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Strabismus surgery is not based on the degree, the focus is on whether the type of strabismus requires surgery. There is also whether it affects the appearance to be measured.
The specific breakdown is as follows:
For congenital esotropia detected after birth or within 6 months, surgery should be performed at 1 2 years of age before the development of binocular visual function; If there is farsightedness, wear sufficient corrective glasses for 3 6 months, if the esotropia is completely corrected, there is no need for surgery, continue to wear glasses**, if you wear glasses for more than 6 months, esotropia is only reduced, residual strabismus should be operated on as soon as possible, and if there is no change in strabismus after wearing glasses, surgery should be done as soon as possible. Monocular esotropia can be masked to promote alternating strabismus followed by surgery, which is more beneficial to restore binocular vision. If covering for more than half a year is still useless, surgery can also be performed.
Children with exotropia should be operated on early, especially for intermittent exotropia, although there are conservative methods such as negative mirrors and divergence training, but these methods can only reduce the degree of strabismus, and the purpose is not as good as **, surgery should be preferred, and surgery should be corrected as soon as possible before the formation of dominant exotropia and the loss of binocular vision function. Surgery is best at 4-6 years of age.
Normal vision in both eyes, dilated refraction without refractive error, proves that wearing glasses** is useless, and surgery should be performed as soon as possible. Intermittent strabismus with very little and frequent changes in strabismus is postponed to see if it can heal on its own, and if the strabismus gradually increases, it is not too late to undergo surgery.
In principle, children with strabismus and amblyopia should be treated with amblyopia first, and strabismus later. Postoperative recovery is consolidated only if vision improves. However, for large squints, strabismus should be corrected first, otherwise the strabismus eye cannot be well fixed, and the amblyopic eye cannot be very good**.
For esotropia and exotropia with intraocular diseases that cannot be recovered, surgery should be performed after the age of 12 years to prevent exotropia or exotropia from becoming exotropia or exotropia without binocular vision control after surgery.
Congenital paralytic strabismus, especially children with compensated head position, should be surgically corrected at about 3 years old, and acquired paralytic strabismus should be tried to find **, with drugs**, after half a year ** no effect can be considered surgery.
Strabismus in children is a very complex problem, and it is necessary to formulate a reasonable plan based on the comprehensive examination results. No matter what type of strabismus a child is, whether surgery is needed or not, they should take medication in time to supplement vision nutrition and improve vision.
It is recommended to take two packs of Lejing Vision Nutrients every day, and insist on taking it for a period of time, the vision will be improved, which is very helpful for the recovery of strabismus.
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Indications for intermittent exotropia surgery.
Indications for surgery: 1 The smallest side of distance and near strabismus is greater than 20 prisms. 2 Parents find that their child's strabismus occurs more often than in the right position every day.
3. The convergence function gradually decreases (the fusion range is within 10 degrees). 4. Strabismus greater than 30 degrees triangular prism. 5 Intermittent strabismus with anisometropia.
6 Intermittent exotropia with perpendicular muscle abnormalities. 7 Intermittent exotropia with A-V phenomena.
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Strabismus causes a bad appearance and a deviation from what you see, you can have surgery.
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Strabismus is a deformed and abnormal eye disease, which has a lot to do with the patient's living habits and eye muscles, and has a great impact on daily life, and when strabismus reaches ten degrees, it is more serious, and it needs to be carried out as soon as possible, and the causes and types of strabismus are also different, and the methods are also different.
Horizontal strabismus of more than 15 degrees in esotropia and exotropia requires surgery. If it exceeds 40 degrees, it is more serious.
After strabismus surgery, it is necessary to pay attention to postoperative maintenance and recovery, and appropriate postoperative visual consolidation training can be carried out, so the attention after surgery should not be ignored. During the recovery period of surgery, patients should pay attention not to rub their eyes with their hands, be sure to maintain eye hygiene to avoid infection, rest more, and go to the follow-up in time if there is discomfort in the eyes.
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It is more obvious that it seriously affects the vision of strabismus through surgery**.
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Strabismus seriously damages human health and aesthetics, for strabismus patients, in addition to the need for patients to go to the hospital as soon as possible, it is more important to find the real one, on the one hand, it can help to develop an efficient program, on the other hand, it can also help future generations to avoid the occurrence of strabismus.
"Identification of pathogenic genes of strabismus" uses high-throughput sequencing technology to accurately analyze hundreds of pathogenic genes that cause strabismus to achieve accurate diagnosis and classification of strabismus: (1) for people without the disease, it suggests the risk of individual strabismus, helps to prevent it early, adjusts psychological and environmental factors, and effectively avoids the occurrence of strabismus; (2) For the sick population, find the genetic cause of the onset of strabismus, select the most effective and targeted drugs, and be accurate; (3) For people with a family history of strabismus, finding the pathogenic gene can guide eugenics, terminate the continuation of the pathogenic gene of strabismus in the family, and let the offspring or second child no longer suffer from strabismus. In addition, normal couples may also carry the strabismus gene, and decoding the strabismus gene before trying to conceive can reduce and avoid the risk of strabismus in offspring.
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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.
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Hello, your condition should be considered "serious", because it is clear from the appearance that your eyes are strabismus.
Strabismus surgery is the correction of the eye position by adjusting the eye muscles to make it aesthetically pleasing, and it is indeed related to moving several eye muscles.
It is recommended that you go to a professional eye hospital for treatment, and I wish you a speed**!
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It takes about a week to stay in hospital for strabismus surgery.
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First of all, the amblyopia is good, and the strabismus surgery is done. It is recommended to read my popular science article "Strabismus and Amblyopia** Should Be Early" Fudan University Affiliated Eye and Ear, Nose and Throat Hospital-Optometry and Strabismus Amblyopia Discipline-Chief Physician Liu Hong View the original post".
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