Strabismus

Strabismus, commonly known as "crossed eyes" or "lazy eye," is a condition where the eyes do not properly align with each other when looking at an object. This misalignment can cause one eye to turn inward, outward, upward, or downward, while the other eye looks straight ahead. Strabismus can be constant or intermittent and may affect one or both eyes. The condition can occur in children and adults and may result from various causes, including genetics, issues with the eye muscles or nerves, or conditions that affect the brain's control over eye movement.

Strabismus

  • The primary symptom of strabismus is the noticeable misalignment of the eyes, which can lead to double vision (diplopia), difficulty with depth perception, and eye strain. In children, strabismus can cause the brain to ignore the visual input from the misaligned eye, leading to amblyopia (commonly known as "lazy eye"). If left untreated, this can result in permanent vision loss in the affected eye. Strabismus can also affect a person's confidence and social interactions, particularly if the condition is visible.

  • Treatment for strabismus depends on the underlying cause and the severity of the condition. In some cases, corrective glasses or prisms may help align the eyes and improve vision. Vision therapy exercises can also strengthen the eye muscles and improve coordination. However, if these non-surgical treatments are insufficient, strabismus surgery may be recommended to correct the alignment of the eyes.

  • Strabismus surgery involves adjusting the position or length of the eye muscles to align the eyes correctly. The surgery is typically performed under general anesthesia and is considered safe and effective. During the procedure, the surgeon may either tighten or loosen the muscles attached to the eyes to achieve proper alignment. In most cases, patients can go home the same day as the surgery.

    After the surgery, patients may experience some redness or discomfort in the eyes, but these symptoms usually resolve within a few days to weeks. The surgeon will provide specific post-operative care instructions, including the use of eye drops and follow-up visits to monitor healing. While the surgery can significantly improve eye alignment and visual function, some patients may require additional treatments, such as vision therapy or further surgeries, to achieve the best possible outcome.

  • Strabismus surgery can have a profound impact on both vision and quality of life. By correcting eye alignment, the surgery can improve binocular vision, reduce or eliminate double vision, and enhance depth perception. It can also improve the appearance of the eyes, which can boost self-esteem and confidence. Early intervention and treatment are key to preventing long-term complications and ensuring the best possible results.

    Patients considering strabismus surgery should consult with a neuro-ophthalmologist or an ophthalmic surgeon experienced in treating eye muscle disorders to discuss their options and develop a personalized treatment plan.