any people think that squint is a permanent condition and cannot be corrected. But the truth is that eyes can be straightened at any age.
Commonly known as “Strabismus”, where the eyes are not aligned in the same direction, this can be present only part of the time, in one or alternating between two eyes. The squinting may turn in (converge), turn out (diverge) or sometimes turn up or down.
You might be wondering what causes it- Is it by birth, accidental, hereditary- Our eye expert, Dr. Harsha Vardhan says, it arises due to an incorrect balance of muscles, refractive error, childhood illnesses, nerve palsy and several other reasons.
What about Childhood Squint?
If the squint is suspected, then it is necessary to evaluate the baby at the earliest. Sometimes a “Pseudo Squint” may be present due to a wide gap between the eyes, flat nose bridge where the eyes do appear misaligned but do not actually have the squint. The causes are:
Congenital Squint- These children are born with a squint though it may not be obvious for few weeks. A strong family history could be present.In all children, the vision and need for spectacles have to be assessed.
Long Sightedness or Hypermetropia- As the child cannot focus well, he has to put extra effort to focus, which can cause a double vision. To avoid this, the image in one eye is suppressed unconsciously and in turn, the child avoids using that eye. If left untreated not only does the eye deviate but also becomes a lazy Eye (Amblyopia).
To obtain more precise alignment of your eyes, Dr. Harsha Vardhan may use adjustable sutures(stitches). This allows your eye alignment to be adjusted after surgery. If adjustable sutures are used, surgery is performed in two stages.
Stage one involves re-positioning one or more of the eye muscles with “slipknot” or “bow-tie”sutures. In stage two (usually performed immediately after you wake up from general anesthesia), using anesthetic eye-drops, the sutures are untied and retied to fine-tune the alignment. In many cases, no adjustment is needed and the slip knot or bow-tie sutures are converted to standard knots.or a consultation.
Squint surgery is usually performed on an outpatient basis using general or local anesthesia. Patients may experience some pain or discomfort after surgery, but it is usually not severe and can be treated with over-the-counter pain medication such as panadol or paracetomaol. Stronger medications for pain, such as codeine or hydroquinone, are sometimes needed and will be prescribed by your ophthalmologist or anesthetist. You can often return to your normal activities within a few days. More than one surgery may be needed to treat this condition depending on the severity of the case.
The kindness, care, and professionalism given by the entire staff and the surgeon changed what I thought would be a terrifying experience to a calm and positive experience with an amazing out come. The clarity and brilliance of colors with my improved eyesight. Thank you, SmartVision!
I liked the idea, Dr. Harsha talking to me throughout op letting me know what was happening and what he was doing The staff at pre op was great at putting me at ease before op and after op Very professional staff at hospital side as well as office side. Great Experience.
I was very satisfied with the results. It made a difference in my vision and the results were awesome. Dr Harsha and staff were very professional kind and compassionate. I trust them completely. Dr. Harsha is a gifted. surgeon God bless him.
Recommended by friends, and I just happened to get Dr. Harsha. From my first visit, I was very impressed...your staff gave me the most comprehensive eye exam that I have ever had...I felt that I had gone from an antiquated practice, to the leading edge of eye care. Both surgeries went well with no side effects...follow up care has been excellent...Dr. Harsha get accolades from this patient, and you can be sure that I will recommend Smartvision Eye Care to my friends and family....
Dr. Harsha provided me with all my options. I greatly benefited from his knowledge base and when I made my decision he was very supportive. He is an excellent doctor. Highly Recommended.
Director & Chief Surgeon
Director & Chief Surgeon
Consultant & Surgeon
Director & Chief Surgeon
WHAT HAPPENS AFTER THE SURGERY?
What is the treatment for Childhood Squint, will he need to wear Spectacles or undergo Surgery?
The child is thoroughly assessed to know the type of squint as it is very important to note the vision and fixation pattern in both eyes. The spectacle power and degree of squint will be examined till he grows up. Any residual squint that may not be corrected by spectacle can be corrected by surgery.
It is a day Care Surgery with no hospitalisation. The eye pad is removed the next day and eyedrops are instilled a couple of times during the next weeks. Since it is an external surgery there is no effect on the vision. Most of the times external sutures are absorbable and do not have to be removed. Though the eyes may be red initially but a person can join back his office in a couple of days.