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.
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Their service is above all stars. Clinic is no doubt the best in its kind. Stands out from the rest in standards, hospitality, cleanliness, affordability and especially Doctor is the best. He is very patient and treats the problem with ease and empathy. He never hurries and explains every possible detail with patience. He was never hesitant in emergency times as well. Happy I got my PRK in his clinic , I would recommend this 100%.
My 2 year old was seen at Smartvision Eye Hospitals by Doctor. We found out she has squint and feel like we are in great hands. He really made sure that the procedure would be safe and not to worry. Me being an over protective parent I have bugged him with lots of questions and on the day of surgery I was really scared about giving GA to my kid and surgery. But the staff was very kind and assured me that am in safe hands. Post surgery my kid had little discomfort for the first two days. But later on she is happy. Thank you team.
I have got glasses and wanted to get rid of them. When I have approached Doctor, He has explained me all the options i could opt for and I went ahead and got the surgery done. First day was little painful and I started feeling better from the next day. Three days post surgery am perfectly fine. It was really simple. Thank you smart vision.
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!
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.
MS, DHM, FIAS | Director & Chief Surgeon
Ex-Chief Medical Officer in Sankara Eye Hospitals, Guntur and Medical Director & Chief Surgeon in Vasan Eye Care Hospitals, Hyderabad, he operated on more than 60,000 patients.
MBBS, DO, FPO | Director & Chief Surgeon
Expertise in cataract removal including Femto, Zepto and Refractive Surgeries (Femto second laser, ICL's, RLE, PRK, SMILE). Also excels in performing pediatric and adult squint surgeries.