possible heredity reasons are examined.

Treatment of Strabismus

In children older than six years of age, the treatment of Strabismus begins with closing of the eye that does not squint for certain hours a day. This process irritates the squinting eye resulting in the development of visual acuity. In some cases of Strabismus, the problem can be solved by constantly wearing glasses and assessing it every 6-12 months. The most difficult cases are treated surgically, where the doctor strengthens or weakens the muscles to align the eyes. If the problem of Strabismus is severe, then there is a possibility that a second surgery will be needed.

Strabismus and Medical Acupuncture

Medical Studies (https://pubmed.ncbi.nlm.nih.gov/19873915/ ) have shown that Strabismus can be significantly improved when the person in need receives acupuncture therapy. In this situation, especially for Paralytic Strabismus, the results are particularly encouraging. The experienced medical team of our Orasis Acupuncture Center treats the patient in the course of 12 acupuncture treatments thus it is able to provide a better final result for the patient through the specialized protocols it uses.

Vision Acupuncture Institute

125-127 Kifisias Ave

Ampelokipi –  Athens, Greece

Cosmos Center, Offices 536 – 538

Telephone: +30 210 69 10 401

E-mail: contact at orasisac.com

Covid-19

At our Institute, in the period of Covid-19, we care about your safety and we implement all the prescribed health protocols of  the Greek Ministry of Health and the Infectious Diseases Commission of EODY.

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