Opthamology
Squint Correction Surgery Treatment
Squint Correction Surgery
Strabismus is particularly condition in which the eyes do not properly align and contact with each other when looking at a specific object. Thus, condition is sometime present for a long time and sometimes only for short duration.
What is strabismus or squint?
Strabismus is particularly condition in which the eyes do not properly align and contact with each other when looking at a specific object. Thus, condition is sometime present for a long time and sometimes only for short duration. If it occurs during a large part of childhood, it may result in a condition known as amblyopia which occurs in loss of deep perception. If occurrence of its arrival is during adulthood, there are more possibilities of occurence of double vision. Generally, Squint is quite a common phenomenon in children. There are surgeries available for both children and adults for curing squint disease. If the squint is doubted, then it is essential to estimate and diagnose the child at the earliest because many a time false squint is present because of large gap between the eyes due to which eyes appear misaligned, but they do not possess squint necessarily have.
Types of squint :-
Convergent squint- In this kind of squint, one eye turns inward in the direction of inner part of an eye.
Divergent squint- This type of squint results in turning of an eye onward.
Vertical Squint- In this type of squint, eye may turn in upside and downside direction.
Constant Squint- If squint is regularly present in the eye of a person and does not occur occasionally but constantly, then it is termed as constant squint.
Intermittent Squint- If squint occurs only occasionally in an eye of a person, then it is called as intermittent squint.
Cogenital or infantile Squint- Some babies possess defect of squint by birth, this type of squint is called as Cogenital or Infantile squint
Acquired Squint- There are some children who develop squint defect after birth, in such cases it is called as acquired squint.
What are it's causes?
Few major causes of squint are-
- Congenital Squint is particularly a type of squint in which children are born with defect of squint though it may not be certain for some weeks. A strong previous family history could be present which can lead to squint.
- One other reason of squint is herediatory which can pass from one generation to other by flow of genes.
- Long sightedness or which is commonly called as hypermetropia can also lead to squint as the child is not able to focus properly, for watching anything he or she needs to put extra efforts in order to properly focus on the object which can lead to Double Vision. In order to ignore this, the child generally avoids using that particular eye. If this is not treated and examined well then not only eye will divide and alleviate but also gets converted into and lazy eye which is also called condition of amblyopia.
- Childhood squint can also arise due to fever measles or any other disease.
What does the procedure involve?
Squint surgery is generally carried out by a general anesthetics in a day time process will stop mostly surgery can be processed with the patient acquainted with numbing of eye in order to experience less pain by local anesthetic injections or by giving anaesthetic drops to the patients and also making them unconscious by medium of intravenous sedation.
It is a common belief that eye is required to be separated from its socket in order to process squint surgery. Before commencement of surgery of the eye, the eye is cleaned by using an antiseptic solution and then eye and face are covered with the medium of a sterile drape or a cloth. A tiny precise opening is made afterwards in the drape and the eyelids are held open by using a small tool or a clip. To detect the eye muscle the conjunctiva is disclosed either in proximity to cornea or along side the muscles themselves. The muscles are then recognised and the sleeve of tissue around the muscle is made clean away from the muscle.
Before the commencement of squint operation the ophthalmologist will execute a plan according which muscle required to be boosted for weakened by and by how much intensity. Which eye muscles are treated on and how much they are strengthened and make weakened will rely on the kind of squint, and how large the squint is and whether squint operation has occurred in the past history of the patient. This is why it is so essential to have correct measurement of the angle of the squint, as ophthalmologist require these measurements to estimate how many millimetres each muscle should be weakened or boosted by.
For convergent squint, the eyes can be made straight by weakening the medial rectus muscles of both the eyes or by strengthening the particular lateral rectus muscle of only one eye and also weakening the medial rectus muscle of the same eye. In order to make eye more relaxable as the patient wakes up after surgery, Many surgeons will inject a particular local anaesthetic injection around the eye muscles or put some local anesthetics drops on the surface of the eye, most generally at the end of the operation. This actually means that muscles will also be weakened for sometime and as an outcome it is not unknown for the squint to look worst in the first three to four hours after the operation.
Squint Correction Surgery is important for enhanced and clear appearance. It also boosts peripheral side vision of a person and also corrects their perception and vision in depth.
What are the risks involved in Squint Correction Surgery?
- After squint surgery, redness in eye can appear due to scar tissue coming on the surface of eye.
- Sometime surgery do not yield proper results and eyes still remain aligned and squint can occur again which needs a further operation.
- In critical and ultimately sophisticated cases, inner area of an eye gets damaged in the surgery which can lead to complications in the after effects of surgery.
- In few cases infection can occur including mild surface infection called as conjunctivitis which need antibiotic eye drop for healing.
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