Intermittent exotropia, crooked light?

Is this the case for you?

This. You don't need to ask, it's just squinting.

Refractive strabismus is a professional term for optometry, simply put, squint is like, refractive error Simply put, it is myopia (farsightedness or amblyopia) Look at your patient information: male 8 years old, this look is amblyopia correction, now 8% of children have!

It's just that the glasses are not well developed! Amblyopia is mostly accompanied by strabismus, and if it is corrected before the age of 12, you can not wear glasses after that.

Shut up at home every day, watch TV, play on the computer! It is the main reason for amblyopia children now (personal opinion), like when we were children, we played outside every day, and all we saw were rape fields, eating mulberry fruits, going to other people's fields to steal tomatoes and cucumbers, roasting potatoes, you think about how green and environmentally friendly, although dirty, but can improve resistance, so almost no one in a village has bad eyesight!

Refractive strabismus is a strabismus caused by refractive errors such as myopia and farsightedness The best age for strabismus is HSLJ before the age of 6

Generally refers to the esotropia caused by the hyperopic eye when it overuses accommodations to see. Wearing glasses can solve the problem of strabismus.

Refractive strabismus due to strabismus caused by myopia or farsightedness, 8 years old is still relatively easy to treat, with the "eye cup method patented drug iontophoresis", under the guidance of a doctor, can be at home**.

Refractive accommodative esotropia: mostly onset at the age of 2 to 3 years, mostly intermittent at the onset, medium to high hyperopia, wearing glasses to correct refractive error can correct the eye position, can be accompanied by monocular or binocular amblyopia, AC A value is normal.

Common manifestations of strabismus are:

First, it affects the appearance, and normal human eyes are staring at the same target when they see things. Strabismus patients have one eye staring at the target, and the other eye is off the target, which is very unnatural and will also affect the patient's heart. Therefore, the first obvious harm is the appearance, which affects the patient's psyche.

Second, stereoscopic vision is the ability to judge objects far, near or deep and shallow, just like closing one eye up and down the stairs will feel a deep foot, shallow foot is unstable, although the strabismus patient is looking at things with both eyes at the same time, but the target of seeing is different, going up and down the stairs will appear the same feeling as a normal person closing one eye, which is easy to cause physical injury.

Therefore, if the child's eyes are squinted, then it must be paid attention to.

And how the child's eye strabismus is specific, then it depends on the type of strabismus, and the type of strabismus is different, so the method is also different.

Depending on the type of strabismus, it can generally be divided into surgical and non-surgical methods.

1) The surgical method is to adjust the strength of the external eye muscle and the position of the attachment point by surgical means, so that the eye position tends to be normal.

Congenital esotropia (cross-eyed) and upper and lower strabismus usually require surgery**, and non-accommodative and oblique strabismus usually need to be corrected by surgery.

2) Non-surgical method: Not all strabismus requires surgery**, if it is accommodative esotropia, it can be corrected as long as appropriate farsighted glasses or bifocals are worn. If there is also a refractive abnormality of medium to high intensity, it is often necessary to wear glasses to correct it, and axial correction training can be used to help restore monovision and increase the fusion ability of both eyes.

If amblyopia is also present, amblyopia training is also indispensable**.

Strabismus caused by refractive error is recommended to take medication in time to correct the refractive error. It is recommended to take two sachets of Leyan Vision Nutrients every day, and if you insist on taking it for a period of time, the refractive error will gradually be corrected, and the strabismus will gradually improve or even recover.

Hello, according to your description, strabismus is a disease of the extraocular muscles, and in children and adolescents, the incidence of strabismus is still relatively high, perhaps reaching more than 3% to 4%. Generally, according to the direction of strabismus, it can be divided into horizontal squint and vertical strabismus. Horizontal strabismus is further divided into esotropia and exotropia.

There are two types of exotropia, one is called intermittent exotropia and the other is constant exotropia. Can intermittent exotropia go away on its own? How to heal yourself?

This problem, in general, is difficult for intermittent exotropia to heal on its own. Most intermittent exotropia may develop from some heterophoria, and as the child gets older, this intermittent exotropia may progress to constant exotropia, which requires strabismus surgery to correct it. There are also a few intermittent exotropia, if it is not so severe, you can try to wear glasses, do some eye alignment training, and you may also be able to control the eye alignment as much as possible.

However, it is difficult to achieve self-healing, that is, to completely return to the state of no strabismus at all, which is basically impossible. I hope my advice will help you, and I wish you a speedy **!

Intermittent exotropia, as distinguished from constant exotropia, is a type of common exotropia. Intermittent exotropia is central, but the cause is unknown, and it is a transitional state between occult exotropia and constant exotropia. It is common in children, and with the increase of age and the progression of the disease, the central control ability gradually decreases, and the number and time of strabismus occur increase, and finally it becomes constant exotropia.

Dr. Yuan Dongpo of Xuzhou Eye Hospital said that the onset of the disease is intermittent, and the oblique period often occurs when tired, sick, drowsiness or lack of concentration. A common symptom is photophobia, with eyes often closed in outdoor sunlight. Intermittent exotropia may have temporary diplopia in visually immature children, followed by immediate inhibition and abnormal retinal counterparts.

**Intermittent exotropia requires surgery.

In the past, it was thought that the occurrence of intermittent exotropia could be controlled through long-term ensemble training, and surgery could be avoided. However, long-term clinical observation has confirmed that collective training cannot fundamentally solve the occurrence of intermittent exotropia, let alone improve the visual function of both eyes.

Too much assembly training can delay the timing of surgery. Collective training may be able to temporarily reduce the symptoms of exotropia in the short term, but it is not a long-term solution, and it is really fundamentally necessary to correct surgery, and collective training can only be used as an auxiliary means. Physician Yuan Dongpo of Xuzhou Eye Hospital said that it should be emphasized that gathering training should not be carried out before surgery, because the early strengthening of gathering impulse will affect the preoperative judgment and cause eye overalignment.

When is the best time to have surgery for intermittent exotropia?

Intermittent exotropia requires regular follow-up after diagnosis, pay close attention to the changes in binocular vision function and strabismus symptoms, and perform surgery before the formation of dominant exotropia and the impairment of binocular monovision. After surgery, regular check-ups should be carried out to pay close attention to the recovery of binocular vision function.

It will not heal on its own and it is necessary to go to a professional optometry center for visual function training.

Hello, intermittent exotropia is between heterophoric and constant exotropia, sometimes in an anterior position, sometimes in a strabismus, and strabismus accounts for a higher proportion. Intermittent exotropia belongs to a common category of exotropia, accounting for about 30% to 40% of it. Photophobia may occur in childhood, but there are not many presenting symptoms in adults.

Indirect exotropia is insidious, often mistaken for normal eye position, missing the best period, whether it is necessary depends on whether the patient has symptoms, if the patient's eyes are easily fatigued and tired, surgery can be performed.

Intermittent exotropia can still be corrected with glasses.

It's okay for minors not to have surgery now, because you can only operate under general anesthesia now, which is more difficult to align your eyes than under local anesthesia for adults. First of all, is your intermittent strabismus exotropia or esotropia? Is there a refractive error, i.e. nearsightedness or farsightedness?

In your case, the first thing to do is to correct the refractive error, the myopia of exotropia should be fully corrected, the farsightedness should be undercorrected, and the esotropia should be the opposite. Secondly, through eye muscle training, exotropia can be done nib proximal training, training with the same vision machine, etc., and esotropia also has corresponding training, but the training effect is much better than esotropia. Finally, symptoms can be relieved by wearing prisms.

In general, the above methods are very complicated, you don't go to the hospital to see there is no way to solve, but also to the big hospital ophthalmology strabismus amblyopia clinic to see, like I am familiar with a 90-year-old tertiary hospital can only do the first and third points, the second point of the eye muscle training can tell you can train at home but has not been able to carry out the same vision machine training, so it is recommended that you have to go to the hospital to see, if there is really no condition, you tell me whether you are esotropic or exotropic, I teach you a few training methods to try.

If you are still young, strabismus is not serious, you can correct it with glasses, it is not recommended to have surgery first, if there is really no way to consider surgery, it is recommended to go to a better eye hospital to have a look.

Acupuncture points, combined with traditional Chinese medicine for external application and internal conditioning, eat light food, increase vitamins, go to bed early and get up late, close your eyes and recuperate, and stay away from second-hand cigarettes. Early**!

Normal people can not be allowed to deviate within 10 degrees, and intermittent strabismus is a kind of strabismus between heterophoria and common strabismus. What you need to do is to go to a regular hospital for an eye examination to see if the circumference is more than 15 degrees, whether the vision is normal, and whether there is stereoscopic vision and fusion function. These functions cannot be recovered after adulthood, which is why many children have to undergo strabismus surgery under general anesthesia when they are not able to cooperate independently, in order to restore their stereoscopic vision and other functions as soon as possible.

Without these functions, it is impossible to drive, look at microscopes, work at heights, see 3D**, and 3D. So don't ignore the symptoms, don't be afraid of surgery, diagnose the diagnosis as soon as possible, and find out as soon as possible whether your strabismus is an indication for surgery.

First check the refractive error, if there is one, it will be solved with glasses, if not, it can be solved with a prism, and the problem is not big.

Go to a regular ENT hospital and find a specialist.

That's no way, the best results are for five minutes.

Strabismus is not only an abnormality in the appearance of the eyes, but also a loss of function in the eyes. After the child has strabismus, the key for parents is to take the child to the hospital for eye examination in time and carry out appropriate **, such as wearing appropriate corrective glasses after dilated pupil refraction, which can not only improve appearance, but also restore vision and stereoscopic vision. If strabismus cannot be completely eliminated by conservative methods, surgery may also be used**.

Hello, eye muscle surgery involves relaxing or shortening one or more of the extraocular muscles in one or both eyes. Mild strabismus can be corrected by wearing some glasses that specialize in strabismus.

Good luck soon**.

Surgery is the best method of strabismus, it can correct the eye position, although the surgical technology has gradually matured, but after all, there are still risks. **Methods include wearing glasses for correction, instrument, instrument training, masking**, and lutein supplementation.

Hello, surgery** is to surgically adjust the strength of the external eye muscle and the position of the attachment point to make the eye position tend to normal. Most congenital esotropia and strabismus require surgery**, and non-accommodative and oblique strabismus usually need to be corrected by surgery.

If you think that the one you go to is not good, you can change the hospital, this kind of thing can be solved by relying on the Internet, if the network can solve it, what will the doctor do?

Generally, the second surgery can be more than 3 months or half a year after the first operation, and the specific surgical method needs to be determined after a detailed strabismus examination.

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Dr. Yu Gang solemnly reminded that because he could not meet with the patients and could not comprehensively solve the condition, the above suggestions are for reference only, and please go to the hospital for specific diagnosis and treatment under the guidance of the doctor! ）

You will need to do a dilated refraction test to see if it is a strabismus caused by a refractive error, so you can wear glasses first.

Intermittent exotropia is a kind of strabismus between exotropia and constant exotropia, the visual axis is often separated, and when looking far, the fusion spread out exceeds the fusion set amplitude, that is, exotropia is generated; When looking at myopia, it can be kept in an upright position, and intermittent exotropia is mostly preceded by exotropia.

There is debate about the most appropriate age for intermittent exotropia surgery. Some argue that the sooner the surgery is performed, otherwise it will become a constant exotropia.

Yes, you can come and check it out. Click here to view my clinic hours.

Chief Physician of Beijing Children's Hospital-Department of Ophthalmology-Wu Qian.

Intermittent exotropia generally does not evolve into vertical strabismus and is likely to be mixed.

You should write in more detail, because there are many types of strabismus, such as the one you described is a more complex strabismus.

For example, close to what you described is dissociative vertical deviation for short***, when the two eyes are covered alternately, the occlusive eye is slanted, often accompanied by intermittent exotropia. People with this disorder have no obvious symptoms of self-awareness, but they tend to see fatigue.

If it is only vertical strabismus, it may be paralytic strabismus, if it is a week ago, it will not feel anything, if it is a week later, there will be obvious discomfort symptoms such as double vision (double vision), confused vision, vertigo, etc., and after a long time, there will be a compensatory head position (that is, tilting the head in order to eliminate double vision).

Such a complicated strabismus should be seen by an authoritative hospital.