The treatment of cross eye, how to correct cross eye

Hello dear, I am happy to answer your question: cross-eyed is the esotropia of ophthalmology, which can be achieved through glasses and surgery**. Esotropia is divided into congenital esotropia and common esotropia, and in common esotropia, it is divided into accommodative esotropia and non-accommodative esotropia.

1.Congenital esotropia (infantile esotropia). Clinical manifestations:

Congenital esotropia occurs within 6 months after birth, and is generally not combined with obvious refractive error, alternate esotropia without amblyopia, and monocular strabismus can be combined with amblyopia. There can be pseudoabduction restriction due to binocular visual field crossing. Congenital esotropia can be combined with hyperosis of the inferior oblique muscles, nystagmus, etc.

**: If you have monocular amblyopia, you need to go first** until your binocular vision is balanced. Congenital esotropia requires surgery** at 18 to 24 months of age.

It is also advocated that the eye position should be surgically corrected after the diagnosis is confirmed. Patients with hyperoblique muscle and *** should be given contemporaneous correction when the operation is designed. A 10-degree slight esotropia can be retained after surgery to facilitate peripheral fusion and coarse stereoscopic vision.

2.Common clinical manifestations of esotropia: moderate or high hyperopic refractive error.

De-adjustment can correct the eye position. De-adjustment methods include two methods: drug optometry, i.e., cycloplegic dilation or wearing appropriate corrective glasses to correct the eye position. With or without amblyopia.

There are no significant restrictions on eye movements. Some accommodative esotropia can be seen in an upright position when looking at a distance, and there is a tendency to heal spontaneously. **：

Full refractive prescription wears glasses, and those with amblyopia first ** amblyopia. This type of strabismus should not be surgically corrected. Generally, refraction is done once every six months to one year, and you can decide whether you need to adjust your glasses according to the refraction situation.

3.Non-concomitant esotropia: non-accommodative esotropia has no or few accommodating factors.

Clinical manifestations: the age of onset is usually after 2 years of age. There are no significant moderators.

Monocular strabismus may be combined with photopic vision. It is smaller than congenital esotropia, but it can become larger with age. **：

Those with amblyopia first ** amblyopia. After the binocular vision is balanced, the eye position is corrected by surgery in time. The patient's cross-eyed eye should be a phenomenon of esotropia, which can be corrected by surgery, but if it is not very serious, it can also be corrected by wearing glasses.

Cross-eyed eyes can affect not only eyesight, but also aesthetics. What to do with cross-eyed? Cross-eyed eyes must be corrected in time. The best time for correction is after 1 year of age.

1. Surgery**Surgery is used to adjust the strength of the external eye muscle and the position of the attachment point to normalize the eye position. Most congenital esotropia and strabismus require surgery**, and non-accommodative and oblique strabismus usually need to be corrected by surgery.

2. Non-surgical**Not all strabismus requires surgery**, and in the case of accommodative esotropia, it can be corrected with appropriate farsighted glasses or bifocals. 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. For example, training with a visual axis correction training machine or wearing prism lenses.