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STRABISMUS: Causes, Signs and Treatment!


Strabismus Definition: By the medical term, Strabismus is in general language use the squinting. Thereby the eyes look through a misalignment in different directions. The physician distinguishes between inward strabismus (strabismus convergence), in which one eye is directed to the nose, and outward strabismus (Strabismus divergence). The most common are latent strabismus (medically heterophoria). This misalignment usually remains untreated, since it is often only a stress phenomenon, for example when the eyes are overloaded. In most cases, however, the brain is able to compensate for the squinting by the slight disturbance of the two viewpoints. Only about 10% of those affected with latent squinting are affected.

The shapes concomitant strabismus ( concomitant strabismus ) and strabismus paralytic (Paralytic strabismus), however, medical treatment. The oesophagus often occurs in the baby or childhood. In the so-called paralysis squinting, there is an eye muscle paralysis, usually due to a previous inflammation or injury. With the help of a Strabismus therapy, the normal eye position can often be reached again – this is necessary, among other things, in order to merge both visual impressions of the eyes into a single image (fusion). The fusion makes spatial vision possible. Affected persons of squinting often see double images Squinting infants often suppress stereotypical vision by using only one eye. In such a case, a further visual impairment can develop from strabismus. This is why it is very important to check with the children and infants whether there is a squinting of the eyes in order to be able to initiate treatment as early as possible.


Strabismus Causes: Various causes can be responsible for strabismus.

The forms Strabismus concomitants (companion squint) and heterophoria (latent squint) are due to a disturbed balance of the eye muscles. The actual cause of this is mostly unknown. It is known, however, that this form of strabismus is inherited genetically. Patients who suffer from strabismus concomitants usually have relatives who also suffer from a squinting of the eyes or once have squinted. In addition, short-sightedness or farsightedness often continue.

In latent squint, on the other hand, the imbalance of the eye muscles occurs only briefly. This is mostly due to the fact that here the ability to fuse the visual impressions is underdeveloped. Squinting occurs in this case only with fatigue, alcohol influence or other overload factors. The form of strabismus paralyticus, that is, the paralysis of the paralysis, is due to a paralysis of the external eye muscles . This form of squinting can occur suddenly, for example, For example due to a muscular disease, inflammation or a tumor. Bleeding disorders can also be a trigger for the squinting of the eyes. Children suffering from this type of strabismus have often suffered injuries to the face, brain or eyes during birth.



Strabismus Symptoms: Characteristic of the squinting is the misalignment of the eyes. This is the way the eyes look in different directions and the typical squinting. The reason for this is usually that one of the two axes of the eye deviates from the normal position, ie the parallel position. The position most frequently changes inwards or outwards. Frequently the squinting of the eyes is accompanied by further symptoms: Such as burning or trembling eyes, concentration problems, increased sensitivity to light, headaches, the skewness of the head, blinking or twinkling, a lesion or awkwardness in gripping objects. If these signs appear unexpectedly, they can also indicate a later squint.

The various symptoms of squinting also depend on the respective form of strabismus:

  • Strabismus concomitants (accompanying squinting)

  • Strabismus paralyticus

  • Heterophoria (latent squinting)


Strabismus Treatment: If the strabismus is recognized at an early stage, ie in the childhood or infancy age, a conservative therapy is usually sufficient to treat the squinting of the eyes – the children are often spared surgery.

  • Treatment of Children: As a rule, the treating physician prescribes both glasses and an eye training to prevent the squinting of the eyes. Within the framework of the so-called fusion training, the children learn to combine the double images. With the help of so-called occlusion therapy, a possible beginning visual impairment is also treated. In occlusion therapy, both eyes are alternately covered with a patch. The patch remains adhered to the eye for a certain period of time. Through this application, the visionless eye is forced to do more. If this form of therapy is carried out at an early stage, children will be able to learn good vision through the training and unleash the squinting of the eyes. In most cases, children with a squinting-related visual impairment remain under treatment until the age of 12 years.
  • Treatment of Adults: Even adults suffering from strabismus concomitants are prescribed a therapy to stop stereo synthesis and to restore the full visual acuity. If the affected person sees double images, prism glasses are often used. This is a spectacle in which a matte film is glued to a spectacle lens so as to change the incidence of the light beams and avoid the stereoselective phenomenon. In addition, a fusion training is often also carried out in adults. At the same time, this form of therapy can cause the eye position to normalize again and the squinting of the eyes is no longer obvious. In so-called paralysis, the paralysis of the paralysis, the cause of the paralysis is treated. In rare cases, the paralysis of the eye muscles can also be restored without treatment. The problem with this form of squinting of the eyes is that often the actual trigger can not be diagnosed. This makes the treatment more difficult, which generally depends on the cause of the paralysis. Sometimes, however, the squinting of the eyes persists despite treatment. In such cases, the patient often receives prismatic lenses that remove the double vision.

If the squinting of the eyes despite treatment for more than six months, a surgery is often recommended.

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